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Old 10-09-2019   #25
florida80
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Obviously Not Stressing It Enough

Oregon, Pharmacy, USA | Healthy | December 26, 2017


(My doctor has prescribed me a four-month supply of a new medicine, to see if it will help with my migraines. I get it filled for the first two months at my local pharmacy without a problem, but the third month I am told I have to call my insurance to sort out a problem. After fighting my way through the automated system and identifying myself

Me: “My pharmacy told me that I need to call you about one of my meds.”

Operator: “Yes, it looks like that has been flagged as a ‘maintenance medication’ in our system, so it can only be filled at a regular pharmacy twice. After that it needs to be filled as a three-month supply via mail order.”

(This is news to me, but then again, it is a new insurance plan, so I am not that familiar with it.)

Me: “Okay, but I only have two more months on this medication; my doctor just gave me a four-month script to see if it works for me.”

Operator: “Yes, you just need to get set up on our online system to get it in a three-month supply.”

Me: “That’s the problem: I don’t have three months left on it. Can I get a two-month supply?”

Operator: No, it has to be a three-month supply because it is a ‘maintenance medication.'”

Me: “But I only have two more months on this prescription; it’s a trial to see if it works.”

Operator: “That’s fine; just get set up on our online system and you can get a three-month supply from now on.”

Me: “No, I can’t. I probably won’t be on this that long, and my prescription is only for two more months. Are you saying I need to go to my doctor and get a new three-month prescription in order to fill my last two months?”

Operator: “No, you keep the same prescription; just order a three-month supply online. Do you need the website address?”

Me: “No, I think I need a new prescription, because mine is only for another two months.”

Operator: “No, it must be three months.”

Me: “So, I need to get a new prescription from my doctor for three-months’ worth, or stop taking it now?”

Operator: “No, just enter your prescription online and select ‘three-month supply.'”

Me: “But I don’t have three months left on this medication.”

Operator: *sighs loudly* “I can give you a one-time exception to pick up this month from your pharmacy, but after that you really need to start getting it in a three-month supply via mail order.”

(I decided three months would have to be enough of a trial on that medication; it wasn’t working anyway, and that phone call to get more definitely triggered a stress migraine.)
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