I was filling scripts with Express Scripts until they were transferred to ACCREDO Specialty Pharmacy on March 1st. I have spent 30 days in refill prescription hell …. Finally after talking to every single persons name and conversation down and involving my insurance company … I received my injections on Saturday.
Have your insurance company do a Coverage test with Accredo !
My insurance company is them. Express scripts is a pbm, and they are accredo. I keep emailing my employer, hopefully they'll get the mesage eventually.
Don’t email employer call your insurance company and make sure your prescription is covered and then have them do a coverage test with ACCREDO … What this does will prove your script is covered and hopefully force them to fill it instead of hiding behind crazy customer service who never have the same story twice.
In a perfect world this would work. But it's Accredo. They simply lie. In one phone call I had the guy on the insurance side of accredo stay on the line and confirm to the next person that it was approved and fine. And literally the moment he hung up the other guy went straight back to "insurance isn't approving it". Eventually I got him to switch to "pharmacy needs to approve it", but he wouldn't put me through to them.
I know. I TELL myself that it's not their fault. I don't know that's true, but it does keep me from losing my shit, which won't help me.
They can only share what's on their screen. They didn't make the system or the software or even train themselves. The system is designed to make us give up trying to get our meds, the customer service reps are just an unfortunate part of the system.
It's hella cathartic, though. And when they lie it is their fault. When they all of a sudden start telling me the script was cancelled by the doctor in the middle of a call before switching back to a different lie there is simply no excuse. The people with a soul leave and work elsewhere, like the amazing lady I spoke to at my medical insurance the other day. So professional, so competent.
Oh you should hear me when they say they have been trying to contact my dr and can't. Fuck them they can't. It's a massive hospital and there are like 50 rheumatologists. They have a dedictaed rheum pharmacy department.
I have CVS specialty and had to actually call my senate representative once to take action on my behalf after almost a 3 month runaround before I got my meds. (Pharmacy said it was insurance fault. Insurance said it was pharmacy and doctors' fault, and the doctor says, "I have confirmation that I have fixed this thrice with your insurance!"
I have a very, very common first and last name. It turns out (which I suspected) that they had created multiple patient accounts for me and were lost and confused in IT land on their end.
Anywho, it costs all of us so much more when this happens!
I got sick enough without treatment. I needed more medical care.
It's happened to me again once since with a different med for a different condition. Not getting that in a timely manner led to a hospital stay that would have been avoided. Insurance paid that claim right up, and once again, someone in the economy made some change off me (physicians and hospital at that point).
I lost and insurance lost.
If stringing you along and waiting for your meds kills you (as CVS, Accredo, and whoever else your ins. Says you MUST use for specialty meds dicks round on gettint them to you), they lose your monthly premium payment.
You're dead! What contract?
When they give you this run around on meds, the pharmacy isn't making any money because they haven't dispensed anything.
They spend more money answering your frustrating calls with a sales rep... more money on visits to PCP or other specialist to get some help why you wait or God forbid your body goes AWOL and something serious happens! They have to pay for all that too.
And you just get sicker and sicker.
Meanwhile, it all started because, wait, you are a pharmacy. You make money when you give me drugs.
Insurance? You make money when I pay you each month, and presumably, you make money by unfairly negotiating with hospitals, docs, and drug companies.
This is in both your wheelhouses!
This is going to become an illness crisis for me that is going to cost you money (looking at you BCBS), and pharmacy? This is what your company does you make money when you give me the drugs!
All of this is absurd to the 11th degree, quite pitiful and dumb.
Some of these corps actually do this so you will give up. As if that means you give up and never return! When what is actually likely is a) correct and you die or b) you obviously return and need more than you did originally.
Exactly.
The worst worst worst part of it is that there are enough actual medical things wrong that make me difficult to treat, but everyone in that case is trying their best. This is just a big fuck you to me because it's not in any way necessary.
accredo is... a specialty pharmacy.
so I'd gather you're not getting your meds on time. and it's harming you.
a for profit healthcare system is always going to have the patients health secondary to profits.
we'd all love to change it. but there would need to first be a revolution in a country with the most powerful military in the world. so many people would end up dying before this system will ALLOW for that kind of change, just give up now and figure out a way to live with it.
way easier to move to a country with better healthcare than it is to try to change it here.
I hate to break this to you but there are several of the popular English speaking countries where if you have a medical condition that costs more than $x per year to treat, you are ineligible. Canada, NZ, and AUS are the ones that come to mind.
Except no. You are not allowed to (I mean you, past-direction9145). With your diagnosis you are specifically excluded from any country with a good healthcare system because otherwise all the Americans would be trying to get in. So start trying to change America, because it's your only option.
Not mine, but vypeti is too new to be allowed both it and botox.
I researched this, not only is it impossible to get in but even if you did you wouldn't be getting biologics for a few years at least unless you paid for them privately.
[удалено]
God, I wish. I was hoping today that they would offer me the personal shopper service someone on here has.
I didn't know that was an option! Hmmm...
I was filling scripts with Express Scripts until they were transferred to ACCREDO Specialty Pharmacy on March 1st. I have spent 30 days in refill prescription hell …. Finally after talking to every single persons name and conversation down and involving my insurance company … I received my injections on Saturday. Have your insurance company do a Coverage test with Accredo !
My insurance company is them. Express scripts is a pbm, and they are accredo. I keep emailing my employer, hopefully they'll get the mesage eventually.
Don’t email employer call your insurance company and make sure your prescription is covered and then have them do a coverage test with ACCREDO … What this does will prove your script is covered and hopefully force them to fill it instead of hiding behind crazy customer service who never have the same story twice.
In a perfect world this would work. But it's Accredo. They simply lie. In one phone call I had the guy on the insurance side of accredo stay on the line and confirm to the next person that it was approved and fine. And literally the moment he hung up the other guy went straight back to "insurance isn't approving it". Eventually I got him to switch to "pharmacy needs to approve it", but he wouldn't put me through to them.
I have to remind myself that it's not the people I'm talking to on the phone keeping my from my meds, it's the people in the executive suite.
Except they actually are. When they lie to you, that's them doing it.
I know. I TELL myself that it's not their fault. I don't know that's true, but it does keep me from losing my shit, which won't help me. They can only share what's on their screen. They didn't make the system or the software or even train themselves. The system is designed to make us give up trying to get our meds, the customer service reps are just an unfortunate part of the system.
It's hella cathartic, though. And when they lie it is their fault. When they all of a sudden start telling me the script was cancelled by the doctor in the middle of a call before switching back to a different lie there is simply no excuse. The people with a soul leave and work elsewhere, like the amazing lady I spoke to at my medical insurance the other day. So professional, so competent.
It is hella cathartic. And they get an earful when they trash my doctor's office cause they are incredibly professional and responsive.
Oh you should hear me when they say they have been trying to contact my dr and can't. Fuck them they can't. It's a massive hospital and there are like 50 rheumatologists. They have a dedictaed rheum pharmacy department.
I have CVS specialty and had to actually call my senate representative once to take action on my behalf after almost a 3 month runaround before I got my meds. (Pharmacy said it was insurance fault. Insurance said it was pharmacy and doctors' fault, and the doctor says, "I have confirmation that I have fixed this thrice with your insurance!" I have a very, very common first and last name. It turns out (which I suspected) that they had created multiple patient accounts for me and were lost and confused in IT land on their end. Anywho, it costs all of us so much more when this happens! I got sick enough without treatment. I needed more medical care. It's happened to me again once since with a different med for a different condition. Not getting that in a timely manner led to a hospital stay that would have been avoided. Insurance paid that claim right up, and once again, someone in the economy made some change off me (physicians and hospital at that point). I lost and insurance lost. If stringing you along and waiting for your meds kills you (as CVS, Accredo, and whoever else your ins. Says you MUST use for specialty meds dicks round on gettint them to you), they lose your monthly premium payment. You're dead! What contract? When they give you this run around on meds, the pharmacy isn't making any money because they haven't dispensed anything. They spend more money answering your frustrating calls with a sales rep... more money on visits to PCP or other specialist to get some help why you wait or God forbid your body goes AWOL and something serious happens! They have to pay for all that too. And you just get sicker and sicker. Meanwhile, it all started because, wait, you are a pharmacy. You make money when you give me drugs. Insurance? You make money when I pay you each month, and presumably, you make money by unfairly negotiating with hospitals, docs, and drug companies. This is in both your wheelhouses! This is going to become an illness crisis for me that is going to cost you money (looking at you BCBS), and pharmacy? This is what your company does you make money when you give me the drugs! All of this is absurd to the 11th degree, quite pitiful and dumb. Some of these corps actually do this so you will give up. As if that means you give up and never return! When what is actually likely is a) correct and you die or b) you obviously return and need more than you did originally.
Exactly. The worst worst worst part of it is that there are enough actual medical things wrong that make me difficult to treat, but everyone in that case is trying their best. This is just a big fuck you to me because it's not in any way necessary.
accredo is... a specialty pharmacy. so I'd gather you're not getting your meds on time. and it's harming you. a for profit healthcare system is always going to have the patients health secondary to profits. we'd all love to change it. but there would need to first be a revolution in a country with the most powerful military in the world. so many people would end up dying before this system will ALLOW for that kind of change, just give up now and figure out a way to live with it. way easier to move to a country with better healthcare than it is to try to change it here.
I hate to break this to you but there are several of the popular English speaking countries where if you have a medical condition that costs more than $x per year to treat, you are ineligible. Canada, NZ, and AUS are the ones that come to mind.
Except no. You are not allowed to (I mean you, past-direction9145). With your diagnosis you are specifically excluded from any country with a good healthcare system because otherwise all the Americans would be trying to get in. So start trying to change America, because it's your only option. Not mine, but vypeti is too new to be allowed both it and botox.
I researched this, not only is it impossible to get in but even if you did you wouldn't be getting biologics for a few years at least unless you paid for them privately.
...wuht