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[IP] RX Problems
I was just reading your message below and felt the need to respond. I have
had the exact same problem with my pharmacy. My coverage affords a 30 day
supply; they come up with this simply by multiplying your prescribed dosage
by 30. If there's no dosage prescribed, they give you a minimum amount.
I had a problem with humalog pens (before my pump) and also with test
strips. With carb counting, I had no idea how much insulin I would consume.
I usually went through 2 boxes per month. I went in one time and was only
given 1 to last a month. Since I had no prescribed dosage, I was only
getting 1 box. I ended up going back to my doctor and asked for a higher
prescribed dosage for the prescription. For my test strips, I am prescribed
to test 12 times a day; this gives me a supply of 400 strips. For my
humalog, I calculated and determined that a prescription for 100 units per
day would give me enough to last a month. I know it's frustrating but
usually if you explain the situation to your doctor, they will do what you
need to get by.
Hope this helps !
DX 1998, pump for 1 month, MiniMed Paradigm.
Date: Mon, 24 Feb 2003 10:42:03 -0800
From: "TINA ROBERTSON" <email @ redacted>
Subject: [IP] insurance
I know we have been over this topic so many times in the recent past and
I appologize for bringing it up again, but I just don't remember the
particulars, now that I need the facts.
I just got insurance coverage the begining of Feb, then it took over 2
1/2 weeks to get my cards so I could start using the services. Well to
make a long story short, I went to the pharmacy this weekend to get my
perscription for test strips, I was told when I got there (after work on
Friday night) that my insurance only covers 100 of the 300+ I use and the
perscription was written for. The Insurance Co. tried to tell me that it
didn't matter what the Doctor wanted or thought I needed, that they, the
Insurance Co and my employer, had the final say so on what and how much
was covered. If I wanted or needed more than what they allowed, I would
have to pay out of pocket. It didn't matter that I told them I test 10+
times per day. I may note that neither the Insurance Co nor my employer
are licensed to practice medicine nor are they Endos.
Now I know this isn't right and I know they are trying to pull a fast
one, but I just don't remember enough of what has been said before to use
as a rebuttal. This is the first time I have had this particuilar
problem with any insurance co.
H E L P !!!!!!!!
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