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» LymeNet Flash » Questions and Discussion » Medical Questions » Medco pharmacy problems?

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Author Topic: Medco pharmacy problems?
skrwolf
LymeNet Contributor
Member # 1575

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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

Posts: 292 | From UT | Registered: Aug 2001  |  IP: Logged | Report this post to a Moderator
cantgiveupyet
Frequent Contributor (1K+ posts)
Member # 8165

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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.

--------------------
"Say it straight simple and with a smile."

"Thus the task is, not so much to see what no one has seen yet,
But to think what nobody has thought yet, About what everybody sees."

-Schopenhauer

pos babs, bart, igenex WB igm/igg

Posts: 3156 | From Lyme limbo | Registered: Oct 2005  |  IP: Logged | Report this post to a Moderator
njlymemom
LymeNet Contributor
Member # 15088

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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????

--------------------
This is NOT medical advice - and should NOT be used to replace your MD's advice. Info is only the opinion of those who publish the site.


The shortest way to do many things is to do only one thing at a time.

cb

Posts: 669 | From somewherebetweentherocks | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
Nessa1815
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I have Medco too. [Frown]

--------------------
"~*~My smile hides my bite~*~."

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sonicbmx
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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

--------------------
"The hell with Drs.. we have each other!"
My story began here:

http://forums.wrongdiagnosis.com/showthread.php?t=16210
http://forums.wrongdiagnosis.com/showthread.php?t=7833
http://forums.wrongdiagnosis.com/showthread.php?t=6873

Posts: 127 | From Van Nuys, CA | Registered: Aug 2007  |  IP: Logged | Report this post to a Moderator
Amanda
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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.

--------------------
"few things are harder to put up with than the annoyance of a good example" - Mark Twain

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cantgiveupyet
Frequent Contributor (1K+ posts)
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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.

--------------------
"Say it straight simple and with a smile."

"Thus the task is, not so much to see what no one has seen yet,
But to think what nobody has thought yet, About what everybody sees."

-Schopenhauer

pos babs, bart, igenex WB igm/igg

Posts: 3156 | From Lyme limbo | Registered: Oct 2005  |  IP: Logged | Report this post to a Moderator
   

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