I’ve blogged before about Prior Authorization/Non-Formulary Exemption forms. They are a huge time waster for me and my staff. This one, however, takes the cake. It starts off on January 20, when the patient received this in the mail, essentially telling him that his medication was not covered, and to talk to his doctor.
I got a similar letter.
Because the patient has been on this medication for years and is responding well to it, we filled out the appropriate paper work. (There was actually more paperwork than I’m showing, but it was all patient demographic information, so it’s not posted here for obvious reasons).
The patient called us on the 24th to see if the paperwork had been done. Why, yes, it had, but apparently was never received by Medco. Note on the date stamps above that the paperwork was faxed twice.
The kicker? I get this message this morning.
For those of you who can’t read it, I’ll repeat it in BIG BIG LETTERS: ALISON FROM MEDCO CALLED- MEDCO RECEIVED OUR PRIOR AUTH. ALISON AT MEDCO STATES THAT THIS MEDICATION DOES NOT REQUIRE PRIOR AUTHORIZATION.
So, patients- you wonder why your health care costs so much? Why it takes so long to get anything done?
For just this one, simple medication, it took 9 days, multiple faxes, multiple phone calls, and multiple forms. All to be told, at the end, “Guess, what, fool? You wasted your time, yet again.”
I wish I could say this has never happened before, but it is a weekly occurrence.
Un-freakin-believable. I just got this fax. You’ve got it- yet another prior auth request for the drug- sent AFTER the message saying that it wasn’t necessary.