tag:blogger.com,1999:blog-18943510.post494083197577529937..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: I've Got A QuestionDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-18943510.post-80663451440375563682008-01-16T00:34:00.000-06:002008-01-16T00:34:00.000-06:00I used to have the best prescription plan on my PP...I used to have the best prescription plan on my PPO. Previous to Jan 1st '08, that is. The prescription coverage was also subject to the yearly max deductible. Being my bedraggled-self, I can usually hit that in less than 8 weeks. ;) Ah, for the panhypopituitary-ist, nothing matches the sweet joy of 10 months of "free" meds. <BR/><BR/>Alas, 'tis no more. <I>*sigh*</I>Lisahttps://www.blogger.com/profile/02649979730444525810noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53512150647536571692008-01-13T14:15:00.000-06:002008-01-13T14:15:00.000-06:00Don't forget that drugs can be assigned to Tier 2 ...Don't forget that drugs can be assigned to Tier 2 because the PBM receives rebates from the drug manufacturer. If one doesn't hork up the extortion payment, blammo, there's another pharma co. waiting with baksheesh at the ready.<BR/><BR/>What I find *extremely* upsetting about this is this happening with HIV and cancer drugs, which aren't interchangable. In the case of a lot of plan designs, Eric, AKA The Pragmatic Caregiverhttps://www.blogger.com/profile/10006690628166460007noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-86085968656639148892008-01-13T11:54:00.000-06:002008-01-13T11:54:00.000-06:00Do you think they do this to change our (providers...Do you think they do this to change our (providers) behavior (ie, pick a cheaper drug)? Or to "recover" revenue from the patient?DermDochttps://www.blogger.com/profile/08331689153236898550noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75763829308417694452008-01-13T10:28:00.000-06:002008-01-13T10:28:00.000-06:00Since I've worked in healthcare finance (at a hosp...Since I've worked in healthcare finance (at a hospital/healthcare system for 30 years), I think I can make some relevant comments on this one. Those plans are designed around whatever the "customer" wants, and are charged backed to the "customer/company" (in this case your employer)accordingly. They typically publish all those "wonderful" changes, uh copay/deductible increases, during their Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64901381105395576942008-01-12T23:30:00.000-06:002008-01-12T23:30:00.000-06:00Here is my rant... If an insurance plan requires a...Here is my rant... If an insurance plan requires a change in co-pays and they know it will take place on 1/1/08 why can't they issue new cards two weeks before this date?? We can't buy more than 30 days worth anyway so we couldn't get refills cheaper by getting them before the copay change. We had to pay $1,600 for a prescription (vital Prograf -- no generic here either) because the the new cardsKbhttps://www.blogger.com/profile/08643205192226886862noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71588014684339741322008-01-12T23:26:00.000-06:002008-01-12T23:26:00.000-06:00This comment has been removed by the author.Kbhttps://www.blogger.com/profile/08643205192226886862noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15354849849424195452008-01-12T20:42:00.000-06:002008-01-12T20:42:00.000-06:00i hate the tier's. my inpatient pharmacists can't...i hate the tier's. my inpatient pharmacists can't help with the tiers. i actually called the local pharmacy yesterday and talked to their person in charge. what a nightmare. the tier coverage is different for various insurers, as is the copay. there doesn't seem to be much rhyme or reason to the tiers.<BR/>for the specific meds i asked about, Lipitor was tier 3 and copay $70. Vytorin tier 2 Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-1582910024343253092008-01-12T20:25:00.000-06:002008-01-12T20:25:00.000-06:00Good question. If you get an answer, let us know ...Good question. If you get an answer, let us know will you.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com