If you were here in January 2020, you might remember me writing about an absolute nightmare experience at the pharmacy. Strap in, kids, it’s time for another round of “Malia has fun at the pharmacy.” Different pharmacy, same level of “fun.”
Earlier this spring, I went to the endocrinologist, and she decided she wanted me to start taking Farxiga along with my regular diabetes med. So, the script got sent to the pharmacy, and I waited. The first few days, the app showed me that filling the med was “In Process.”
Okay, sure. New med, needs time to get all the insurance cleared, etc…
Then the status changed to, “Contact the pharmacy to fill the prescription.”
I had a few other meds that had been filled, so when I went to pick them up, I asked about the Farxiga. I was informed that my insurance had declined to cover it, and was recommending a med called Jardiance. They offered to contact my doctor about this, and I gave them the go ahead.
A week passed and nothing changed. No new script was listed for the Jardiance, and I had heard nothing from my endo. So, I sent a message to the endo to find out what they wanted to do.
I received back a message from the nurse telling me to go to Farxiga’s website, and there should be coupons there. Now, the pharmacy had already told me that I was looking at well over a thousand dollars if I paid out of pocket. I received the message right as the fun with Tom’s kidney began, and so dealing with it fell by the wayside. Besides, I reasoned, I had another endo appointment coming up soon, I’d deal with it then.
Fast forward past the surgery, to the next endo appointment. The endo told me they had sent a script for the Jardiance to the pharmacy when they had been informed it was the recommended switch from the Farxiga. Since the script had never shown up in the pharmacy app, the endo resent it.
After the appointment, I checked the pharmacy app and saw that a script for Jardiance was there, listed as, “In Process.” I breathed a sigh of relief.
Which was a dumb thing to do.
The next day, I checked the app and found that “In Process” had changed to “Contact the pharmacy to fill.”
So, I called the pharmacy and asked what was going on. They informed me that Jardiance isn’t covered by my insurance.
So, I sent a message to the endo. Two hours later the doctor called me and told me that the person in their office who talks to the insurance people (there was a title for this person, but I’m blanking on it), had called and gotten the med approved for coverage. The doctor told me they’d contacted the pharmacy and the med should be filled by end of day.
Again, I breathed a sigh of relief way too soon.
At this point it was a Thursday. I watched the app and the fill status remained unchanged. And it stayed unchanged through the weekend.
The following Tuesday, I received a letter from my insurance showing that they were going to cover the med. I stupidly assumed this was going to mean my med was going to get filled.
I gave it two days, and then when nothing had changed, I went in to the pharmacy, clutching the letter from the insurance.
The pharmacy tech pulled up my info and after looking it over said, “Yup, I show we got approval for this last week.” Which he followed up with, “So did you want us to fill this?”
Yes, I contained my rage. Yes, I remained nice and polite. Yes, they finally filled it and I was able to pick it up and start taking it this last Tuesday. (Delay in pick-up was on me trying to conserve gas. I waited until my other diabetes med had been refilled to go pickup.)
After all that, turns out my body really doesn’t like the Jardiance. I gave it until today, and it’s just kept making me sicker. I was so baffled, because nothing I was experiencing was listed on the bottle as a side effect, so I had to go to Jardiance’s website, and I found that I’m having most of the uncommon side effects.
So, now I’m waiting to hear back from the endo since I’m fairly certain I probably should not be continuing to take this med.
That is annoying when insurance companies pretty much are practicing medicine. Grrrrr.
I probably should’ve been more on top of harassing them, but that required energy I just didn’t have.