When I switched my insulin to mail order through UHC, who for my area now uses Optum for rx coverage, it was absurd. Hey needed a new rx, my endo sent it in as "use 2 vials per month via insulin pump". My endo and I each got a call saying there was a problem. I called back, the operator says the rx was wrong, it needed to say how many units I inject per day. I said I'm on a PUMP. She had me talk to the staff pharmacist in hopes I could give him the info he needed. He gave me the same spiel. I said again, I'm on a PUMP. He said oh ok, do you know about how much your pump gives you per day? Now we all know it depends on the carb load and any other randomness. So I said I fill it every three days; I can tell you I usually do 120 units on a three day fill. He accepted that and put the rx through.
When it arrived, the label said "use 2 vials per month via insulin pump".
These companies are playing God with chronic patients because we hurt the thickness of the lining of their pocketbooks, and it royally )!$$es me off.