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re: The Prior Authorization Process for Medicine

Posted on 3/6/24 at 9:27 pm to
Posted by StringedInstruments
Member since Oct 2013
18501 posts
Posted on 3/6/24 at 9:27 pm to
quote:

My issues came right back after I started taking it too. Accredo and Express Scripts should be forced out of business for the shady stuff they pull.


Y’all are scaring me. I use ACCREDO for Dupixent. It’s been fine so far, but I definitely didn’t like the insane process it took to get my first dosage.

I do have SaveOnSP though. Not sure if that will affect any unexpected bills.
Posted by indytiger
baton rouge/indy
Member since Oct 2004
9857 posts
Posted on 3/7/24 at 5:21 pm to
quote:

Y’all are scaring me. I use ACCREDO for Dupixent. It’s been fine so far, but I definitely didn’t like the insane process it took to get my first dosage.


Be careful if you use the automated texting system. There are some real horror stories out there about people responding "Yes" when accredo texts them its time to refill. Accredo then sends the meds, followed by a bill costing thousands of dollars. All b/c A. you didn't know your insurance only covered 6 months of it. or B. They fricked something up and now you have to fight it out with them.
Posted by adavis
North of I-10
Member since Aug 2007
5749 posts
Posted on 3/7/24 at 7:19 pm to
quote:

I do have SaveOnSP though. Not sure if that will affect any unexpected bills.


It’s not the billing that was an issue for me, it was the prior authorizations that they just decide they need out of nowhere. One minute you’ve got a prior authorization that’s good for a year. But then three months go by and they don’t fill your meds. So you call them and they tell you they need a prior authorization and that your first one is expired. They tell you they’ll fax it over to your doctor. Two weeks go by and you call your doctor- they say accredo hasn’t sent anything over, but the prior authorization they gave is good for a year. It’s back and forth with those fools and I’m convinced that their job is to make you give up.
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