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Give me my drugs!

I'm so sick of CVS/Caremark!

I complained about being forced to use a CVS pharmacy instead of the Walgreen's we'd been using for 10 years last fall when we got the notification about the change in our insurance. I found out that one of the two brands of generic Ritalin that CVS carries does work, just not quite as well as Walgreen's generic. I also found out that CVS has one brand of generic that sucks donkey balls. And I found out that when I dropped off my prescription I could tell them which one I needed them to use.

How it normally works:
1) Rx Plan: "You have to do 90 day refills on maintenance meds *and* you have to use CVS Pharmacy.
2) Explain new pain in the ass plan to Awesome Doctor. She writes all our Rx for 90 days
3) Find a CVS Pharmacy even though we've been very happy w/our local Walgreens for the last 10+ years.
4) Drop off Ritalin Rx at new pharmacy. They say "90 days? No problem."
5) Pick up Ritalin...
6) Pharmacy: "The Rx Plan won't cover 90 days, only 30. Probably because it's schedule 2"
7) Call Rx Plan for options.
8) Rx Plan: "No, you're covered for 90 day pickup at the store. Doesn't matter if it's Sched 2. I did a test script and it worked.
9) Me: Pull out freaking hair! Then call Awesome Doctor for new 90 day script because the last one ended up only being used for 30.

And of course, that was how it worked today. They entered it in the computer while I waited, it said only 30 days, they called the Rx Plan who said "Yup, only 30 days on that one."

I took the script back until I can figure out what to do. Then I called the customer service line. This time I *hope* I got the only smart person they have answering phones there because I LOVED her answer.
1) I can only get 30 days at a time of Ritalin because it's Schedule 2.
2) It's not considered a "Maintenance Medication" even though I take it every single day!
this rocks because
3) If it's not a Maintenance Med I can get it filled at ANY damn pharmacy I want and I'm not restricted to only being allowed to fill 2 times at pharmacies that aren't CVS!

I can go back to our Walgreen's for my Ritalin again! This makes me so happy! Not just because their version works better either. We never wanted to switch pharmacies. That decision was forced on us. If this chick was right and I'm not restricted in where I can go I can now go to the place *I* choose. That would be the pharmacy that has given us 10 years of problem-free service and is convenient. \0/



( 11 comments — Leave a comment )
Sep. 11th, 2010 01:37 am (UTC)
The health system you guys have does my head in, I just cannot imagine being told I have to go to a particular pharrmacy.
Sep. 11th, 2010 04:52 am (UTC)
We never used to have to use a specific one. But our prescription provider merged with a pharmacy company and oddly enough, after a year, guess which pharmacy they want us to use? Grr. And even with this headache we're lucky because we have prescription coverage!
Sep. 11th, 2010 03:23 am (UTC)
That's awful that your insurance can dictate which pharmacies you can use! But nothing insurance companies do these days surprises me. I love Walgreen's, and I'm glad you can get your script there again! :)
Sep. 11th, 2010 04:56 am (UTC)
Yeah, that's what happens when the insurance company merges with the pharmacy.
Walking back into our Walgreen's tonight? I couldn't believe what a sense of relief I felt. The CVS we've been using isn't bad, but it's not the place we've trusted with our medications for over 10 years. Even with it being a Schedule 2 drug I've never had as much trouble getting my Ritalin as I've had this year! I'm going to definitely start bringing all our prescriptions that don't fall into the "maintenance aka you MUST fill at CVS" category back to Walgreen's.
(Deleted comment)
Sep. 12th, 2010 06:02 pm (UTC)
Its going to be good to have meds that actually work like they're supposed to again! Generic Ritalin from CVS was better than not having any at all, but I'm looking forward to having it really work again.
Sep. 11th, 2010 02:00 pm (UTC)
I hate insurance companies.
Sep. 12th, 2010 06:14 pm (UTC)
Amen! I'm glad we have insurance because there's no way we could afford everything without it, but I really hate when a corporation makes your healthcare decisions based on their profits.
Sep. 11th, 2010 06:05 pm (UTC)
Yay for getting to use the place you like!!!!!
Sep. 12th, 2010 06:19 pm (UTC)
Yes! It's just inconvenient going to CVS for everything else because the drugs are the same. But now I can get the Ritalin that works best!
Sep. 11th, 2010 11:27 pm (UTC)
I don't have health insurance or a full time job and just spent $700 seeing a doctor and filling prescriptions. Sorry, but I find it hard to pity you being forced to go to particular pharmacy for affordable meds.

You are fortunate to have health insurance.
Sep. 13th, 2010 06:47 am (UTC)
Because the insurance that we pay part of was dictating where I could get my prescription filled for a medicine that I need to function on a daily basis, I have spent the last 9 months taking pills that only work about 50-75% as well as the ones I used to get. I didn't ask for your pity, but I'm damn sure not going to let you make me feel guilty about finally getting to go back to my particular pharmacy and getting medication that works again!

You're right, we are fortunate to have health insurance. It doesn't make our health care affordable, but it does make it possible. Having insurance doesn't magically make all the costs go away. Between what we pay for it, co-pays when we see a doctor, the follow-up bills for the parts not covered and all of our prescriptions we're "only" paying an average of $500/month.

( 11 comments — Leave a comment )



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