Stupid Medicare!!! AND PHARMACY

[happily single]

I can't understand Medicare. My ds11 has been on the same medication for 8 years now. The dose was increased about 2 years ago, never ever had a problem getting it filled or paid for until this month.

As a side note I did notice that I last filled it in June and the bottle said it contained 100 pills. His script is written that he take 2 pills at bed. So it always has 60 pills. I thought the 100 pills was Strange, but I wasn't overly concerned
Until I got to the pharmacy to pick it up. They now tell me that Medicare will only pay for 100 at a time so I need to get my doctor to write a new script.

WHAT!!!!!!! So I ask the pharmcy if they will contact the doctor to advise him. The pharmcist (not the tech, but actual pharmcist) says to me "I don't know what to tell the doctor" but then informs me I should call the dr to explain. Explain what I ask???

So, Medicare has decided they will only pay for 100 pills at a time, I guess. No one seems sure, uggggggghhh

Thanks

 

[Tinker'n'Fun]

I am sorry this happened to you. I also have Medicare, but none of my prescriptions are covered. I can tell you that when I called re: a question with my medicare services, the office was very professional and helped me immediately with my problem. My card has a number to call on the back. I would recommend trying that to find out what is going on. Good luck.

 

[funnygarcia]

Do you mean medical assistance instead of medicare?
As for the 100 at a time, if it's a controlled med there may be limits to how many are given per scrip filled regardless of how many are needed.

Or possibly the doc wrote the order as 2 per day, dispense 100, not thinking that it would short you each month. I know it's silly and makes no sense, but it happens.

I've heard of some insurance limiting all meds to only 100 per month.
You can ask the doc to call the insurance for a variance on this rule.

Hopefully it can be solved for next time.