I'm posting this because I know of someone with problems filling with Medco through their mail order benefit. The "specialist pharmacist" that handles chronic conditions says that they follow IDSA guidelines - thus not filling for meds for chronic Lyme.
We've had Medco for a couple of years... I just started up on treatment again after a couple of years. So far I haven't had issues filling Bicillin, Zith, or Rifampin but I have only filled on the retail side. I'm hoping that by doing this I can fly by their radar...
Has anyone else had issues with Medco? Anyway to resolve it? Thanks!
Shelly
Posted by cantgiveupyet (Member # 8165) on :
yikes! I have medco , which is under bluerx medicare plan.
I would think that it is the mail order that gets you, because they can then see you will be taking an abx for 90 days. I havent refilled any abx yet with them, but i think thru the retail end i have bluerx.
Posted by njlymemom (Member # 15088) on :
yikes.....so bizarre that you posted this today
was on the phone with them just a few hours ago and they want me to go mail order....
they said that they are only the distributor
that my benefits or plan is set up by my husbands co..... so confused with all this
now i am worried about going this route
they told me that i would be paying 3x the amount if i go through the local pharmacy
they said that the doc can write a 3 mos supply with 3 refills.....that is a year worth of meds
so maybe it has to do with the plan you have and not necessarily medco?????
how do we know????
Posted by Nessa1815 (Member # 15697) on :
I have Medco too. Posted by sonicbmx (Member # 12949) on :
i have Medco too (via SAG Health). i've had problems with every Rx i had with them to date.
they usually screw up so bad that they comp me 3-7 days worth of meds at a local pharm.
sometimes i have to pay and they reimburse 4-6 wks later (unless i lay it on thick). they get an ear full every time i talk to them.
my LLMD recently stopped faxing in my Rx's to reduce work load so now i have to mail them out.. they won't accept patient faxes.
problem is.. Rx's should be filled immediately, not 10-14 days later. their system is stupid.
we should be able to fax them our orders as long as they're written & signed by our Drs.
i have absolutely no control over the process. my Dr is supposed to order BRAND only always.
if they forget, i have to cancel the order and reorder (a 48-72 hrs delay). Medco will not change or call my Dr to verify.
my cost on any med $75 for a 90 day supply regardless of quantity or if it's BRAND or GENERIC.
why would anyone in their right mind take Generic over Brand if the cost is exactly the same?!
if i have 2 Rx's, they claim they can't ship them together.. so i pay freight twice (usually overnight).
they don't offer 2 or 3 day delivery service either.. only overnight or slow boat to china (ground).
i think i posted on this subject in the past.. they disgust me to no end but i'm lucky to have it.
it just think it shouldn't be a battle ALL the time. health care should be simple and hassle free.. don't you agree? -- sonicbmx
Posted by Amanda (Member # 14107) on :
I have Medco.
They have been great about Mepron, no questions asked.
They won't pay for my bicillin shots
They initially wouldn't pay but for half the dose of my Ceftin, but this is ok now.
I learned that it isn't Medco per se, its your prescription plan. Some preserciption plans are better than others. So the amoutn of hard time they give you depends on your presrciption drug coverage.
I've learned to NEVER EVER EVER tell pharmacist or most other docs of my diagnosis. I just tell them I have a very weak immune system, and I need these drugs, and the diagnosis isn't any of their business. This works out well, because it sounds like AIDS, without me lying, and they can get in trouble for giving people with AIDS a hard time.
SO, unless your prescription plan requires that their pharmacists know the diagnosis (and most times it does not), just give them the seriously compromised immune system story.
Posted by cantgiveupyet (Member # 8165) on :
excellent advice Amanda! I will do that if I am ever asked. Once an Acme pharmacist tried to question me about my biaxin dose..and I just changed the subject.
CVS never asks.
Thats what i fear about mail order that it will just get messed up or the meds I use now will be from a different manufacturer and i will have issues with it.
I think i saw an add that walmart now does 90 day supplies, but i know most insurance companies are really pushing mail order.
![[Frown]](frown.gif)