Re: Just received an odd call from CVS Pharmacy.

PurpleBunny · ‎03-09-2010

@newjersey wrote:
@PurpleBunny, wow! That's just wrong. I take it someone else filled the prescription for you?? Wonder how this person kept her job?

Yes, we had to go to another pharmacy and wait another day because the first one was 24 hours and the second was not. I wrote a letter to corporate and they apologized profusely. Apparently, she wasn't supposed to do that.

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newjersey · ‎03-09-2010

@Noel7, thank you for replying. That's what I was thinking too after I got the call - how can an insurance company tell someone how much medicine they can take??????? That's up to a doctor.

PurpleBunny · ‎03-09-2010

Yup. Google "CVS Pharmacy Scam."

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newjersey · ‎03-09-2010

@Reba055, thank you for explaining this. I'm still not TOTALLY understanding this because if a doctor says someone needs two pills or whatever amount of a medicine, how can an insurance company say no - that the patient can't have it? I'm sorry - I am not very good at explaining myself.

newjersey · ‎03-09-2010

@ValuSkr, thank you. I appreciate your reply.

Mrsq2022 · ‎03-10-2010

@newjersey wrote:
@Reba055, thank you for explaining this. I'm still not TOTALLY understanding this because if a doctor says someone needs two pills or whatever amount of a medicine, how can an insurance company say no - that the patient can't have it? I'm sorry - I am not very good at explaining myself.

That's not quite it...you can have the medicine your doctor prescribed. The pharmacy will fill this for you and you can certainly take the dose your doctor has prescribed.

The insurance company isn't stopping that from happening. They just don't want to pay for the amount you are prescribed and will only pay for half the dose. That is a big difference from you not being provided the doseage of medication that you've been prescribed. If the pharmacy refused to fill it at the high doseage, that would be a different issue.

Reba055 · ‎06-23-2014

@newjersey wrote:
@Noel7, thank you for replying. That's what I was thinking too after I got the call - how can an insurance company tell someone how much medicine they can take??????? That's up to a doctor.

@newjersey Unfortunately it's not. The final word comes from a review board at the insurance company if it escalates that far. As a side note. I had an issue with a prescription for my daughter that had always been covered, then they dropped it (insurance companies review, add, delete every year). It was a med that could not be stopped abruptly. I pitched a fit with the appeals dept and told them if something happened to her I would sue them. (Not recommended but you know how mother hen's are). They approved it in about 3 hours instead of two weeks. You gotta do what you gotta do sometimes. Of course I would have had to purchase out of pocket had it come to that, but it was over $600.

teainlondon · ‎03-09-2010

turquoiselover................

I started going through this problem two years ago. I took my prescription to the pharmacy; it was denied. I was shocked. I have taken this med for years. We couldn't get any info from the pharmacy, so my DH went to see the dr. about it. She had her secretary call the insurance company, and they said I shouldn't be taking the med. If dr. prescribed it, she'd have to write an appeal. There would be a recview by the insurance company. She wrote the first appeal; they denied it because she didn't word it correctly. She wrote again; denied. It took four appeals for them to allow the refill. The dr. said it would be this way from now on. And, sure enough the same thing happened this year. But, dr. knows what to put in the appeal, so it only took two times to get the med.

IMHO this is a clear case of our insurance company deciding what meds I need, not my dr. They don't know the patient; they are looking at a computer print out I guess, and they deny. so I don't know why we need doctors if the insurance company is going to say what meds we do or do not need. it makes me angry.

Good luck, but be persistent and maybe your dr. will wear them down. The insurance would not talk to me; it had to be the dr.

tea

Q4u · ‎03-17-2010

That hasn't exactly happened to me but I've had some weird things happen with CVS Caremark the last year and a half I've been with them.

I am very tired of being put on auto delivery when I didn't put it in my notifications and it doesn't show it on auto-ship. I'm tired of the Pharmacist getting on line with me to ask me how I take my pills... did I get them mixed up? Did I have a problem with them? That was not the issue I called about... I was floored.

Recently they LOST two prescriptions that I've been taking for ten years. It is no where to be found on my on-line account....

When I went to close my account (I do it all on line) I found out that you can't cancel your account. I actually had to talk to Social Security to realize that unless I go to my CC Company and cancel my card, they will continue to auto-ship whatever prescription is still valid!!

So I've spent the last week getting my prescriptions over to good old WalGreens (again).... never had a problem with them..

OH, one other thing... my DH uses scripts for creams for psorisis and found just recently that CVS Caremark was overcharging him $100 over what it should have been for one of them.... they're expensive enough because the insurance doesn't cover what he uses (long story).

We are DONE.

*~"Never eat more than you can lift......" Miss Piggy~*

garmer · ‎03-16-2010

@newjersey wrote:
@PurpleBunny, wow! That's just wrong. I take it someone else filled the prescription for you?? Wonder how this person kept her job?

I don't know if it varies by state, but this is totally acceptable/legal where I live. Pharmacists may refuse to fill scripts for a variety of reasons. They face no repercussions. I was surprised to learn this.