IM FUCKING

[seventhe]

What the actual fuCK is insurance these days

So I’ve been off of Cymbalta for what is now 14 days. I’m absolutely not ONLY feeling the lack of the drug in my current all-over State Of The Union, but I’m ABSOLUTELY going through withdrawal now which let me tell you for duloxetine is absolutely fantastic. Have a story.

• about 4/10 realize I’m running out. Play happy phone tag w my rheumatologist (they always want me to come in for an appt before they will prescribe anything; i kindly ask them to check my records where it says I’m immunocompromised).
• 4/17 Dr office finally agrees to call in a 90 day refill and will do another one when i get an appt any time during those 90 days.
• me: waits expectantly.
• last week: no drugs, no notification of new prescription, no nothing. I call the dr office. They submitted it to Express Scripts on 4/17.
• call ES. They have absolutely nothing on record for me more recent than a 2016 script.
• realize my other prescriptions have been filled through CVS Caremark.
• call Caremark. They have the other prescriptions but nothing for Cymbalta.
• call my Dr. They won’t submit another script even though ES has nothing on file. They tell me to call Caremark and have them contact ES to get the script.
• call Caremark / Carefirst / whatever it is. I discover that the other prescriptions were run up through my old Bridgestone COBRA insurance.
• I spend 2 hours on the phone bouncing between 7 different people trying to explain the situation.
• Apparently there is a special team that is supposed to handle my current insurance plan, but as I am transferred around, I apparently haven’t talked to anyone from that fucking team yet.
• I eventually manage to find someone who can transfer all of my recent refills OFF the COBRA and ONTO my carefirst insurance.
• I’m then tossed through three other people before I find someone who can tackle the missing duloxetine.
• turns out CVS/Caremark does NOT call out so they will NOT contact ES to look for the script.
• They recommend that I ask the doctor to submit the refill to a local CVS so that i can get the drugs sooner.
• i start laughing uncontrollably and remind them that the dr has already submitted a prescription and has absolutely refused to submit another, that the office is waiting for some insurance to make the request.

At this point, mind you: The dr has submitted a refill request and therefore won’t initiate anything. ES has not received anything on file for me at all, and therefore can’t do anything for me. CM will not contact ES. My literal only option here is for CM to contact the Dr for a new refill script and just PRAYING that the Dr will mcfuckin fill it.

• I finally - finally - land someone willing to take down the information and request a 90 day refill (through the mail service, because that’s the ONLY way i can have the request initiate from CM, since my dr won’t initiate and ES can’t) from my goddamned dr office.
• they recommend i call the Dr office and explain what’s happening so that they don’t reject the refill request.
• fuck
• the dr office doesn’t really seem to understand what I’m saying. They have me schedule an appointment and they’ll ask the Dr if they can submit another request to CM. I’m desperately trying to explain that CM is going to send a request just like please just make it go through and don’t complicate this any more.
• i am transferred to scheduling, where I sit and let the phone ring repeatedly for 15 minutes before I hang up and call back. The phone lines take a lunch break from 11:30-13:00. They were just going to let me sit there for an hour and a half i guess?????

HOW is this the way things are SUPPOSED to work? (Spoiler, it isn’t; I’m american, i get it.) just. Like. I HAVE BEEN ON CYMBALTA FOR OVER SIX YEARS. This isn’t some new medication everybody has to be woo-boo careful about. This is a fucking maintenance drug I’ve taken for a big portion of my adult life.

And I’ve been off it for two weeks. I hurt. My brain is dumb. I’m fucking exhausted. And I’ve wasted all morning on this. I’m so frustrated I want to cry and punch things.

what the FUCK.

Comments

[lassarina]

oh my god I hate them

i hate them so much, this is bullshit, this is FUCKING RIDICULOUS

and you can't! just go off shit like this! this is SO FUCKING BAD FOR YOU

fucking malpractice bullshit

oh my god

[sporebug]

First off, I hope that your Cymbalta prescription has come through by the time you read this.

Second off, for future reference you might want to communicate with this guy in Greece that I get my thyroid pills from. His email address is needfulthingsmarket@protonmail.ch

He has a giant list of medicines, both over the counter and prescription, and he does carry Cymbalta:

CYMBALTA GR.CAP 30MG/CAP BTx28 $22.00
CYMBALTA GR.CAP 60MG/CAP BTx28 $35.00
YENTREVE GR.CAP 20MG/CAP BTx56 $65.00
YENTREVE GR.CAP 20MG/CAP BTx56 $72.00
DULOXETINE MYLAN GR.CAP 30MG/CAP BTx28 $12.00
DULOXETINE MYLAN GR.CAP 60MG/CAP BTx28 $18.00
DULOXETIN/SANDOZ GR.CAP 30MG/CAP BTx28 $12.00
DULOXETIN/SANDOZ GR.CAP 30MG/CAP BTx30 $14.00
DULOXETIN/SANDOZ GR.CAP 60MG/CAP BTx28 $18.00
DULOXETIN/SANDOZ GR.CAP 60MG/CAP BTx30 $20.00

If you email him at that Protonmail address, he'll mail back a .PDF with his listings for everything he has. You pay using Paypal, and he sends back a receipt and a tracking number. In about 8 days you get a small brown mailer with a mylar packet inside (to foil any curious package X-rayers, I guess?) and your meds. My thyroid pills come in small flattened boxes with some Greek text on them, with the user information sheets, and the actual pills in pop-out foil cards.

For what it's worth, I was told about this contact when I lost my ACA coverage last year. I may continue it as long as he offers it, because my doctor is a kinda expensive cab ride away.

Anyway, I sincerely hope that you DON'T need any of this information because your doctor and Caremark and everybody have straightened themselves out. But if you go through these delays often? It might be a good idea to have a backup.

I wish you good luck and good health, please take care!

[althea_valara]

That's just awful! I have no other words.

[queenlua]

oh god i've totally been bit by the Express Scripts vs Caremark thing before.

the rest of your tale is just.... staggering in its fuckery, though, like the ES vs CM thing alone fuckin ruined my week, having to deal with. ALL that other fucking shit as well is just. wow. i'm sorry. prescriptions are the worst. this system is the worst. aihwlegha;

[pict]

That's such bullshit, wtf.