Wednesday:
My local CVS pharmacy notified me that my prescription had been filled.
When I picked up my order my Doc had prescribed it as 30 day supply with X number of refills (Doc issue not CVS issue. Not sure why my Doc canât figure out I need 90 day supplies) Anyway CVS said OK they would correct. What shocked the heck out of me was a few minutes later they had the 90 day supply ready for me. I was fully expecting them to tell me they would need to order the sensors and to come back in a couple of days. But they must of had some stock at the store which was pretty cool.
Anyway you might give your pharmacy benefit a try if you havenât.
If your insurance is employer based then you can reach out to your HR department and ask who the pharmacy benefit manager is for your plan. It could be Express Scripts, Caremark or someother company. Mine is Caremark. You can reach out to them about coverage and price.
I know OptumRx covers our pharmacy benefits for this employer based insurance plan. But, do you know who to actually contact at the insurance company to find out about medical necessity coverage? I specifically accepted this job because they supposedly covered all my diabetes supplies and now that i am here it doesnât look like they cover Dexcom cgms⌠Everytime i call the insurance they give me to some ididot representative that doesnât even know what medical necessity means. Has anyone else run into this issue? I just want to be able to speak with the right person at the insurance company to have my cgm covered by insurance!!
it isnât covered by pharmacy benefit, but we do have medical necessity coverage, so i have the doctor submitting a prior authorization to get them covered as a medical necessity!!! thanks for the answer though.
