Seriously Meredith Grey??!?!?!?

Dang y’all. I’ve been bambuzzled. I got the call from an autobot that my RX was ready. I was super excited since that meant the pre-authorization was approved. However when I got there, the price was $750 smack-a-roos.

Back home I am politely talking to an agent at the soul crushing drug company (name withheld to protect the innocent working for the guilty) to find out what the heck happened. I was told the price is really $225 or $75 a month x 3 months. She says just maybe the pharmacy had not caught up to the approval. She placed me on hold to call the pharmacy for further confirmation but the hold time was so long that she verified my number to call me back.

Insert Jeopardy! theme music …

I eventually got the call back and was told the price is right (not the fun game show btw). This price is when covered by insurance. WTF. Turns out I have not met my deductible. In order to get the $225, I have to have reached my deductible first. Now riddle me this. Why is the price different pre and post deductible? The medicine is still the same. Ugh! Such bull shit.

Now left with decisions, generic or keep fighting?

Challenge accepted!!!

As always, more to come.

27 thoughts on “Seriously Meredith Grey??!?!?!?

  1. I’ve walked away from prescriptions for that very reason. They weren’t “life-saving” meds – just something that was supposedly going to make life more manageable with my chronic conditions.

    Whatever.

    Fortunately, I connected with a doctor who spent more than seven minutes in the exam room with me and he prescribed something that was a mere fraction of the cost of the first med…and it helps! I’m still on it. 😉

    Liked by 1 person

    1. Yes! That is the trick to find a good doctor. I am still looking. One retired, another went into concierge only and the new one is ok but it was tele-med and about 7 minutes 😦

      Liked by 1 person

      1. My advice would be fight for the medicine that works for you. If the generic doesn’t work or has side effects, like they did for the one medication I have to take, then fight for it. Their plan is for you to give up. So many people do give up. That is what they count on and that is how they win. It took me 6 months, and my doctor, the pharmacist all said the insurance will never approve it. They said it wasn’t right but they see it everyday. Well, they did approve it. They lied, they frustrated me, gave me misinformation after misinformation, made me jump through hoop after hoop but they approved it for life. No more pre-approvals but for “life or until December 31, 2099.” I have to pay the co-payment for brand name and that is it. You can do it Jill, of that I am sure. Not going to lie, It’s not fun or easy. Took a great deal of time, and stress but the generic was causing me horrible side effects AND wasn’t even helping with what it was suppose to help with. It was suffer with my medical issue AND addition sickness from the generic or fight.

        Liked by 1 person

      1. I take nothing but generics unless there isn’t one. My insurance puts up quite a fuss if it isn’t a life threatening thing that the doctor has decided to fight for. I rarely get a brand name. Have no idea if they work better or not. I have problems with meds all the time, but don’t now if the brand name would be anymore helpful.

        Liked by 1 person

      2. I’m not adverse to generic. My other scripts are. If i had not taken this for 17 years, it’d have so issues changing. If it ain’t broke don’t fix it and all that Jazz. 😂

        Liked by 1 person

  2. We have been there before. Once it was a cream for a severe case of some allergic dermatitis. The original price? $900. The insurance price? $700. A coupon from the dermatologist brought it down to $600. Hubby finally went with a few samples from the dermatologist and a generic for $200. INSANITY!

    Liked by 1 person

  3. I have never understood why the price is so high for uninsured or haven’t-met-my-deductible folks. Basically, they charge the people who can least afford it, the most. Good luck!

    Liked by 1 person

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s