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Old 08-17-2014, 01:43   #1
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Default Suggestions, please

I need some advice please. I've got my tail in a crack and don't know the solution. Perhaps some of you have been here and know of a workaround for it.

I get my BP meds from Optum RX thru my insurance in a 90 day refill at a time and more than 3 weeks ago realized that I needed a new order and called my doctor's office to ask them to fax a new order. Unbeknownst to me was the fact that he was on vacation that full week and the office didn't order until mid the next week when I had not received the refills. I knew things were going to be a bit chaotic here with company, so I called and was told that they had not responded to the faxes they sent asking for new order, so I called the Dr. office to see why not (that's when I found he'd been out of town and they promised to do it that day. It has never come so today I took the last pill and called to see why and learned that Optum has shipped but it won't be here til Monday at the earliest and perhaps as late as Tues. I called my local pharmacist to see if he'd give (sell) me a couple and he said the last time he filled it was 2 years ago, so legally he couldn't. I then asked at CVS and was given the same answer. I had this happen years ago and there was no problem then and out of state. Perhaps the law has changed since, but what can one do in this situation?

Clearly I need to change doctors so things like this don't happen any more and find one who treats me with more care, and pharmacist too. I've traded with this local pharmacy for over 50 years and hate to do that, but this is upsetting to say the least. His father would never have done this to me!

Remember I had a small stroke in 2007 and try hard to control BP.

What are your ideas for a work around if any?

All I can think of is to take a diuretic in the morning instead of my Quinipril and trust it will have a lowering effect along with the Verapamil 300 I take at night.




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Old 08-17-2014, 01:58   #2
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That is presicly why I dont do mail order, if your presciption was with the pharmacy they would give you enough to hold you over. your pharmacy can do a 90 supply.

since its the insulance Co mail order Id call them and say you want me to stroke out because of your system get me the med or let me go to a local pharmacist. Other than that I cant help you.

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Old 08-17-2014, 02:00   #3
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No suggestions here, Pat, but it makes me FURIOUS! When does a doctor just leave town and nobody covers for him? I have NEVER encountered such a thing in 50+ years I've navigated for myself and my family. Docs always notified who was covering, and how the backup doc could be reached. IMO, this is actionable.




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Old 08-17-2014, 02:08   #4
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Shanney, he sold his practice to the local hospital a year ago and now his office tells you to go to the ER if you need a doctor. Altho' I like him personally, this has concerned me since it all transpired.

I am thrilled to know 90 at a time can be ordered at a time, so my new doctor will be asked for that. Thanks!




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Old 08-17-2014, 03:51   #5
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Can you go to a local clinic and explain your situation? You just need a rx for say 5 pills just to be covered on the mail order. Then the pharmacist can fill it for you with no problem.

I'm so sorry this happened to you.

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Old 08-17-2014, 03:51   #6
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Pat, what is your BP running? Maybe you won't need anything until Monday, when you can get your doc to call the pharmacy for enough to hold you over. I have no experience about BP control with meds, and this may be a far fetched thought.

You would think in todays age, renewal scripts would go out automatically. If seeing the doc is required, then appointments could be programmed too.

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Old 08-17-2014, 04:58   #7
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I would switch to your local pharmacist to fill your prescriptions. It is for this reason that I always get mine filled at a local place where they know me. Until then... any chance you have friends or family on the same med that could spot you a few? Is there a lower dose available over the counter of the same med?

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Old 08-17-2014, 07:09   #8
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Pat, your doctor's office should have been able to call in a prescription for just a few pills at your local pharmacy. If your BP feels high, I would go to the ER. They may be able to get you a small amount of your pills. This happened to my mother-in-law once. Mail order is cheaper, but it has its downside. If all else fails, stay relaxed and watch a whole bunch of comedies! Good luck!

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Old 08-17-2014, 07:47   #9
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Thanks to all for ideas, but Medicare rules prevent any more being allowed. Damn them! I finally talked to AARP nurse and she had no valid thoughts either.

I don't like the new med rules a lot.

Off to the iceberg. Be aware




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Old 08-17-2014, 09:31   #10
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Is there a walk-in clinic available to you? Cause I would go there, explain the situation and ask their advice on handling this mess.

Once you are back on BP meds and stable, going doctor hunting sounds like a very good idea (not before as the process could be stressful).

I am so sorry this is happening to you!

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