Thank you. I have Medicare and private insurance. The issue isn’t the $13 the medication costs. The question is why it is being “reviewed.” It has been 10 days since this prescription has been under review, although it has been prescribed for three years with no problems. I pay about $5,000 in insurance premiums each year. Why is this now a problem over a $13 prescription? This is outrageous. I will call Mnnday.
I don't understand that. I pay $420 every three months, includes A, B, D, F, and have no complaints (yet). Is most of your premium money going to your private insurance? Why even have the private insurance (other than a supplement) if you have to pay large premiums?
Sometimes new side effects or effectiveness issues come to light, or it just doesn’t make them enough money. They providers review the medication, and may discontinue coverage.
Talk to your doc about an alternative, a prior authorization, or bypass insurance and use something like GoodRX to draw down costs without coverage, especially if that med works for you.
I’m in Chicago, but I’ve been there with drugs being removed from coverage. Not fun.
That was the question I had with my medication as well. I'd been prescribed it for many years without question. Then all of a sudden, last year, it had to be "authorized" for a six-month period. In the past, the script was written to take 3 pills a day, or as needed. They'd filled the same medication without question, dispensing 180 pills in one bottle. And that bottle would last me a long time, to the point where the script would expire before I even refilled it. All of a sudden last year, they would only dispense it as 1 tablet twice a day, and sent me only 45 pills with no refill. My plan allows me to order a 3 month supply for the same cost as one month, so I always have my doctors write the script for a three months supply. This is the only medication CVS Caremark won't do it for.