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More mail order
- Thread starter fauxden
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I started seeing the "Refills not covered, must use mail order" Express Scripts rejection pop up about a month ago. I still see them on a daily basis. Most of the patients I've talked to had no idea their plan switched them to mail order for their refills and an overwhelming majority did not even want to use mail order.
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Well if that's the case and you are worried about your job security then just start working at a mail order pharmacy. 
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I think this mail order crap is BS. I may be wrong but I think express scripts has some sort of relationship with caremark. Wasn't there a bill in NY that tried to make it illegal to force people to mail order? Doesn't that take away our basic economic principles of a free market? At least give patients a choice. I know WAG has said moving forward they won't accept any plans that won't allow them to fill 90 days at retail. The bad part is they have contracts still that may last the next 5-6 years.
I absolutely HATE mandatory mail order. My health plan is trying to force me into mandatory mail order for all of my pregnancy related medications. Never mind that I will be pregnant for all of ONE MORE MONTH. They still want me to switch all of my stuff to our mail order provider (Medco). Screw that. It's too much trouble to switch all that stuff to a different pharmacy for what amounts to one more fill before I deliver. I can afford to pay the higher copay to get the last fill at Wags and that's what I'm going to do. It's way easier for me that way.
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The same relationship as the Hatfield's and the Mccoy's
D
deleted205891
Found out today that Delaware has legislation against mandatory mail order. Pennsylvania should follow suit.
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S3510 / A5502. Attached for your reading privileges.
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Looks like somebody did their pre-Albany Day reading...
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CDTM passed in the assembly today 120-2. Up in the senate on 5/2. Still can't believe that pharmacy day was the same day as nursing day.
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I saw that. Looks like it will finally pass this year, after years of effort. Too bad it's a watered down version that won't actually change practice for anyone. PSSNY didn't even support it, and the leadership for NYSCHP was pretty equivocal. Baby steps, I guess. And now we can join the other 67 states that say they have CDTM.
The nursing thing happened a few years back, when we were first trying to get immunization passed. The nurses showed up in blood-red shirts proclaiming that "there will be bloodshed" and people would start dying left and right following their flu shots. Needless to say, we didn't gain immunization rights that year.
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Yeah, I guess it would've passed last year, but some majority leader didn't want the blanket statement, and pretty much said "make it only teaching hospitals and then that's fine." So they went and did just that. Remember, there's always the VA.
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Most of the teaching hospitals already have the provisions of the bill built in through their medical bylaws, along with a good chunk of community hospitals. Automatic dose adjustments, pharmacy warfarin protocols, renal monitoring, etc. are already the default in many or most institutions. This was really a bill for outpatient clinics and some independent pharmacies and it completely fails at that. Very disappointing.
