Byetta pen repalcement insurance story
Just thought I’d share a recent experience in case this happens to one of you
some day.
I’d only opened a new pen three days earlier when I wound up with blood drops
inside. I called the number on the Byetta package and they had a replacement
waiting at my local pharmacy (Safeway) within hours. Then this past Friday I
went in to get a refill and drop off a new prescription. The clerk, who knows
me by name, already had my records pulled up and sait "I’m sorry, Mr. French,
but it says here that you’ve exceded your prescription benefits (MAX BENE RXS
MET FOR INDIVIDUAL) and we’re unable to fill any prescriptions at this time.
You might want to contact your insurance provider."
I went to my car but it was too late. The regional Blue Cross office is in
Seattle and it’s already past 6p.m. there. I went home and got online to review
my policy information but couldn’t find anything stating that I had an Rx limit.
Now the only thing I could do was wait until Monday to contact Blue Cross.
Knowing that my medications run upward of $20K yearly, I worried all weekend
about which conditions I would let go untreated and what prescriptions would
save money by mail order or generics (I was amazed that I can get generic
Glucophage and Micronase at Wal*Mart and Target for $4 each!), and how I was
going to handle the knee surgery I’m scheduled for later this week if I was
unable to obtain pain medication during my recovery.
Well, to wrap up this tale, it turns out that the entire reason I was rejected
was not that my Rx plan had maxed out but that when Amlyn/Lilly provided me with
the free replacement pen, the pharmacy entered a different insurance code which
could not be refilled. So, the moral of my tale, if you ever find yourself
needing a replacement pen, be sure to remind your pharmacy to not change your
insurance information in their computer systems.
April 9th, 2007 at 4:23 pm
All is well that ends well!!!! Glad it worked out for you Michael!!
Melissa~
——-Original Message——-
Just thought I’d share a recent experience in case this happens to one of
you some day.
I’d only opened a new pen three days earlier when I wound up with blood
drops inside. I called the number on the Byetta package and they had a
replacement waiting at my local pharmacy (Safeway) within hours. Then this
past Friday I went in to get a refill and drop off a new prescription. The
clerk, who knows me by name, already had my records pulled up and sait "I’m
sorry, Mr. French, but it says here that you’ve exceded your prescription
benefits (MAX BENE RXS MET FOR INDIVIDUAL) and we’re unable to fill any
prescriptions at this time. You might want to contact your insurance
provider."
I went to my car but it was too late. The regional Blue Cross office is in
Seattle and it’s already past 6p.m. there. I went home and got online to
review my policy information but couldn’t find anything stating that I had
an Rx limit. Now the only thing I could do was wait until Monday to contact
Blue Cross. Knowing that my medications run upward of $20K yearly, I worried
all weekend about which conditions I would let go untreated and what
prescriptions would save money by mail order or generics (I was amazed that
I can get generic Glucophage and Micronase at Wal*Mart and Target for $4
each!), and how I was going to handle the knee surgery I’m scheduled for
later this week if I was unable to obtain pain medication during my recovery
Well, to wrap up this tale, it turns out that the entire reason I was
rejected was not that my Rx plan had maxed out but that when Amlyn/Lilly
provided me with the free replacement pen, the pharmacy entered a different
insurance code which could not be refilled. So, the moral of my tale, if you
ever find yourself needing a replacement pen, be sure to remind your
pharmacy to not change your insurance information in their computer systems.
[Non-text portions of this message have been removed]
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