Friday, January 10, 2025
Hismones 1/10/25
PLEASE (please, please) don't give up on getting the medications you need. Getting my hormone medication (Orgovyx 120 mg) as a 90-day supply rather than a 30-day fill will literally save us $1000 over the two-year course of treatment.
But it is taking 12-15 phone calls and hours on hold and we're still not through. My local pharmacies couldn't fill it, but with help from them I found an area pharmacy that can and I called to confirm its being in-network for insurance.
My urologist (Jeffrey Applewhite) sent a prescription and that pharmacy got multiple rejections. Following several calls to insurance (Aetna/Express-Scripts), they say they can specially approve to fill it by mail, but need a release from the doctor. So it may come from them instead of the local pharmacy.
Am I back to square one? Maybe not, but I have just 11 days of medication left, a little close for mail order filling. I should know something early next week.
And don't wait for people to call you back, unless you're in no hurry. It's your health, not theirs, so be your best advocate. And be gentle on the post-call surveys, because the poor people answering the phone have little to no authority to fix anything.
And trust God. I'm sure his eyes roll, too, over the shenanigans involved in getting appropriate care. He is still in charge, but don't expect the miracle to come to you without your participation.
While you're at it, if you're in the area, enjoy the snow!
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