Psychotomy

So, Kitty (our third) is on medication for reflux.  It’s a compounded admixture.  So it has a shelf life of 12 days.  Can stretch to double when refrigerated.

Insurance demands a 90-day scrip for any “maintenance medication”, which is anything you need more than one refill of :o  Since it’s only good for so short a period it hit “maintenance” within a month.

After arguing the point with the insurance, we kinda were giving up but had the doc submit the justification (uh, she prescribed it?  how’s that for a justification, bitches?) and, I don’t know if it had an effect or not, since we still can’t get a one-month supply.  BUT!  After three months of paying for it out of pocket, the pharmacy suddenly said “hey!  What if we filed it as a 90-day prescription, but we’ll give it to you one month at a time?  eh? eh? clever, right?”

OK.  Point the first.

1. How is 90 days, in 3 30-day segments, noticeably different from 30-days with 2 refills?  seriously?
2. How can you insist on a 90-day scrip when it’s not good for 90-days?
3. While we’re on the subject, those of you good at math might have figured out … 30 days > 12*2, yah?
4. Dude when I was calling to argue was flabbergasted it was compounded and not in pill form, “Is that really necessary?”  Kitty was 5 months old at the time of this conversation!
5. Seriously, when did the insurance companies become the final arbiters of medication???
6. Oh, yeah, and didn’t 90-day start out as a convenience and money-saving thing for people?  How has it become the mandated standard?

So, last month we filled the 90-day scrip (yay, less than half the price we were paying for 30-days previously!), and they said they had the other two months of it set aside here and it would be ready each month for me to pick it up.

Well, today I went to pick up month 2.  Lady at the pharmacy asked “when did you drop off the prescription?” “Last month”  ”I’m sorry, it sounded like you said last month, haha” “I did”

Well, she looks in the computer and says “It looks like it was sent back” Uh, no. “We only keep them on the shelf for 15 days” Uh, no.  I explain.  ”Oh, did you get a partial?” Seriously, like it’s my problem to know?  And didn’t you just say the computer said it was filled and returned a couple weeks ago?  Where did that come from?  Oh, right, NOT the computer!

So she looks some more, asks someone else, and comes back. “I think they put it back in the general supply, I don’t see anything waiting” Again, no.  Explain.  ”I don’t see anything here made, I can put in for it to be filled” Fine

“When do you want to pick it up?” “Other than now?” “I can check with my pharmacist, but I don’t know if she can fill it tonight”  Fine, tomorrow.  I wasn’t coming back tonight anyway.

Moral of this story?  If you’re going to quote the computer, try not to have to change your story.  And if you’re not going to keep it set aside in a folder like you claim, perhaps you shouldn’t claim it.  Just say that you’ll pull it at time.

Seriously people.  Can you at least TRY to act like professionals and not the keystone cops?

Posted in: Kitty by attriel / Tags: insurance yahoos