Re: [IP] how does your doctor write prescriptions?
I recently switched pharmacies and encountered a similar problem. What
the doctor needed to tell them was that the amount I wanted (3 vials
*1000 units=3000 units) was for a 30 day supply @ 100 units a day. This
is pretty close to my actual average 74.9 units a day, which is what the
pump (Paradigm 515) calculates under the Utilities menu. This also
allows enough for priming, wastage, etc.
Antonio in LA,Age 40, Type 1 since 1993
MiniMed Paradigm 515, OneTouch Ultra, MiniMed Carelink and PAL software
Elizabeth Blake wrote:
> I brought in a new prescription for Humalog to the pharmacy today. My
> doctor (PCP) wrote for 2 vials and also wrote (for some reason) "50
> units daily". She has always insisted that she has to write a dosage
> on the prescriptions.
> So I go to pick it up, only 1 vial. The pharmacist says that's all
> they will pay for, which I know is not true. She puts it through
> again, 2 vials, and the co-pay is double. I tell her again that's
> wrong and she says I have to call Caremark to find out, because 2
> vials at 50u/day is a 40 day supply. I call Caremark and the woman
> there tells me to tell them to just enter it as a 30 day supply and to
> ignore the doctor's dosing instruction. The pharmacist refuses to do
> that, so I took it back.
> I asked the woman at Caremark if they would give me 2 vials even if my
> doctor wrote 50u/day and she said they would. She said I would get 6
> vials, a 3 months supply.
> I see my CDE on Monday so I can get a new prescription then but these
> pharacy problems I've been having are really annoying and put me in a
> foul mood. Another pharmacist at the same store took it upon himself
> in May to cut my strip script down to 200 without even attempting to
> put it through for the full amount (which I get every month, 300, no
> How does your doctor write insulin scripts? Do they put a specific
> dose down, which of course is impossible to know? I don't know if I
> should have my CDE write a new script for 2 vials and put 70u/day, put
> down "as instructed" or if I should just have her write for a 3 months
> supply and send it to Caremark. I have my prescriptions delivered to
> my job so I'm not really worried about a package being left outside
> all day. I'm just tired of dealing with the pharmacists, who insist
> they have to enter it one way when the actual benefits provider says
> they don't have to.
> Type 1 dx 4/1987
> Minimed Paradigm 715 5/2005
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