Mandatory 90 day doctor visits

By seabelly Latest Reply 2014-10-01 13:29:32 -0500
Started 2014-09-19 04:54:14 -0500

Morning all. I'm new here and I'm just looking for some feedback from other Type II diabetics. Do all y'all have to see your doctors every 90 days religiously in order to get your meds refilled? My internist just filled a prescription for me for Januvia? I have an appointment with him for the end of the month, which is 102 days after my last visit? He only gave me 12 pills. 12. I still had to pay a full $30 co-pay for the 12-pill-prescription, and in 13 days I'll have to pay another $30 co-pay for a new prescription because my internist is such a you-know-what. Does it have to be this way? I have a friend whose doctor literally gives her a year's prescription for Metformin. Her numbers are no better than mine.

I'd appreciate knowing how it is for others, because right now I'm ready to stop taking my meds altogether. If this is the kind of aggravation I'm going to have to put up with every three months for the rest of my life, I might as well take my chances with running and dieting.

Thanks for any feedback you can offer.

26 replies

JoleneAL 2014-10-01 13:29:32 -0500 Report

Each person / doctor is different. My new doctor wants to see me every 14 weeks and that's all the medication I get too. God forbid I have an emergency and I run out of medication … that's why I'm hording it. I'm also looking for a new doctor. My last doctor - who quit due to ObamaCare - gave me a year's script for all my meds, but I saw him every 4 months for labs.

lightofmysoul40 2014-09-30 02:00:30 -0500 Report

i see my internist every 3 months but she gives me a 3 month supply of my meds with 3 refills. i have to see my internist every 3 months in order for my insurance company to pay for my pump and testing supplies. if i miss a visit then the insurance will refuse to pay for my supplies.

Chopstix 2014-09-25 20:22:18 -0500 Report

I fax in my glucose readings once a month; see cardiologist every 6 months so far; blood work every three months; physical once a year. If I have any problems I call in and make an appointment.
It sounds like someone thinks you have very deep pockets. Maybe you need to see your friends doctor. When I'm not satisfied I go elsewhere. It is more stressful to deal with people you are not happy with than those you are. Stress can raise your blood pressure and you blood sugar…

sandyfrazzini 2014-09-25 15:10:26 -0500 Report

I see my PCP twice a year unless I need extra visits, he writes for a 90 day supply with one refill and that covers six months. I see my endocrinologist every 3 to 6 months he usually gives me 1 year of refills on insulin.

Hops 2014-09-24 08:03:31 -0500 Report

I visit my endocrinologist once each year and visit with an RN Certified Diabetic educator twice each year. I found out my group has a nutritionist who specializes in the nutritional needs of type 1 diabetics and find my annual visits with her helpful.

Littlesister56 2014-09-23 21:11:45 -0500 Report

I see my endo every 3-4 months, my scripts usually do cover about 9 months 90 days refill 3x. If there is a reason and I need to speak with him he will call me back promptly to advise.

lorider70 2014-09-23 16:59:47 -0500 Report

I saw my Dr. every 3 months for years and suddenly he changed to every 4 months. He didn't say why; but I suspect since my numbers seldom change much it's either for that reason, or possibly Medicare has mandated the change. After all, I'm 71 and merely another old guy that they are waiting on to die and relieve them of one more set of claims along with eliminating another social security check every month. I'm more than a little distrustful of government handling our health care costs.

callie8 2014-09-22 22:09:22 -0500 Report

Usually I go every 2 or 3 mths depending on me the patient as how good I am doing. I go next week for blood work. I do get refills …so I am not having to go back for those. ..I decided to several months ago to stop meds… but it just takes one day at a time.I am having to just go on and do it like I am suppose to. We could be worse off.. Yes I am hardheaded just I have learned over the years is to just do it anyway.Do what my dr tells me…and I am trying to do it..Start asking the Dr. questions…like why are you not getting more refills…I learned to ask more questions over the years..instead of sitting there nodding my head. Now the nurses call me Trouble (smiling). I did get tired of paying all the high prices of the new meds and I told the doctor the dr to find me something I could afford. My first perscription after that was so much cheaper. So I am happier . Let us know how you do do on your next visit.

aasmith56 2014-09-20 07:48:29 -0500 Report

I have other medical issues myself but usually I see the Dr. 2x a year. My fasting blood tests is really the indicator for how often I see the Dr. And I get yearly prescriptions that I only have to fill every three months. When first diagnosed I did have to go every 3 months to be sure that my kidney functions were acceptable (I have deformed kidneys) and my A1c was in the correct range. Keep taking your medications for now and change Dr. if not comfortable with the one you have.

seabelly 2014-09-20 08:43:59 -0500 Report

Thanks so much for the feedback. That is the kind of treatment schedule I was hoping for. I don't mind quarterly blood tests, but the quarterly office visits on top of the testing and the prescription co-pays is daunting.

haoleboy 2014-09-19 14:35:46 -0500 Report

Are we talking number of refills or number of pills per prescription?
i take Metformin and Lisinopril. My current prescription for those was written in December of 2013 with 12 - 30 day refills each. Generally insurance only covers prescriptions for a 30 day supply.
I do see my doctor and have labs every 3 months (but then I have health concerns other than diabetes).


Type1Lou 2014-09-20 07:57:30 -0500 Report

Steve, for my maintenance meds (insulin, lisinopril, levothyroxine, simvastatin) my insurers have always given me the option of 90-day refills, usually with a lower co-pay for 90 days…so my experience appears to differ from yours.

Pegsy 2014-09-19 14:27:53 -0500 Report

I see my doctor every 3 months but I am in my first year after diagnosis. Each time I see her my medication is adjusted. She gives me prescriptions for 3 months each time I see her. I think I am becoming pretty stable now so we'll see if she continues with the 3 month schedule or if she will change it to 6 months.

jayabee52 2014-09-19 13:19:23 -0500 Report

Howdy Seabelly

Sounds to me your internest is gouging you and is into medicine for the money. Please do not stop taking your meds but I would find another Dr ASAP and fire this one.

If you are thinking of trying to manage your T2 by a meal plan (aka "diet") you may want to get a blood test which tells you whether you have enough pacreatic insulin output to be able to accomplish what you suggest.

I have a meal plan where I have done just that and I have been following it for more than 3 years now. I have written it up and will send you the link should you ask for it.

God's best to you

seabelly 2014-09-20 08:46:48 -0500 Report

Thanks James. I didn't know about the insulin output test. I have an appointment with a endocrinologist next week and I'll discuss it with him. I won't stop taking my meds. I can be pigheaded sometimes, but I'm not that crazy. At least not yet.

seabelly 2014-09-20 08:46:29 -0500 Report

Thanks James. I didn't know about the insulin output test. I have an appointment with a endocrinologist next week and I'll discuss it with him. I won't stop taking my meds. I can be pigheaded sometimes, but I'm not that crazy. At least not yet.

Pegsy 2014-09-19 14:30:28 -0500 Report

James, what is the blood test I should request in order to find out if my pancreas is putting out enough insulin? I want to control by diet alone but not much point if I am not producing enough insulin to begin with. So far, I need the Metformin but I would like to gradually reduce it and be off of it completely. I just don't know if that is possible for me.

Type1Lou 2014-09-20 07:55:09 -0500 Report

Pegsy, it is the C-peptide blood test that is used to determine whether any insulin is being produced by one's pancreas. (I know I'm not James but thought I'd jump in.)

Pegsy 2014-09-20 09:46:25 -0500 Report

Thank you! I'll check my most recent lab results and see if it's on there. If not, I will ask for it next time.

H8havingDiabetes 2014-09-19 12:25:33 -0500 Report

Just a little tip on medications. Publix supermarkets will fill your prescription for Metformin as well as antibiotics for free. Also, you do not need to be a member of Costco to use their pharmacy and their prices are the lowest around.

Type1Lou 2014-09-19 11:41:11 -0500 Report

Although I do see my endo every 3 months, he does prescribe a year's worth of refills for me on my prescriptions. My diabetes is considered in good control, but my thyroid meds have needed adjustments (twice in the past year)…it may be time for you to change doctors as it sounds like you are not happy with the one you have.

rolly123 2014-09-19 08:06:57 -0500 Report

I c mine every three month!do u tell doc u want more twelve pill! It could be because insurance! Dont give up u pill ? How u sugar been? Welcom abourt finds some friends here so u can talk to them personally! This is someway docter are if u dont like him u know anyone else! Im having similar problem with mine! Hope this help

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