Pharmacy or insurance issue ? - Pain Management Message Board

katlovesdogs · 03-03-2009, 06:02 AM

Went yesterday to get monthly meds. Same day of the month as it has been ( 2,3 etc). There was a slight change in my meds ( only the daily total ). Pharmacy says " we can't fill the Endocet for 11 days".. SHOCKER.. Not wanting to be rude and demanding, I asked WHY the insurance was denying as I use only that pharmacy so they had my records, no other fills on Endocet at all ANYWHERE, They looked at my history Jan 2 Feb 3rd and then Mar 2. Pharmacist did an over ride since there was a change but this should NOT have happened

Executor · 03-03-2009, 10:45 AM

Sounds like whatever pharmacist filled your Rx the previous month entered in the "days supply" incorrectly. Therefore, the insurance company thought that you had meds remaining. It sounds as if the pharmacist went in and changed it.

It's good that you questioned them. Some would not and simply walk away.

Regards,

Ex

katlovesdogs · 03-04-2009, 06:31 AM

I just hope the next month there isn't going to be an issue again. 11 days is WAY off when insurance has allowed me to fill a few days early before

tiggertoo2174 · 03-04-2009, 06:47 AM

Um, Feb only has 28 days rather than 30 or 31. If you previously filled on Feb 3, it would not have been due until Mar. 5. Depending on how many days early you had done the Feb refill you could have been beyond what your insurance allowed. Usually the absolute max for any med is 7 days.

Tigg.

katlovesdogs · 03-04-2009, 06:55 AM

Yep. It was last filled Feb 3. March 2nd was 2 days off not 11...That is what threw me off... 11 days...Plus there was a CHANGE so it should have been allowed. When I had gotten the script filled early before ( like in November or October LAST year ) it was less than a week early,, never more than that. I am going to call insurance co to make sure that doesn't happen again