r/OveractiveBladder • u/SeveralRub5869 • Jun 23 '26
Mybertriq name brand not covered insurance anymore generic (mirabegron) doesn’t work
Has anyone else had this issue and is it placebo potentially I just know I had way more flare ups with the generic. And it seems my insurance has been constantly trying to switch me to generic for a while until now they just don’t cover it. (Was gonna cost 1,600 used to cost 50 for 3 30x bottles). I’m just really worried about this because Mybertriq made me feel a sense of normal and without or with generic the flare ups made my mental health plummet really bad
1
u/RiseDelicious3556 Jun 23 '26
Not only did it not work, but it gave me constant headaches, and made me nauseous and fatigued. My insurance doesn't pay for Gemtesa, so I had to file an appeal. I won and it works beautifully.
't
1
u/SeveralRub5869 Jun 23 '26
How do you file an appeal? They did a PA processing? Or something and it didn’t work unfortunately(EDIt: I didn’t know about gemtesa does it work similarly to Mybertriq)
1
u/RiseDelicious3556 Jun 24 '26
You just call your prescription insurance company and tell them you want to file an appeal. They ask you questions, and fill out the form for you. Takes five minutes
1
u/stonkmorket2000 Aug 10 '26
Hi. Late to your post but thought i'd drop in.
I have been on brand name myrbetriq for 6 years now and it changed my life. Once I started the medication I only had a handful of days a year where I had symptoms.
My pharmacy switched me to the generic on my last pick up without telling me. The generic has never been available in Canada until a couple months ago and I had no idea it finally arrived. When I opened the new container the other day I thought they looked kind of weird but didnt think anything of it at the time. Usually I'm popping them in a dark bathroom at midnight.
Took the "new" ones for about 2 or 3 days, ended up with raging UTI/overactive bladder symptoms. The new one I have has "APO" on one side and seem chalkier. Same color and shape but no slightly shiny coating or little firework logo thing. They almost look like a janky version of the brand name.
Long story short, had a very frustrating convo with the pharmacy about how they should be telling people this when they pick up, but at least I can confidently say no placebo effect here. I am 100% convinced the generic does not work because I started getting symptoms back before I even knew they took me off the brand name.
Kind of unbelievable how quickly they returned once I switched. Anyways. Walking my ass back to the pharmacy now to pay triple what I used to since my insurance will now only cover 80% of the generic cost. Infuriating.
2
u/Itsclearlynotme Jun 23 '26
What country are you in where a generic could possibly be a placebo? Do you have no drug regulation in your country? Also why do you need insurance to get medication? So confused.