I'm SOOO MAD, I could spit! While I feel lucky to have prescription insurance, dealing with Medco has been an ordeal. Here's an account of my latest run-in with them:
My endo wrote a new RX for my Novolog since I started on an insulin pump on August 16 and needed to change from the NovoLog Flexpens to the vials. He wrote it for 3 vials of NovoLog which constitutes a 90-day supply. He also noted that I was initially using 15u of Novolog per day in my pump. (It has gone up to nearly 20u/day since then because we are still tweaking the pump settings to get better BG numbers. Also, the bolus amounts will vary based on how many carbs I'm eating. ) I received a call earlier this week from Medco to confirm that I wanted the vials and not the Flexpens. I explained that the change was being made because I had just begun using an insulin pump. I also inquired about obtaining infusion sets and pump reservoir replacements through Medco. The Medco rep confirmed that the RX was written for 3 vials. At no time did the Medco rep ask me how many units I was using per day. Yesterday, I received 2 vials of NovoLog, not 3 as ordered by my doctor. When I called them and escalated my inquiry to a “Medco pharmacist” , he explained that the reduction was made because my doctor wrote that I was not to take more than 15u per day. (!? Had they bothered to call my doctor prior to making this reduction, he would have educated them!) Also, when I asked the “Medco pharmacist” to explain how this reduction complies with Novo Nordisk's instructions to “Throw away an opened vial after 28 days of use, even if there is insulin left in the vial,” he indicated that this would not apply in my case and that was only to avoid the risk of infection. (!????) Since we were getting nowhere and I was getting more frustrated, I asked that he seek a review of the decision to provide me with 2 vials as a 90-day supply when, in fact, it will only cover 60-days. I followed up with an e-mail to a Medco Diabetes Specialist. So far, I've received a “canned” e-mail acknowledgment of my inquiry/complaint. I do not intend to drop this but am biding my time, giving them the opportunity to correct their error. It has been more than 24 hours since my telecon with the Medco pharmacist. Based on past experience, I am not optimistic that this will be resolved satisfactorily.
Have any of you out there had similar experiences with Medco? (I've read kdroberts post from last December.) I can't be the only patient they've jerked around. I plan to let my retirement plan administrators know of my ongoing problems with Medco and may contemplate an insurance department complaint as well, depending on the outcome. (Sorry this is so long…thanks for staying with me if you've gotten this far.)
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