Sep 14, 2007 18:44
So my CFS and fibro have been getting worse the last two months and the neurologist says they have finally got an FDA approved drug for the condition and he wants to try me on it.
I get to the pharmacy, she says "it'll be ready in 20 mins" and I take a seat and wait. Almost an hour later daggers must be protruding from my eyes because the pharmacist assistant calls me over and starts searching for my prescription only to inform me the insurance company rejected it and suggested a different drug, that's not even a generic version of what was prescribed, but something totally different!
I've been waiting so long the neurolgists office is closed for the weekend, so I drive home in tears frustrated and call the insurance company to find out what they hell they're playing at - this is now the 4th medication between Ed and I that has been rejected in the last 2 months when we've gone to pick up the prescription.
Seems they have a new game now, they'll reject almost anything that isn't generic, but if you fight it and are willing to download and print a form, get your physician to fill it out and then fax it in, they'll be kind enough to allow you to have the medication as long as you're then willing to pay the highest co-pay of $50 per prescription.
So now, what started as something I was hoping would finally improve my quality of life, has now become something I hope doesn't work so that I'm not costing the family budget $50 each month, just to be able to function normally.
I will be so glad when we change insurance at the end of the year, HMO Blue sucks donkey dick!