test strip prior authorization
I've been a loyal One Touch user until recently, so I've never had this problem before. A few weeks ago, I was approved for the OmniPod, which uses Freestyle test strips. My doc wrote me a script for the new test strips, and the pharmacy informed me that I needed to get a prior authorization from my insurance company before they would fill it. Freestyle is a non-preferred product; they prefer One Touch.
I haven't been denied outright, but it's just an extra step to get it authorized. It's a little strange to me because I was approved for the OmniPod, but who would have thought I would run into a test strip problem?
Anyway, I had to call WellPoint, which is the pharmacy benefit administrator. Hopefully I'll be able to get this straightened out because carrying around two meters is not cool!
Has anybody else run into this problem???
I haven't been denied outright, but it's just an extra step to get it authorized. It's a little strange to me because I was approved for the OmniPod, but who would have thought I would run into a test strip problem?
Anyway, I had to call WellPoint, which is the pharmacy benefit administrator. Hopefully I'll be able to get this straightened out because carrying around two meters is not cool!
Has anybody else run into this problem???
Replies to This Discussion
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Permalink Reply by Chadd on -
I've never had issues with my insurance company about my test strips, insulin, or medical supplies. I have always have used Accu-Chek for test strips, until now that MiniMed had switched over to OneTouch Meter / Strips. Still no issue.
The only issue what I had with the insurance company was playing around with a med that I need for Manic Depression - Depakote XR. In which I recieved a letter from the insurance company that they are no longer allowing that med on the formatory list. Which uttlerly scared me to death..... Although, I had called my doc and gotten a letter that it isimportant that I need it and it was oked. If it wasn't I would have had to pay a higher deductable or on a different med that may not have worked for me.
Although with worries about the insurance companies playing around with people, I stock up on my med supplies. Lancets, test strips, well, basically whatever I can. On the side, I figure how much it costs for each med a month and put a portion of the money aside from paychecks and items I sell on ebay, for the co-pays. It works really well in the long run for me.
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Permalink Reply by Myriah on -
me too! always been a one touch fan....when i got on the pod, i started paying more for strips than 10 bottles of humalog insulin!! ask your doc (or maybe you can go online) about the freestyle promise program.....i pay only $15 for 4 boxes of strips per month!! it's awesome!
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Permalink Reply by MelissaBL on -
I ran into this problem and went through the same steps. Got everything authorized so that I could get enough strips for 10-12 strips per day.
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Permalink Reply by Mike Adelman on -
I've been a loyal One Touch user until recently also. And just like you I have just started on the Omnipod. I test before each meal and 2 hours after each meal. I'm waiting to see what will happen as I have just asked my insurance to cover 700 strips a month. In the mean time...one of the features on the Omnipod I like is testing 2 hours after a meal, and having the system suggest a correction bolus if needed. As I am low on Freestyle strips, I test before each meal with the OneTouch and enter the value by hand, and test 2 hours after a meal with the Omnipod so it can suggest a correction bolus if I need one. I think I can get by doing this till I get a quantity of Freestyle strips. I do not like doing this because I think there is a significant difference in the BG levels the two meters show. But for the time being, this will have to do.....good luck.
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