I had mentioned that I was surprised that he was not managed with Cheap prednisone pills.
There is little help in healthcare these days, One has to be a knowledgeable advcate. If it is not reportable, it is not necessary. It is not a physican’s problem that there is not access to medication. The nanny state is supposed to and usualy does provide.
Actually, I think that I mentioned about the Prednisone as well in an upthread post.
You are absolutely right about having to be one’s own advocate.
As for it not being the physician’s problem, that’s half right. The physician, nurse, and pharmacist have no control over what insurance, Medicare, or Medicaid pays. However, the physician does have the ability to modify treatment to fit within what the insurance will pay for.
There is a discrepancy in the article. It says that he was taking his “other inhalers and nebulizers”, yet the same article said that the Walgreen’s pharmacist told the mom that he wasn’t eligible for pharmaceutical benefits.
I deal a lot with pharmacies and these types of problems. The pharmacists are inundated with trying to untangle insurance issues for many, and don’t have the time for attention to detail. It’s easier to tell the customer that “the insurance doesn’t cover it”, etc, yet if they make a call, they usually can get it straightened out. I can’t tell you how many calls I get from pharmacists who tell me a Medicaid patient needs a prior auth on a patient, and when I call, it turns out that it was a billing issue. Then again, the way the reimbursement/billing system is set up with Medicaid in my state, a generic message is given, and the pharmacist just dumps the problem on the prescribing doc’s office.