1. There is a strong slant against off-label uses of drugs in general
2. Insurance companies require extra paperwork for anything other than the 2 or 3 most common drugs. I ended up on Dexmethylphenidate after trying a few others; I rate it as "okay" but still so much better than unmedicated that I paid a few hundred dollars out-of-pocket for it while I was convincing the insurance company to approve it. I ended up on ER, which doesn't work as well because they wouldn't approve 2x 10mg of non ER but would approve 1x 20mg of the ER. sigh
2. Insurance companies require extra paperwork for anything other than the 2 or 3 most common drugs. I ended up on Dexmethylphenidate after trying a few others; I rate it as "okay" but still so much better than unmedicated that I paid a few hundred dollars out-of-pocket for it while I was convincing the insurance company to approve it. I ended up on ER, which doesn't work as well because they wouldn't approve 2x 10mg of non ER but would approve 1x 20mg of the ER. sigh