"I have had the best luck with Wal-mart pharmacy on this issue. Other pharmacists have had less favorable policies (toward me, that is), but my Wal-Mart pharmacy has been willing to go back and forth between my doctor and running insulin through…"
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orbiter7
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Insurance charges triple the usual 30-day copay if quantity exceeds 31 days
Started this discussion. Last reply by Steve D. Ph.D. Sep 18, 2012. 11 Replies 0 Likes
My Levemir prescription is for 12 units morning and evening, for a total of 24 units per day, or 720-744 units for 30-31 days. A vial of insulin is 1000 units, which is enough for about 42 days. That…Continue
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Steve D. Ph.D. replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'
Mocha replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"Insurance companies have started trying to "crack down" on "waste". It happened to me recently. The first step, as others have suggested, is to get a new prescription written. I would suggest telling your doctor the issues that…"
orbiter7 replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"No, Tim. Even if I were taking Lantus, with the 28-day rule (instead of the 42-day Levemir), they apparently don't HAVE to give you enough for 30 days (at least, not for the 30-day copay of $35). The rule is not that you get enough for 30 days…"
orbiter7 replied to dishers's discussion 'corrections when blood sugar reading to high'"I have been unable to see diabetes specialists for several years (priced out of the insurance market), so I am not up with current treatment plans, but I would be interested in knowing why your basal insulin is split so unevenly. I realize that some…"
orbiter7 replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"I thought about the 30-day/throw-away rule, but apparently it varies according to the type of insulin you use. Levemir is supposed to be good for 42 days, so that doesn't help me. I had the doc write another script for the pens, 17 u twice a…"
Mike Ratrie replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"Tim,
The key is in what the prescription says as written by the doctor. There is no reasoning with the pharmacy on how much to dispense (especially when the insurance company is involved).
Orbiter7 - As others have said - get your doc to re-write…"
Tim replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"There is also the Lantus insert that says that a bottle is only good for 28 days. So if they want to play the stupid "30-day magic number" game, they have to get you two vials every 30 days."
Brian (bsc) replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"I routinely request that my doctor prescribe enough insulin to cover my "range" of needs. After all, you can waste a bunch of insulin priming and stuff. You should ask your doctor to write a prescription up to 30-40 units/day and then…"
Timothy replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"Yes just get your doctor to write a new script that says you need 35 units per day. You will not run out, and you will be within the 30 day limit."
Brunetta replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"I agree>ask your doc to write a script to accomodate your concerns.
God bless,Brunetta"
t.clayton replied to orbiter7's discussion 'Insurance charges triple the usual 30-day copay if quantity exceeds 31 days'"If your doctors are decent, just call them and cite insurance issues and have them issue a new script for the closest unit per day that gives a full vial over 31 days. I've done it a couple times, once with pens and once when I started pumping."
orbiter7 posted a discussionInsurance charges triple the usual 30-day copay if quantity exceeds 31 days
My Levemir prescription is for 12 units morning and evening, for a total of 24 units per day, or 720-744 units for 30-31 days. A vial of insulin is 1000 units, which is enough for about 42 days. That means that my prescription costs $105 instead of $35. If I get a "90-day" supply, which I cannot afford on top of everything else, I pay the same $105 for 2 vials (which lasts only 83 days), and then I have to worry about my stupid refrigerator (which I cannot afford to replace) freezing my extra…See More
brokenpole left a comment for orbiter7"Welcome to the family! On this forum you will learn so much. Most of all you will learn that you are not alone. Everyone here is supportive and will provide answers to your questions. Search the site for answers. Read the discussions and blogs for…"
Profile Information
- The PRIMARY person in my life who has diabetes has
- Type 1 or type 1.5 (LADA) diabetes
- How do you hope to benefit from TuDiabetes?
- I need advice from others who have had broken ankles.
- Date diagnosed
- January 1, 1967
- Type of treatment/devices you use
- Shots, Pump, Diet and Exercise
- What pump model do you use, if any?
- Medtronic Minimed Paradigm 712
- Tell us more about you (optional)
- I broke my right ankle June 26, 2012. I live alone miles from anywhere. My friends are too busy with their own lives and problems to help much. I am self-employed as a computer services consultant, which means that I am effectively out of work, being unable to visit my customers. I have another condition which has led to the atrophy of my arm muscles, and so it is extremely difficult to use the crutches. I am going blind due to cataracts (which I cannot afford to have removed) and diabetic retinopathy. I went deeply into debt trying to keep up with my state's health insurance risk pool rate hikes. Finally I had to drop the insurance. Now I owe thousands and thousands of dollars to the ER, the doctors, the hospital, where they apparently did not know how to treat a type 1 diabetic, etc. I have food stamps, as of Aug. 1, but no way to pay my bills. My bank account is overdrafted, the money collectors are calling, and I have no idea what I am going to do.
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- At 5:55pm on August 10, 2012, brokenpole said…
Welcome to the family! On this forum you will learn so much. Most of all you will learn that you are not alone. Everyone here is supportive and will provide answers to your questions. Search the site for answers. Read the discussions and blogs for information. There are videos to help you understand diabetes and its treatment. Most of all there is family to talk to and even to vent to, if needed. Welcome home.
- At 10:54am on August 10, 2012,
Doris D said… WELCOME TO OUR LOVING, CARING, AND UNDERSTANDING FAMILY MY FRIEND!!! Great to have you here with us!!!!Please feel free to check out our Forum, Blogs and Groups here!!! If u have any questions please feel free to ask any of us or put it on our forum. To answer any of us back just hit the "comment back "bar under our comments and you will go to our page where you can leave a comment to us and also read abit about us.
Here's a link to help you get to know more about us: http://www.tudiabetes.org/notes
- At 10:23am on August 10, 2012,
Linda G said… 
We're so happy that you're finally here!
Welcome home orbiter7....
I am SO sorry to hear of your dilemma. There's a group here also for PWD without insurance. Check also the group here related to your state (OK). As well, you could talk to someone at the branch of the ADA in your area.
This is a great place to share, to learn, and to grow...all the while meeting new people world wide, and making friends.
Take a peek at some the groups when you get a chance. Just go to the top of your page, and click on "Groups".
Once in, you can either peruse the wide array of available groups....or simply type a specific interest in the space provided.
Take in some of the blogs/discussions as well.
The resource boxes at the top of the home "Home" page, and
"About us" at the very bottom of your page and every page (the footer), offer you more information still.
-------------------------------------------------------------------------------------------------
Hope you find the support and information you came looking for.
Here is a useful link to get you on your way:
http://www.tudiabetes.org/notes
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AND....groups for folks with more than diabetes to contend with,
such as..."Diabetes Plus".
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Take care....and keep in touch!
- At 10:02am on August 10, 2012,
SEAGATOR said… Welcome to our wonderful family. We are a very caring and supportive group. Questions? Pleas feel free to ask us. Please read the BLOGS the FORUMS and check out the many GROUPS for much valuable advice and information. WELCOME!!!
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