rphtx

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That entire video was cancer to my ears

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Only real men can hear bagpipes.

My spouse got the kids a few things, but anything I want/need is stuff that costs $$$. I don't need another hat or socks from my kids. I just told them don't worry about it. They live in different states anyway, so won't be hanging out for Christmas. Even if I had an unlimited budget, probably would still not care to participate in buying a bunch of junk.

It's been this way for years. There are several issues with this, first being the poor communication that occurs when you have a patient, pharmacy, PBM and a doctor all involved. Four entities that don't have a singular ability to see who has the ball in their court.

Doctors rarely ever bother to check who presides over your prescription insurance and will just write you an rx without seeing if its covered or in what tier it is. Takes him a second to write this. Rx gets to the pharmacy who runs the rx and it will go through if its on your insurance formulary. If it doesn't go through, you get a rejection message (which hardly ever helps about why its not covered) and subsequently try and contact the dr to change to something covered.

This can be the start of the shitshow where you now have to rely on your dr to contact the insurance and not sit on their hands. This can take 1-3 days in a dr's office where the staff isn't making tiktok vids or It can take up to 7-10 days in a poorly run office.

If your dr. checked the box "brand only" on the rx, its worse because brands are not typically covered and if they happen to be, they are a high copay. Dr could have avoided this mess by learning to write for generics or at the least write a backup rx for a generic treatment option .

Ex: Dr's like to write for Prevpac's to treat GERD. Its a brand product with three different drugs combined and has no generic equivalent. Its rarely covered, but he could write out 3 separate rx's for the 3 drugs in a Prevpac that are all usually $5 each. You essentially wait for the dr and PBM to hash it out. If any group involved fails at getting things done, its just a back and forth while you wait.

PBM's also have complicated cascades for treatment. They don't want to pay for things that are essentially the same treatment, but where a cheaper way is available (ie the Prevpac example). They will also like to see you treated first with standard therapy that is tried and true and most likely the cheaper route. Once you have checked off these first line therapies and they have not worked, the PBM will start to pay for more expensive treatments. They want to see the cheapest approach tried first before paying for brands, whether or not its the best option for you.

For sure, the entire insurance system created by PBM's gets worse year after year with more headaches and less coverage. In the end though, the largest issue is people not answering faxes, emails and phones. As the years went by, I had a phones stuck to my head 80% of the day trying to get things moving for patients. Its why I don't do it anymore.

We got apple fireball

Brisket
Slaw
Baked beans
Mashed potato salad
Hamburger enchiladas
Sourdough bread
Beer

Huh. Didn't know Phil Anselmo was a vegan.

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Rank Song Title Artist Play Count (Billions)
1 Bohemian Rhapsody Queen 2.192
2 Smells Like Teen Spirit Nirvana 1.684
3 Don’t Stop Believin’ Journey 1.600
4 Don’t Stop Me Now Queen 1.642
5 Another One Bites The Dust Queen 1.572
6 We Will Rock You Queen 1.082
7 Sweet Home Alabama Lynyrd Skynyrd 1.125
8 Eye Of The Tiger Survivor 1.073
9 Californication Red Hot Chili Peppers 1.154
10 Have You Ever Seen The Rain? Clearwater Revival 1.139

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Downotes for posting some information? Braindeads in this group. :doublebird:

I have a 2013 4 door wrangler. I bought the bottom of the line sport edition with zero bells and whistles so I could add everything myself (except a snorkel :lol:). Its really enjoyable taking all the doors and roof off. Probably the best part.

I have had zero mechanical problems besides alignment due to a lift and 35's. That leads to road comfort. It isn't a great long trip vehicle if you move away from the dealership models and do the trail type add-ons. Friends that keep the sporty stock editions have a better long trip experience. Its definitely a niche vehicle and you love them or hate them.

We've had a great time off roading in Big Bend and CO and if you are an out doorsey type, you can't beat a Jeep. I'll wave at other Jeeps, but have never fallen into clubs or the duck thing. I'd buy another for sure.