Re: [IP] how does your doctor write prescriptions?
Thanks for all of the answers. When I first started pumping my CDE
wrote for 3 vials and did not put down any daily dose. I had no
problems. When I had my PCP write a new script last year after the
original ran out, I told her not to put down any dose (she always
wants to do that!) and we had our usual argument about it, but I got
my way. I don't know how I didn't notice it on this script, which I
got back in April.
Now, 1 vial actually would be enough for a month since I use anywhere
from 17 - 23 units a day. High carb days, close to 300g, I'm at 23
units or so. So the 50 units my doctor wrote is actually double of
what I'd use. But, I have thrown out a reservoir or vial of insulin
when my numbers went wacky and the infusion set seemed fine. I like
having a backup vial and as someone said, if you end up getting sick
or on medication that raises your BG you're going to need that extra insulin.
I see my CDE on Monday and I'll get new prescriptions from her. I'll
have her write for 66 units a day (maybe I'd better make it 67...) so
I can get two vials. I think I'll ask for two prescriptions, one
written for a 3 months supply and a regular script to bring to the
pharmacy in case of an emergency. I'll ask for the same for my
strips, and try mail order on those. Instead of paying $20 for one
month's supply of insulin (since they insist on charging me 2 co-pays
for the 2 vials) I can get 3 months worth (6 vials) for the same $20
through mail order.
This really isn't Caremark's fault. They told me to tell the
pharmacist to ignore the doctor's instructions, and just put it in as
a 30 day supply but the pharmacist refused. I asked her if I sent
the same prescription directly to Caremark, would they give me both
vials for one co-pay and she said yes, because 1 vial would not be
enough for 30 days.
Type 1 dx 4/1987
Minimed Paradigm 715 5/2005
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