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It frustrates me, no wonder our healthcare costs go up!

jchow009jchow009 member
in TTC after 35

So as I mentioned yesterday I was considering another injectable IUI or straight to IVF.  Since a lot of stuff are out of pocket to me, so I am thinking about the cost.  I know my ferility drug is covered but I never look at how much it actually costs.  I went back to look at the EOB when I did my injectable IUI.  My doctors gave me 2x refill, but I ened up didn't need my second one since the first prescription was enough.  And, I looked at the EOB, the pharmacy actually refilled my second presrciption and claimed the $.  This is over $2,700, they never told me that they have it there.  I called them today and inquired if they have my refill, they said yes but it maybe too old and then I said but my insurance company is already paid for it.  He said oh, come and pick it up. 

I am not going to pick it up since I don't know if I am going to do an IUI or if I do if the dosage will change. I just can't believe they will do that.  I don't think it's right.  No wonder our healthcare cost is getting higher and higher.

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Re: It frustrates me, no wonder our healthcare costs go up!

  • QOTRQOTR member
    yikes!   That does seem shady.
    Me-41, Hubby-40.
    1st BFP-8/17/12!  Missed Miscarriage discovered @ 8 week US.  D&C.
    2nd BFP-2/13/13!  Blighted Ovum discovered @ 8 week US. Natural miscarriage.
    3rd BFP-5/22/13!  By early June, progesterone plummeting.  Another loss.
    August 2013 - started Donor Egg process, but surprise BFP with my own eggs.
    Dear Son born 5/28/14
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  • BeckyP005BeckyP005 member
    wow...

    ME:46 MH:44 DE IVF 2014
    Met with RE 4/11. 2 IUI's BFN. DE best option. Switched clinics to do "shared" program. Had to retake all tests and a mamm that put me behind and then on a DE waiting list for 12 months. Picked a donor!! (10/13/13) Got matched. Estimated transfer in December. After 2.5 years of patiently waiting I will finally cycle....can hardly believe it. DE cycle got cancelled. One of her tests came back positive.  Waiting for another donor. Donor picked!! (1/18/14)

    DE IVF #1 (4/26) BFN  DE FET #1 (6/4) BFP! Beta 1=339 Beta 2=852 Beta 3=9957 EDD 2/22/15!!


     

     

         imageimage 
         image   imageimage



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  • Jacque SillsJacque Sills member
    That's disappointing to know that they did that......
    Lilypie Trying to Conceive 15 to 80 day cycle tickers
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  • hooligans4hooligans4 member
    Unless you signed up for automatic refills they should not have done that. I would call your insurance company to let them know what the pharmacy did. If they do this often wouldn't it be fraud or something along those lines. That really stinks that we have to keep track of more things.

      Me:39, DH:40

    DD born 8/96, DS born 8/04

    TTC#3

    NTNP since 2006, active trying 1/13

    Natural M/C 3/13 at 7 weeks

    CP 2/14

    Daisypath Anniversary tickers

             imageimage

    All welcome

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  • HeathernStevenHeathernSteven member

    How frustrating! I hope you get to use those meds and as the pp suggested call the Ins company!

     

    image
    My Ovulation Chart


    Me: 41 DH: 46. We are TTC our 1st, started July '11,
    3 cycles clomid with Ob,
    1 cycle Tamoxifen with Ob,
    Diagnosed PCOS 11/5/12
    clomid, trigger & timed bd 12/12 BFN
    1st clomid IUI 1/4/13 BFN.
    2nd clomid IUI 2/13 cancelled didn't respond to clomid.
    3/15/13 scheduled laparoscopy & on bcp.

    May 10 IUI from injectibles - BFN 

    May 22 done with interventions it will either happen or it won't. 

    February 2014 No longer actively trying, but not preventing. 

    SURPISE BFP 4/2/2015!!!!!!!!!!

    Miscarriage 4/23/15

     

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  • Mule198513Mule198513 member
    As to why something is filled I'm assuming you must be on an automatic refill plan cause otherwise they'd have no reason to. Prescriptions are good for 1 year from the date the scrip was written by the md except for controlled substances. ( not the case here)


    Pharmacists fill medications and it sits and waits for the patient to pick it up. If its not picked up the product is returned to the shelf and the process is reversed from the insurance so they don't pay if you don't pick it up. This is usually done 7 days after its filled and not picked up ( I'm a pharmacist :). ) I hope that helps!

    As to the person who was confused about your script being ready... Unfortunately many techs in retail pharmacy aren't really up to par.
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