Anyone out there have the same problem as I have just recently encountered? It's having to get a prior authorization every three months for my Avinza script. I am just curious if anyone uses AvMed and has had this problem? I have never run across this before until January of this year and now I just had to go through it again this past week. I've been taking this med for about 3 years now. What happens is the pharmacy goes into your profile and sees that you need a prior authorization before they can fill your script. They then tell you to let your Dr. know so that they can call the Insurance Company and tell them whatever it is that they need to know. You then have to wait anywhere from 3-4 days up to 2 weeks before the approval comes in. I went through it in January and it took 4 days but luckily I had enough left over from the previous month. This last time, (April 24) I asked the Dr. for something else to take the place of the Avinza while I was waiting for this to happen. He gave me a script for 30 MS Contin 100 mg. to last 6-7 days. On the seventh day, I called the Dr. and they wrote me yet another script, for this time, 60 of the MS Contin 100 mg. Reason it took longer was because I did all of this on a Friday so we had to deal with the weekend too. To make a long story short, when I walked into the pharmacy to fill it, they told me that my Avinza was ready. I said how's that possible? They said the insurance co. called them about 2 hours ago to let them know that it was approved. They are supposed to call the Dr. office but they called the pharmacy instead so the Dr. office really didn't know anything about this until the next day when they checked up on it. Either way, I found out that I have to go through this every three months. The reason is that I take 4-120 mg capsules per day and the recommended dose is 1-120 mg per day. So now I need to get an approval every three months. Anyone else with the same problem? Please let me know if you do.
Fri, 05/01/2009 - 12:44pm#1
Prior Authorizations for your Meds?