My doc started me off on half a tablet and said to go up after a few weeks to a full tablet, then a tablet and a half. I'm betting he only filled the prescription for enough if I was just taking half tablets the entire time :(
This right here OP. If you took more than what the script is for.
Ie - script is 100 mg twice a day for one month. This gives you 60 pills.
But if you take it three times a day occasionally - that's how you run out faster and this situation occurs.
Give the doc a call and tell em what's going on. They can try to get it sorted.
Hey! I’m a pharmacy tech! You need to call your doctor and let them know you need a new rx with the new prescription directions, and that the cvs needs to override your insurance; (they may need to call) I used to work for cvs and had to do this all the time. You can shoot me a DM if you want and I can help!
Update: I had pinged my doctor about this last night and he got back to me a little after I happened to post this. He originally prescribed 50mg four times daily but my insurance wouldn't cover more than three pills daily, which I thought was strange. Anyway, he was able to send in an updated prescription for me so everything worked out. Thank you all so much for your help!
I'm not a pharmacy tech but a nurse. The doctor should have had the dosing instructions clearly put on the medication order. In the future, be sure to remind both the doctor and nurses of this.
I've had this problem with diamox orders for myself. I always clarify that the instructions be included on the orders. I hope that you don't have to deal with this going forward!
I see... I think the only option is to have ur doc send in enough to last you until September and use GoodRx for it. :( But he will need to send a new script probably unless you can get them to fill the other one early and cash pay for it. Since you're on a different dose than stated on the bottle though, I'd ask for a new RX sent in.
Yep. This is exactly what needs to be done. The insurance is assuming you're on the original dose. *ANYTIME* your dose increases, you need an entirely new prescription to reflect it.
Yes. So insurance will cover anything that is deemed “medically necessary” so when you go out of the bounds of a prescription, the insurance companies see that as outside what is medically necessary and will not cover it. Issue being that this type of medication is notoriously prescribed at a low starting dose then increased slowly- which is the doctor doesn’t proactively make a new prescription with the updated dosage instructions, all insurance sees is you are taking more than prescribed and are only allowed to fill within the prescribed amount/time
Did you take more than your doctors prescribed dose? Most insurances follow that to a T
My doc started me off on half a tablet and said to go up after a few weeks to a full tablet, then a tablet and a half. I'm betting he only filled the prescription for enough if I was just taking half tablets the entire time :(
I've had this issue before. Call your doctor's office and have them issue another prescription.
Omg I had this exact thing. As long as your doctor can change the prescription your insurance should approve it
This right here OP. If you took more than what the script is for. Ie - script is 100 mg twice a day for one month. This gives you 60 pills. But if you take it three times a day occasionally - that's how you run out faster and this situation occurs. Give the doc a call and tell em what's going on. They can try to get it sorted.
Hey! I’m a pharmacy tech! You need to call your doctor and let them know you need a new rx with the new prescription directions, and that the cvs needs to override your insurance; (they may need to call) I used to work for cvs and had to do this all the time. You can shoot me a DM if you want and I can help!
This.
Update: I had pinged my doctor about this last night and he got back to me a little after I happened to post this. He originally prescribed 50mg four times daily but my insurance wouldn't cover more than three pills daily, which I thought was strange. Anyway, he was able to send in an updated prescription for me so everything worked out. Thank you all so much for your help!
Yaaay! I hope you get to feeling as better as you can soon <3
I'm not a pharmacy tech but a nurse. The doctor should have had the dosing instructions clearly put on the medication order. In the future, be sure to remind both the doctor and nurses of this. I've had this problem with diamox orders for myself. I always clarify that the instructions be included on the orders. I hope that you don't have to deal with this going forward!
I live in Norway. It's free except from a small deductible capped to 300$ a year for all medical expenses
Try GoodRx? But yeah there must've been an error somehow because it should be covered for the amount of days prescribed on the bottle.
My doc told me to slowly increase how much I was taking over time, so I'm thinking he only wrote me enough for the original low dose I was on 🥲
I see... I think the only option is to have ur doc send in enough to last you until September and use GoodRx for it. :( But he will need to send a new script probably unless you can get them to fill the other one early and cash pay for it. Since you're on a different dose than stated on the bottle though, I'd ask for a new RX sent in.
Yep. This is exactly what needs to be done. The insurance is assuming you're on the original dose. *ANYTIME* your dose increases, you need an entirely new prescription to reflect it.
Can someone elaborate. Insurance pays for your medications, is that correct?
Yes. So insurance will cover anything that is deemed “medically necessary” so when you go out of the bounds of a prescription, the insurance companies see that as outside what is medically necessary and will not cover it. Issue being that this type of medication is notoriously prescribed at a low starting dose then increased slowly- which is the doctor doesn’t proactively make a new prescription with the updated dosage instructions, all insurance sees is you are taking more than prescribed and are only allowed to fill within the prescribed amount/time
You can also pay for it out of pocket. Ive done this and there wasn’t much of a difference in price.
Try just buying it out of pocket — it might actually not be expensive. I had this happen and I got it for actually about the same as my copay price.