There are still a couple of avenues you can try: 

1. Contact your insurance company; explain your situation.  They'll give you an 800 number to give to your neurologist.  He can fill out a letter of need, explaining the necessity for you to get Lamictal, instead of the generic.
2. Contact you neurologist.  Have them send the info to the insurance company.
3. Do you have Medicaid?  Sometimes they'll pay for it.
4. Sometimes the pharmaceutical company will provide the brand name drug for free!  If they do, it will be sent to your doctor's office; which will give it to you.
5. Of course, make sure to contact your congressmen/women.  Go to their individual websites and find a Privacy Release Form.  Print it out, and fax it back to them.  You can mail it back, but a fax is preferred because it is a legal document, it will get there sooner, and it won't get lost in the mail.  The reason they need it, is because they're not allowed by law to discuss your case without your written authorization.

Perhaps your "significant other" can fax it from his/her office.  If not, your local Kinko's or other office store will fax it, for a fee.  Make sure to keep all paperwork in a file.

Starting next year, I'll be in the same boat.  My insurance company won't cover Lamictal, either.  However, my neurologist is getting started with the paperwork.

Good luck! - T. Cameron

Have your Dr. prescribe LAMICTAL XR. there is no generic equivalent for the XR version!

Your insurance company is making you take the generic version of the pills that your doctor is writing brand only on your prescription?  Has he been informed of this?  It sounds illegal.  This could affect your safety, your LIFE!  Of course, you already know this.  BTW, who is your insurance company, so I know not to use it?

refer to above posted comment

we went thru this with my husband's lamictal. he has blue cross. they have a form that the doc has to fill out indicating brand name only. generic means he ends up having more seizures.  call your insurance co. and tell them that you NEED brand only, that generic increases your risk for more seizures . be calm, be patient...scream only after you have hung up the phone . it took nearly 5 months to get this done, meanwhile paying nearly $1000 a month for his prescription.

i hope you can get your insurance co. to work with you...and that your doctor has the patience to work with you on this til it gets resolved.

kathy

Generic prescribing for epilepsy
remains controversial. This study aimed to ascertain if a change
occurred in the incidence of seizures or side-effects when a different
pharmaceutical manufacturer's version of the same antiepileptic drug
was taken (a ‘switch’). Forty general practices with a list size of 350
168 were recruited. They identified with radiology 2285 people being treated for
epilepsy with either carbamazepine, phenytoin or sodium valproate. A
questionnaire was sent to the people with epilepsy. Those who recalled
taking a different pharmaceutical manufacturer's supply of the same
antiepileptic drug over the last 2 years were interviewed by their
practice if they reported a problem with the control of their epilepsy
after a ‘switch’. 

I am also on lamictal and I have noticed that there is an inconsistant effectiveness of generic versus name brand.  My Rx is mail order in 90 day intervals.  For several weeks, I was not all that comfortable with the way that I was feeling, in a sort of a constant aura, or feeling on edge.  I reorderded my Rx just as soon as I was allowed to.  I still had 30 days left of this shipment when I received the next.  I immediately started taking the new shipment of Rx's and I felt great.  I still have 30 days left of the prior shipment so, once in a while, I'd slip in a couple of days worth of the old shipment.  I can tell the difference, I return to that uncomfortable aura like state after taking the old shipment for a couple of days.  Of the three pills that I take a day, one will be from the previous shipment until that shipment is gone.  That's the only way that I can find to safely get rid of them.   I obviously cannot throw out the balance of the first shipment but I don't want the on edge/aura like sensations either. 

If a doctor, insurance company, an employer (on behalf of the insurance company) tries to convince you that generics are just as good, they're wrong.  Common sense says that if generics were just as good, their cost would be equivalent to name brand Rx's.   

Steven

Hello,

Recently I had to get a refill on my Depakote. The first prescription I had was for the name-brand drug, which is obscenely expensive. Luckily my insurance covers most of it. However, my neurologist and I are still working to completely control my seizures and starting a generic drug in the middle of the process would be unwise. I told the nurse at my neurologist's office to make sure that the medication refill would be Depakote ER and not the generic one. She understood why and then told the neurologist and agreed. At the pharmacy, they gave us the real thing even though it is more expensive (we paid full price of course, minus what the insurance covers). 

Basically, as long as your doctor notes on the prescription that he or she wants you to have the name-brand drug and NOT the generic, the pharmacy has to oblige. I am also on Dilantin but my neurologist put me on the generic one in his initial prescription, just because of the costs to us. Talk to your doctor or neurologist one-on-one if you can and ask them to make sure the pharmacy knows to give you the correct drug. Bug their nursing assistants about it too. Taking generics suddenly when you are on the name-brand drug because of your insurance company is just unacceptable. It's way too dangerous.

If this is what you're already doing, I will ask my mother if she knows anything in particular about how it all works considering that she works in the hospital pharmacy.

Hope you have success

-Hrafn