LymeNet Flash: crooked insurance? no way!

This is topic crooked insurance? no way! in forum Medical Questions at LymeNet Flash.

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Posted by flygirl (Member # 6669) on :

I filled my biaxin last night using my new insurer for the first time (for that drug that is).

they only allow 10 days supply, at that copay! my last insurer paid for all 30, no sweat. this one makes you go back every ten days, and pay the same copay each time.

bastids.

Posted by fish (Member # 4096) on :

Yes! This is how my insurance does it too. So, it's $80 per month to cover what used to cost $20 per month.

And I feel like I'm always at the pharmacy since my kid's Zithromax is only dosed at 6 pills at a time.

When I first started Biaxin XL it was one $20 copay for a whole month supply. On my 3rd month it changed to what you describe. My pharmacist said my prescription plan is absolutely the worst like that.

They could name a wing of their luxurious office complex after lyme patients for screwing us so with their "repackaging" tricks. Anything to make a buck off the backs of the sick.

I'm editing to say that my insurance only pays for a 7 day supply at a time most months and a 10 day supply the other months. What's up with that!??!?

[This message has been edited by fish (edited 15 February 2005).]

Posted by robi (Member # 5547) on :

Try having your doc call and get a "preauthorization" for a 30 day supply. This can help with meds that are usuallt prescribed for 10 days.

This might help,
robi

Posted by BugBarb (Member # 210) on :

exactly what I was goint to say.
i didn't find that trick out until i was off the offending med

Also i am on a drug that is not on thier formulary list. but my doc wrote a letter and now i am covered for it forever. i do have to pay fifty percent, rather than thirty bucks....90 copay...