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Friday, July 23, 2010

Random Rant

WHY IS GETTING DRUGS SO HARD?????

Sorry to suck you into my vortex, but a new drug was approved by the FDA for people with MS.  It's ampyera (spelling?).  My primary insurance carrier told me they would cover it, and my secondary carrier will pick up the co-pay.

This drug does not qualify for the usual benefit, it is a 'formulary' drug, so my co-pay will be approximately $60.00.  I'm cool with that if it works, I'll pay the co-pay and file a claim with my secondary insurance carrier.

This drug is supposed to help with walking, etc.  Since I garden avidly, and ALL my medical providers say "WALK MORE" I'm thinking I would do well to be on it.  But getting all the electronic paperwork seems to end up in a black hole.

I'm working with Caremark, the pharmacy that fills this particular drug for my primary carrier, Group Health.  It's been 4 weeks since I confirmed my coverage with Group Health and notified Caremark that it was ok to begin the process.  But nothing yet.

I wanna walk better.  In the universe of electronic confirmations, what's the prob???????

1 comment:

  1. I have high school kids - I could probably get 'em for ya street price. ;)

    ReplyDelete

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