My Doctor's Office Has Become STUPID

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I am an insulin dependent type II diabetic and have been with my Doctor's practice for well over twenty years. Everybody at the practice has always been great, nurses, physicians assistants, nurse practitioners etc. The doctors are still very good however, recently several nurses and their longest serving PA left the practice either due to retirement or moving to greener pastures. The replacements are, well in a word-incompetent.

My insurance will pay for 90 day supplies of maintenance drugs, including insulin, as long as I use CVS or their mail order branch CVS Caremark. January first, due to some new Federal mumbo jumbo, all my standing prescriptions were cancelled. I take several medications other than insulin too. I went into the doctors office with a typed sheet of all the medications, the doses and the quantity needed for a 90 day script and an RN said she would order the new scripts. This is where the fun started.

I go to the CVS to pick up several filled scripts. All the scripts were 30 day supply instead of 90!! So I call the doctors office and get a different nurse. I explain the whole thing again. She says she will re-do all the scripts. A month goes by and all the pills I take are now on 90 day scripts, except she didn't put down any refills!! My insulin was changed from vials to pens, and the number of pens is just 30% of the amount I need for three months! Back on the phone to the doctors office.

Try number three resulted in the a script for 90 days with the correct amount of insulin-except it was for Humilog. My plan only covers Novolog-the insulin I'd been on for several years. Ugh. Another call to the office.

Try number four. I Facebook Messenger contacted the head doctors wife, whom I went to school with and explained all the problems. She had the practice manager call me the next day. I go over everything and she promised to get it straightened out.

A week later, I get a mail order package of Novolog vials. Great, except their pharmacist removed the insulin does needed to cover my sliding scale! Just enough for 90 days base dose! So I run out of vials in about 65 days. I called the practice manager again. Apparently CVS ignores sliding scale calculations. So, we work out a new script with the doses adjusted to cover base does and worst case sliding scale. She electronically sends the script asking that the previous script be terminated. I figure all is well.

NOPE, I put in for my refills last week. I get the email that my order is being processed. Then yesterday I get an email saying my script can't be filled because the physician has denied it! So I call CVS. Seems they cancelled and removed the NEW correct Novolog script and left the old one in the system, which needed doctors approval for refills. Well, of course my doctors office said no to that script. Another call to the doctors office.

Today's call. The practice manager is on vacation. Nursing assistant pulls up my file and the only Novolog script showing is the one for pens which is only a 22 day supply-if I have no sliding scale. So, I'm nearly out of insulin, can't even refill the 22 day script yet and the doctors office will "look into it" and call me! :mad::mad::mad::confused:
 
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I am an insulin dependent type II diabetic and have been with my Doctor's practice for well over twenty years. Everybody at the practice has always been great, nurses, physicians assistants, nurse practitioners etc. The doctors are still very good however, recently several nurses and their longest serving PA left the practice either due to retirement or moving to greener pastures. The replacements are, well in a word-incompetent.

My insurance will pay for 90 day supplies of maintenance drugs, including insulin, as long as I use CVS or their mail order branch CVS Caremark. January first, due to some new Federal mumbo jumbo, all my standing prescriptions were cancelled. I take several medications other than insulin too. I went into the doctors office with a typed sheet of all the medications, the doses and the quantity needed for a 90 day script and an RN said she would order the new scripts. This is where the fun started.

I go to the CVS to pick up several filled scripts. All the scripts were 30 day supply instead of 90!! So I call the doctors office and get a different nurse. I explain the whole thing again. She says she will re-do all the scripts. A month goes by and all the pills I take are now on 90 day scripts, except she didn't put down any refills!! My insulin was changed from vials to pens, and the number of pens is just 30% of the amount I need for three months! Back on the phone to the doctors office.

Try number three resulted in the a script for 90 days with the correct amount of insulin-except it was for Humilog. My plan only covers Novolog-the insulin I'd been on for several years. Ugh. Another call to the office.

Try number four. I Facebook Messenger contacted the head doctors wife, whom I went to school with and explained all the problems. She had the practice manager call me the next day. I go over everything and she promised to get it straightened out.

A week later, I get a mail order package of Novolog vials. Great, except their pharmacist removed the insulin does needed to cover my sliding scale! Just enough for 90 days base dose! So I run out of vials in about 65 days. I called the practice manager again. Apparently CVS ignores sliding scale calculations. So, we work out a new script with the doses adjusted to cover base does and worst case sliding scale. She electronically sends the script asking that the previous script be terminated. I figure all is well.

NOPE, I put in for my refills last week. I get the email that my order is being processed. Then yesterday I get an email saying my script can't be filled because the physician has denied it! So I call CVS. Seems they cancelled and removed the NEW correct Novolog script and left the old one in the system, which needed doctors approval for refills. Well, of course my doctors office said no to that script. Another call to the doctors office.

Today's call. The practice manager is on vacation. Nursing assistant pulls up my file and the only Novolog script showing is the one for pens which is only a 22 day supply-if I have no sliding scale. So, I'm nearly out of insulin, can't even refill the 22 day script yet and the doctors office will "look into it" and call me! :mad::mad::mad::confused:

I have had problems like that call your insurance carrier. At least in my case that works quite well. Had a couple incidents over the last few years a lot of new laws, rulings and procedures to work around or through.
 
Good luck straightening that out. You just got to believe there is a special place for people who create the obstacle course you have to jump over and thru. And listening to the stupid responses from their phone tree just to talk to a real person!
 
That stinks. If you weren't already, I imagine you're now on blood pressure meds after this, too. ( which, of course, they'll mess up!)
Good luck getting it straightened out.
 
Although not as critical meds, one of my supplier mail-order pharmacies is going through the same thing. I am getting almost daily notices of meds that have to be converted to generic (requiring a doc visit and next Rx) or are no longer covered at all in the new year's formulary.

As to CVS, I know that they have stopped covering one of my cancer meds as too expensive (because of reports on other forums, supported by a copy of the letter they sent out). It is still covered by mine, but the approval process has become more complicated with the new year, and it took many tries / faxes / calls to get this month's approved, and I was left without for a few days.
 
I don't need insulin but I have seven other prescriptions, every one of them for 90 days. I have never had the slightest problem with CVS service for mine, and they take care of contacting the doctor when new prescriptions are needed. I have never needed to contact the doctor directly for anything related to any of my prescriptions. With my supplemental carrier, I can pick up my prescriptions at my nearest CVS store, about 4 blocks away, and don't have to fool with mail or internet orders. I have been doing it that way for the last eight years.

"As to CVS, I know that they have stopped covering one of my cancer meds as too expensive (because of reports on other forums, supported by a copy of the letter they sent out). It is still covered by mine, but the approval process has become more complicated with the new year, and it took many tries / faxes / calls to get this month's approved, and I was left without for a few days. "

I'd think that would be the result of your insurance carrier's policies as to what medicines they will approve, not CVS.
 
steamloco I hope you get it fixed soon.

I am dealing with "incompetent" also. My cardiologist ordered a CT scan of my carotid arteries in February. It is not done yet. I've waited up to 3 weeks for the doctors office to call me back several times. I am going to see a new cardiologist on May 30th. I really liked the old doctor but his staff is impossible.
 
My wife and I have had the same running problem with the HMO and the Health Provider that we are forced to deal with. The so called "staffs" are borderline competent at best. They are also rife with control freaks. I have coined the phrase, "They are hiring minimum wage staffers for maximum wage jobs". Dealing with these people to get anything near the health care that we are paying for is a trying job. ......
 
Yes I can feel your pain. Its never easy these days navigating threw the health care system. I too have become a pro at going threw it the last 5 or so years. The best pice of advice is to all that havent been threw it is like you have done is stay on top of it. It can as you know be a full time job. I have too had some awsom God sent health care nurses and doc in last five years. With spending weeks to month in hospitals. Again my best advice stay on top and take no bull from any of them. I have walked a arrogant Doctor out of my hospital room more than one time. I am a model patient but dont. Lie or talk down to me. And will be good to go
 
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Well, about an hour ago I received a call from an RN at my doctor's office. I went through the entire thing again, explained CVS and CVS Caremark don't add sliding scale coverage and went through my daily dosage calculations. She changed the dosage in my chart and ordered the new, corrected 90 day script from CVS Caremark. Now to see if Caremark will fill it, or question the dosage. A question will lead to me having to explain insulin calculations to a broken English speaking Pharmacist in Texas...

Crossing my fingers that this is finally going to be resolved, for now. If not, well I will call my prescription benefit management company which is a joy in itself.
 
"As to CVS, I know that they have stopped covering one of my cancer meds as too expensive (because of reports on other forums, supported by a copy of the letter they sent out). It is still covered by mine, but the approval process has become more complicated with the new year, and it took many tries / faxes / calls to get this month's approved, and I was left without for a few days. "

I'd think that would be the result of your insurance carrier's policies as to what medicines they will approve, not CVS.

I do not use CVS, as they are not an allowed provider for my oncology meds. I have just one supplier option, unless I want to pay retail.

I was just making the observation that CVS has stopped covering one med at all, and notified their customers of it. Not just some. It has caused a lot of problems for guys in my support groups, who are in a number of insurance plans, both public and private.
 
I live in a small town of 6500 people. I call my drug store and tell the lady "this is Gary-I need refills on all my sh...er stuff" They call my doctor if anything needs to be renewed and tell my daughter who works at the DR.'s office to pick it up on her way home.
I've been remarkably lucky when it comes to stuff like this.
Now if you want to talk about dealing with CMS and trying to get client info in order to settle a Personal Injury claim and protect medicare's interest well that is another story. :mad: I've never seen it so hard to try to give ANYONE money much less the Federal Government! :mad::mad:
 
Cajun Lawyer, that is how I used to do things until all the insurance companies in PA began to require mail order scripts for maintenance drugs or you pay out the Yazoo. Then the mail order company was bought out by CVS. Next CVS made drug cost deals with several insurance and benefit management companies.

Basically, you must get anything except critical care drugs like antibiotics from CVS or you pay double or triple the co pay. A real pain because in my county the is a single, solitary CVS for 94,000 plus people in a large land area. Rite Aid, another chain has six locations and there are about ten grocery store or local pharmacies.

Adding to the fun, CVS does not carry injections like B12, which my wife uses, or compounded medicines. To get those you have to go with an independent pharmacy and pay the higher co-pay.
 
Yes, if it is difficult to get now; how are we middle aged guys going to get all this stuff after the zombie apocalypse when it is no longer manufactured?
 
Yes, if it is difficult to get now; how are we middle aged guys going to get all this stuff after the zombie apocalypse when it is no longer manufactured?

That would be why I don't need a massive ammo stockpile. If the worst happens, there probably won't be the meds out there to keep me alive to shoot the ammo. :eek:
 
I am an insulin dependent type II diabetic and have been with my Doctor's practice for well over twenty years. Everybody at the practice has always been great, nurses, physicians assistants, nurse practitioners etc. The doctors are still very good however, recently several nurses and their longest serving PA left the practice either due to retirement or moving to greener pastures. The replacements are, well in a word-incompetent.

My insurance will pay for 90 day supplies of maintenance drugs, including insulin, as long as I use CVS or their mail order branch CVS Caremark. January first, due to some new Federal mumbo jumbo, all my standing prescriptions were cancelled. I take several medications other than insulin too. I went into the doctors office with a typed sheet of all the medications, the doses and the quantity needed for a 90 day script and an RN said she would order the new scripts. This is where the fun started.

I go to the CVS to pick up several filled scripts. All the scripts were 30 day supply instead of 90!! So I call the doctors office and get a different nurse. I explain the whole thing again. She says she will re-do all the scripts. A month goes by and all the pills I take are now on 90 day scripts, except she didn't put down any refills!! My insulin was changed from vials to pens, and the number of pens is just 30% of the amount I need for three months! Back on the phone to the doctors office.

Try number three resulted in the a script for 90 days with the correct amount of insulin-except it was for Humilog. My plan only covers Novolog-the insulin I'd been on for several years. Ugh. Another call to the office.

Try number four. I Facebook Messenger contacted the head doctors wife, whom I went to school with and explained all the problems. She had the practice manager call me the next day. I go over everything and she promised to get it straightened out.

A week later, I get a mail order package of Novolog vials. Great, except their pharmacist removed the insulin does needed to cover my sliding scale! Just enough for 90 days base dose! So I run out of vials in about 65 days. I called the practice manager again. Apparently CVS ignores sliding scale calculations. So, we work out a new script with the doses adjusted to cover base does and worst case sliding scale. She electronically sends the script asking that the previous script be terminated. I figure all is well.

NOPE, I put in for my refills last week. I get the email that my order is being processed. Then yesterday I get an email saying my script can't be filled because the physician has denied it! So I call CVS. Seems they cancelled and removed the NEW correct Novolog script and left the old one in the system, which needed doctors approval for refills. Well, of course my doctors office said no to that script. Another call to the doctors office.

Today's call. The practice manager is on vacation. Nursing assistant pulls up my file and the only Novolog script showing is the one for pens which is only a 22 day supply-if I have no sliding scale. So, I'm nearly out of insulin, can't even refill the 22 day script yet and the doctors office will "look into it" and call me! :mad::mad::mad::confused:

This is the reason I won't use large medical practices.

My doc is a sole practitioner. I know his staff and have his cell phone number.

HE returns my calls.

I never see a PA or NP - only the doctor.

I too am an insulin dependent type II diabetic.
 
I've got two going stupid......

First, you have my extreme sympathy. I'm diabetic one three different injections and have several other problems I need meds for, two of them are controlled, which makes me have to go to the doctor's office and get a prescription to hand carry it to the pharmacy.

It's a continuous crock of baloney trying to keep all the prescriptions current when anything stops the process in mid stream and I don't even know until my meds are out.

OK....Stupid doctor's offices. I was scheduled for hernia surgery but the day before the procedure I was called and told I needed clearance from my cardio guy. I've been trying for days to get somebody to call me back, but nothing. I'm going to have to go to the office in person to talk to a real person.

Also, my endo guy wanted my primary to take over triglycerides med because he is doing the blood panels. Same as above, I've been trying all week to get somebody to call me back. I'm going to have to go to the office in person to talk to a real person.

It's like EVERYTHING that you try to do that should take 10-15 minute takes days to accomplish, the reason being that everything has gone STUPID.:mad::mad::mad:
 
It is easy to blame the staff, but all those prescriptions have to be written by a physician.

I'm not saying the staff isn't at fault; but having worked with doctors in the military, they are not infallible. :)

I've had doctors tell me to inform a patient of something they don't want to hear; if a big enough fuss was raised and they managed to actually talk to the doctor, he would usually deny all prior knowledge.

Then in my next life I sometimes got to work with (not for) attorneys. :eek:
 
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