Turbs3000 Posted July 17, 2014 Report Share Posted July 17, 2014 I've probably only had 5 prescriptions given to me in my life so I rarely ever deal with them. I tried to look up other cases of this happening and I wasn't really getting any good info so I thought I'd ask if others have ran into this issue before. Have others ever had issues with your prescription drug coverage telling you you can't use medicine A you have to use medicine C instead first? Basically, wife was prescribed a drug, we went to fill it, insurance company says they won't cover that drug or its generics until she tries a different drug first and if that doesn't work, and her doctor confirms it isn't working for her, then they will allow the original drug her doctor prescribed. To me, this didn't pass the BS test what-so-ever but then again these industries are so messed anyways it wouldn't shock me if this was common practice. Thanks Quote Link to comment Share on other sites More sharing options...
RedRocket1647545505 Posted July 17, 2014 Report Share Posted July 17, 2014 Welcome to modern medicine, where decisions are made for financial reasons and not medical reasons. Doctors can barely practice anymore because of shit like this. Quote Link to comment Share on other sites More sharing options...
Green Bastard Posted July 17, 2014 Report Share Posted July 17, 2014 So the insurance company knows more than a doctor... got it. I have heard of an insurance company pushing to use genaric meds, but never a different medicine all together. Quote Link to comment Share on other sites More sharing options...
Benner Posted July 17, 2014 Report Share Posted July 17, 2014 Yep used to see this all the time. I was a pharmacy tech for three years. Unfortunately like stated above insurance companies have more say than doctors do. However look at the manufacturer's site and see if they offer discounts. If you want PM me the name of the med and either my wife (current pharmacy tech) or me can see what we can find as far as discounts Quote Link to comment Share on other sites More sharing options...
87GT Posted July 18, 2014 Report Share Posted July 18, 2014 Yes this is normal. I've had it happen to me. Quote Link to comment Share on other sites More sharing options...
Turbs3000 Posted July 18, 2014 Author Report Share Posted July 18, 2014 I guess that's what I worried / figured. All my past insurances have never tried to pull this but now we are with CVS Caremark. I always hoped that at the end of the day doctor > insurance but then again I am naive... Quote Link to comment Share on other sites More sharing options...
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