Connecting moms in Polk County, Fla.
Went online to CVS to see exactly how much hubby's prescription is that I got to pick up tomorrow. There was an extra one on there which they have on automatic refill which I did not request and keep asking them to take it off (doesn't seem to work). Anyway do I get a surprise. The presciption I caled in for a refill yesterday on the 29th was actually automatically refilled on the 24th and it showed full price. Called the pharmacist and it said something about mail order. Call the toll free number he gives me and they are closed so I call the number on my prescription card. Turns out it is no longer available for local refill and must be mail ordered. I got no heads up on this from the insurance company or even a call from CVS. Aren't they suppose to call if there's a change like that when the insurance no longer covers it there. Went through this when he first started Enbrel. Had no idea that type of medication has to be mail ordered since it's a biological. I got a shock then when he needed the shot in two days and I got online to CVS to see it was full price. No way am I paying out $2,500 that I don't have. Yup you read right. For 4 shots (once a week is $2,500 without insurance). With our insurance it is $120 and with the Co-Pay assist we only pay a whopping $10 a month. Gotta love the help from the makers of it.
So anyway, they put an order in to the doctor to start mail order on the medication. Once the doctor fills it out and sends it back, then we can see about getting it over ridden for a local refill. She said there's a chance it could get turned down, but either way it could take up to a month for the mail order to go through before he gets the medication. Yes the mail order is way cheaper for it, but really. No one can notify the people that it effects??!! I paid less than $9 for a month supply on the medication and through mail order it's about $10 for a 90 day supply. Not bad, but still. Not everyone can get the medications filled a couple weeks ahead of time if they are on a tight budget. Sometimes you just got to wait till you got the money which often needs to be filled that payday it is in the budget.
Either way, hubby is NOT going to be happy to hear this. Will call the doctor in the morning to see if he got the fax and maybe we can get another medication called in that does the same thing. It's an immune suppressant so there must be other ones that can get filled locally over mail ordered. At least till it gets straightened out and set up.
Well I called the doctor. Apparently it is under the $4 Prescription Plan (for those without insurance) for a month supply and $10 for a 3 month supply. Going to hold off on doing it through the mail with insurance for right now and pick it up at Walmart today (cash). Through the insurance they said a 90 day supply should be about $10 but could be a bit more. So for now till I talk with hubby later the nurse at the doctor office is going to hold the paperwork to go through the mail order through the insurance until we figure out what to do. I used to have his meds filled at Walmart, but switched to CVS across the street because Walmart messed up a bit on the meds and I hated being tied to set hours. At CVS I get Jesse's meds filled there with little to no issues and hubby can stop at 3am if he's on his way home so I don't need to run out. JOY!!! Now to call Walmart to see if I can get his script pushed through since he takes his meds at noon.