[Cyborg]

I probably spent over an hour on the phone last month arranging for the prior authorization for my test strip prescription. I finally got everything resolved and approved for testing 12 times a day and picked up my 350 test strips last month. The prior authorization is good for one year. I go to get my 350 test strips this morning and this is the note I was given by the pharmacist:

Insurance flagged #300 for 30 days, only will pay for #250 for 30 days - which is enough.

I can understand UHC constantly screwing up, but to get the pharmacist's opinion on how many test strips is enough does not please me...

[Injecto]

If you got pre-authorization, then punishment is due. I have no patience for this kind of ****.


When I was first dxd, I was told that I can only get enough strips for 4 tests per day and they would only give me enough strips for a rolling 20 friggin days no word of a lie. I had to go in every 20 days to get 100 strips to last me my 4 daily tests. I finally got approval to test around 8 times per day, with a rolling 10 days, so I had to go into the pharmacy every 10 days to get 100 strips but was told that it was only a temporary permission to test 8 times per day. I complained to my doctor and said "are you kidding me, are you telling me that us diabetics have to go into the pharmacy every 20 days to get a measily (sp?) 100 strips to test a max of 4 per day?, this is NO way to live".

He told me that some pharmacists are morons and that he could give me a list of diabetic understanding pharmacists. I know go to a diabetic specialist pharmacist, whos own child has Type 1. They actually have 24 hour emergency service incase we need something when they are closed. But what the **** would I have done if there wasn't such a pharmacists? Or if this one goes away in the future?

[2high]

Originally Posted by Cyborg

I probably spent over an hour on the phone last month arranging for the prior authorization for my test strip prescription. I finally got everything resolved and approved for testing 12 times a day and picked up my 350 test strips last month. The prior authorization is good for one year. I go to get my 350 test strips this morning and this is the note I was given by the pharmacist:

Insurance flagged #300 for 30 days, only will pay for #250 for 30 days - which is enough.

I can understand UHC constantly screwing up, but to get the pharmacist's opinion on how many test strips is enough does not please me...

test strip Nazi...

[xMenace]

Originally Posted by Injecto

If you got pre-authorization, then punishment is due.

Take away her jellybeans!

[bryan42]

Maybe thats what CVS stands for..."Cant verify stuff"

[kgm0612]

Things like this IRK me!

Many of you know the problems I've had with United Healthcare (only been with them 2 years) paying for my strips & pump supplies. I used to have B/C Coast-Coast. They allowed me 400 test strips per month and paid the claim immediately. The State of RI decides to go with United Healthcare for their state employees and it's been **** ever since. The max they will pay for is 300 test strips a month but every month they deny my claim because they require "further medical records" and feel testing 10-12 times a day is "excessive". So far I'm waiting for them to pay claims from Jan, Feb & March. I have called, written letters, my endo has written letters, and it all falls on deaf ears!

Karen

[Doug]

Originally Posted by kgm0612

Things like this IRK me!

Many of you know the problems I've had with United Healthcare (only been with them 2 years) paying for my strips & pump supplies. I used to have B/C Coast-Coast. They allowed me 400 test strips per month and paid the claim immediately. The State of RI decides to go with United Healthcare for their state employees and it's been **** ever since. The max they will pay for is 300 test strips a month but every month they deny my claim because they require "further medical records" and feel testing 10-12 times a day is "excessive". So far I'm waiting for them to pay claims from Jan, Feb & March. I have called, written letters, my endo has written letters, and it all falls on deaf ears!

Karen

Every UHC plan is different BUT you can get approved for more. I did - It is a PAIN in the BUTT. Im my case they were hitting me for extra co pays and I didnt pick up on it at first

The Dr wrote for 8 tests a day - they would only send 1200 for 90 days BUT the online refill woudl let me refill after like 72 days. So what happens is that they KNEW they couldnt change the Drs orders BUT their internal prectices only allow so many strips per co pay - so they just shorten the reorder time.
I finally had to get the Dr to write an special form whose name escapes me that says he is SURE he meant 8x a day .. That form lasts a year

Doug

[jvetter18]

Shall i draw up a court order to get the strips? Or perhaps a nice panty hose over the face w/ a side of smith & wesson?

The world is coming to an end.....we're just trying to get better, and the gate keepers make it so **** hard to reach the promise land.

My wife needed Sudafed the other day, and i had to fill out a form and log my license # in order to by SUDAFED. Because they think i'm going to cut crystal meth w/ the sh**. Are you kidding me?

Pharmacists suck. They're wanna-bees. And i don't wanna-be-likin-them anymo.

[Injecto]

Originally Posted by xMenace

Take away her jellybeans!

.

[xMenace]

Originally Posted by Injecto

.

High Blood Glucose - Sex Energy?

[tanyatype1]

When I read threads like this I feel so very lucky to live where I do! I never have a problem getting strips! I go to the grocery store, (Canada Safeway) to the pharmacy, and I can get as many strips as I want with no questions EVER asked. I ususally get 200-400 at a time. I wish that it was the same for everyone! It's bad enough that we have to live this way, let alone having to BEG (practically) for lifesaving/preserving supplies!

[xMenace]

I asked Blue Cross if there was a limit. The person said I was limited to a 3 month supply at a time. When I asked how many that was, I only got a shrug. There's a Shpper's next door to it, so I stop there, buy whatever I need, get in line next door, and 1/2 hr later I have a cheque in my hand for 100%. The most I've ever bought was 200 at once, but I may start stocking up for the BD going out of business event.

[Funnygrl]

In defense of pharmacists:

A. CVS is my favorite pharmacy by far. They are way more willing to work with me than Rite Aid or Medco.

B. The Sudafed thing is a law. Trust me, the pharmacy staff is NOT enjoying having to document your liscense to get your business.

C. Pharmacist's can't help if your insurance has crappy policies. Insurances are in the business to make money. So are pharmacies. It's in the pharmacy's best interest to sell you as many strips as possible, however, if insurance won't allow it, they can't help that, unless you want to pay out of pocket.

[kidvid]

Weid - I have UHC thru my employer. Perscriptions are subbed out to MedCo, but processed thru UHC. I just got my strips renewed and received a 10/day supply - with no copay.

Joe

[andypoo]

I just received a little box of my supposedly 90 day supply of test strips and lancets,I've always gotten a 90 day supply from Wright and Fillipis,through UHC(,my husband retired from Daimler-Chrysler).For testing only 5 times a day,which isn't enough,really. I opened the box and there was enough for 1 test a day for 90 days,I thought.Well I called them and found out UHC is only letting us have a 30 day supply,which is fine ,but everything is getting cut back,so watch out!