 [ Symptoms ] is there any otc medications that can be taken for severe itching caused by primary biliary cirrhosis that really works  my insurance company is trying to deny my dr  is recommended treatment by not covering the prescription medication that he gave me they recommended me to take zyrtek over the counter instead i have been trying benadryl and everything else like that in the over the counter stuff already it has not been effective for me and i am miserable the name of the medicine i was prescribed is atarax and it could have even been filled in generic form my pharmacist told me that it is not even expensive [ Disease ] you need to first check to see if the medication is on your formulary or list of drugs your insurer does cover even if it is however insurers can require you to try a less expensive drug first to see if it works if it does not    and that sounds like that is the case here    your doctor should then contact your insurer to provide information as to why you need the medication he initially prescribed and how efforts to treat you with over the counter medications have failed if that does not work you can officially appeal your insurer is decision in an effort to have the medication covered you are entitled to at least two levels of appeals and your insurer is required to provide you with information about how to engage in that process