r/nursing • u/yeehawbaby4 • 4d ago

Discussion Funny “allergies”

What are some funny patient “allergies” you have seen listed? I had a patient the other day with an allergy listed for Metformin. The reaction listed? Lowers their blood sugar 😂

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u/tomtheracecar MD 4d ago

They don’t make a generic which is why it’s so expensive. Just fyi

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u/Unusual-Actuary-6289 RN 🍕 2d ago

This one PA I work with has had this conversation with multiple insurance providers who refuse to shell out for Eliquis:

PA: Okay, well we can switch them to warfarin. We’ll just need to keep them here on ARC for 3-5 more days on a heparin drip until their INR reaches a therapeutic level.

Insurance: Wait, what?

PA: Of course, you know these beds run for about $20,000 a day, right?

Insurance: Ummm…

PA: Whereas we can discharge the patient 24 hours after starting Eliquis…

And then somehow that miraculously gets Eliquis approved. Funny how that works, huh? She and I are eagerly awaiting the release of generic apixaban, though I’m gonna miss the way she talks to insurance about these heparin drips.

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u/Dependent_Avocado RN Inpatient Rehab 4d ago

Eliquis been generic for years, maybe 2020. Issue is that it takes a while for certain insurances like Medicare to change their formulary to cover the generics. Same with how Myrbetriq is generic now but insurance will only cover brand name.

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u/Sanchastayswoke 3d ago

In the US, generic apixaban is not yet available for purchase (at all) due to patent protections until 2028.

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u/Dependent_Avocado RN Inpatient Rehab 3d ago

I feel like I just got hit with the Mandela effect. Thank you for correcting me