I recently had to go on a specialty medication that has to be processed through my prescription insurance's "specialty pharmacy" (mail order only). The first two days the prescription sat at my local Stop & Shop pharmacy waiting for pre-authorization from the specialty pharmacy that my doctor had to call in. After an hour on the phone we were advised that the medication was pre-authorized but couldnt be filled by my local pharmacy. Or any other pharmacy for that matter, they were blocking so Im stuck paying their price and cant shop around?? Another day for my doctor to fax over a new prescription to the "specialty pharmacy", they have to then process it through my prescription insurance to see if its covered, its not because of my deductable. My order is then canceled and re-processed through the "specialty pharmacy" at over $1,400 for a one month's supply, which is just a single shot. I spoke with the medication assistance department (at the same company) and they said I qualified for a deduction of $125. (mind you they never even asked for any personal information: income, etc). Fast forward two weeks, medication is (finally) mailed, shot is done and I have an invoice sitting here less the discounted price. I was expecting to have to pay over the phone before they mailed it out. I'm really not looking forward to getting back on the phone with them to sort this out. Their was so much disconnect and miscommunication with this company that I'm just whipped. Their must be other options for this medication because unfortunately I may need a refill in a few weeks and my health insurance is useless.
Thanks for your ear.