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grrrrrrrr

  • May. 1st, 2007 at 7:17 PM
mountain lion
OK,how fucked up is this?

I started a new job and my insurance started after 30 days - so starts today, May 1st. But it takes a week or so to get the insurance cards.......

Now - a couple of weeks ago I had pneumonia - and with insurance not effective yet, paid $210 for the doctor visit/breathing treatments, and luckily the prescription wasn't THAT bad, around $45. The worst part though, was that as I just started my new job - and hadn't earned paid time off yet, I had to take the 4 days without pay - so let's just say that money is extremely tight.

Well.......I needed a refill of my prescription before then, so went to WalMart to get just a few pills to last till Friday when I get paid, and can pick up the rest of my prescription. Before they have just given me the 3-4 pills, then when I picked up the rest of the prescription they would give me the remainder and charge me for the full prescription - I have only had to do that once before, but it was sure a help.

Well, they don't do that anymore.

Not only do they not do that, my 30 day prescription is $112, which is $3.73 per pill. And since I could not pay for the entire prescription - I was charged $8.00 per pill - so I could only afford 2 pills which still leaves me a day short.

I am so pissed I can not se straight. Now I know it is almost as much work for the pharmacist to fill a prescription for 2 pills as it is for 30 - BUT the damn pharmacy is not going to go belly up because they 1) either gave me a few pills to tide me over till I picked up the remainder; or 2) charged me the $3.73 per pill that a full prescription costs.

This is not just any old prescription - it is for my Effexor XR, which I take for depression. Two year ago my other med quit working - and it was hell. The Effexor XR is not perfect but by God I can function. And Effexor is NOT a med that a person can quit taking cold turkey - that is not a pretty sight. Neither is it pretty if I don't have it - I will leave it at that.

So tomorrow I will call the insurance company and get my information as I don't have my cards yet, and will call the pharmacy I am allowed to use and have them call WalMart and get my prescription transferred over - hopefully this will work and I can pick up a month's worth on Friday, which is payday. The insurance company says they won't pay for Effexor XR unless it is proven the patient tried other meds first - but from what I have read I have been on it long enough that I am grandfathered in and they won't make me change it. I totally do not believe in insurance companies making doctors fuck with patients' meds - especially mental health meds - that is nothing to mess with.

So, am going to have a cup of tea, calm down, and then fix something for supper.

Comments

( 8 comments — Leave a comment )
[info]deidreschmeidre wrote:
May. 2nd, 2007 03:34 am (UTC)
OK, I know this is going to be a really really weird suggestion, but I can mail you one if you like. I know how much it sucks if I forget to take one, so quitting cold turkey really isn't an option, and I've only been taking it (this time) for about 3 weeks.
[info]autumn_sage59 wrote:
May. 2nd, 2007 04:05 am (UTC)
smiles, not a weird suggestion at all and honestly? If one could not have paid for a couple of pills then one would have taken you up on it!

one will devote tomorrow to getting a doctor appointment for next week; and getting prescription changed over to new pharmacy where one can use her insurance card!

Hugs - thank you so much - that was a very, very thoughtful offer.
(Anonymous) wrote:
May. 2nd, 2007 04:41 am (UTC)
Sorry, I usually don't leave messages on peoples LJ that I don't know...but I thought maybe I could be of some help in this situation. I don't know where you live or what your insurance company is, but I work for CVS/Pharmacy in California. Since you already know your insurance company is going to require a Prior Authorization (meaning your insurance company won't pay for it unless your doctor says it's medically required for you to be on this particular medicine), you could call your doctor now and request that he/she call your insurance company to get the ball rolling on the Prior Authorization so that you do no thave a lapse in medicine. I hope that helps!
[info]m_s_kitten wrote:
May. 2nd, 2007 01:18 pm (UTC)
Call your doctor too
The drug company that makes Effexor gives physicians lots and LOTS of samples so that they will prescribe the drug. Explain the situation and they should be able to give you enough to tide you over.

love ya, (and yes, it is seriously fucked up).
MSkitten

btw, did i ever tell you how helpful your comment was about the dress? thank you so much again
[info]autumn_sage59 wrote:
May. 2nd, 2007 02:01 pm (UTC)
Re: Call your doctor too
am glad the comment about the dress helped - lol it was not THAT long ago one was wedding dress shopping with daughter...........whew!
[info]autumn_sage59 wrote:
May. 2nd, 2007 02:00 pm (UTC)
geez thank you all for the comments - but ya know what? one lived in another town when one saw the doctor and got a year's prescription for Effexor - and no longer live there or go to him. But! one has had it filled at the WalMart pharmacy since one got the original prescription 2 years ago - in 3 different states - so that shows that one has been on it as long as the insurance requires.

Now that one is settled in one place, and have insurance, one is calling today to get a primary physician and hope to get in to see him/her next week, the following week at the latest.

Thanks so much to all of you!
(Anonymous) wrote:
Jul. 12th, 2007 06:05 am (UTC)
Thanks much!
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Aug. 26th, 2007 06:02 am (UTC)
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( 8 comments — Leave a comment )

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