25th January 2003
I have a PPO not an HMO, and a month, regardless of whether it has 30 or 31 days (that reference was merely to point out yet another way they have to nit pick), is still the FULL prescription amount the doctor ordered - not HALF the prescription the doctor ordered.
So my doctor writes a Rx for 60 tabs and THEY deem that I should only get 30 tabs,....but they don't believe it so strictly that they won't fill the Rx TWICE that month so I end up with the 60 tablets anyway.
IOW, if they reeeally thought 60 tabs per month was somehow illegal or dangerous or irresponsible, WHY do they fill Rx's for 60 tablets in that month anyway? (They just split it up into TWO separate payable Rx experiences). See what I mean? It evidently is not the total number (or they would "forbid" me to fill the 2nd half of the Rx until the FOLLOWING month -- so somewhere along the lines they acknowledge the docs orders,... just not as he wrote them).
THAT is the part that is inconsistent and not congruent and frankly I cannot see how that can be enforcable. It's illogical.
This is the kind of behavior that leads people to try and ask their doctors for double the dose tablets so they can cut them in half (I've heard many people say they do this with Viagra because the tablet price is the same regardless -- and provided the tablet CAN be cut, - some cannot, - it's more cost effective,.... it costs the same to produce, write, and purchase!!)
Again, how illogical is that!!
And how legal (much less ethical, moral, or practical) can it be for a NON-doctor to second guess your physician when it comes to prescribing information, and then FORBID you to even get tests or Rx's and pay out of pocket!!
If your doctor wants an MRI but the insurance company won't approve it, you cannot legally GET that MRI, even if you pay cash for it, or you will LOSE your insurance coverage!
They're stringing us along and perpetuating our sicknesses and discouraging us from trying to stay on top of our own health.
I want to know courses of action we have to fight this injustice! This is insane.
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Life isn't what happens to you -- it's how you react to it!
Thoughts don't make us who we are -- Actions do.
So my doctor writes a Rx for 60 tabs and THEY deem that I should only get 30 tabs,....but they don't believe it so strictly that they won't fill the Rx TWICE that month so I end up with the 60 tablets anyway.
IOW, if they reeeally thought 60 tabs per month was somehow illegal or dangerous or irresponsible, WHY do they fill Rx's for 60 tablets in that month anyway? (They just split it up into TWO separate payable Rx experiences). See what I mean? It evidently is not the total number (or they would "forbid" me to fill the 2nd half of the Rx until the FOLLOWING month -- so somewhere along the lines they acknowledge the docs orders,... just not as he wrote them).
THAT is the part that is inconsistent and not congruent and frankly I cannot see how that can be enforcable. It's illogical.
This is the kind of behavior that leads people to try and ask their doctors for double the dose tablets so they can cut them in half (I've heard many people say they do this with Viagra because the tablet price is the same regardless -- and provided the tablet CAN be cut, - some cannot, - it's more cost effective,.... it costs the same to produce, write, and purchase!!)
Again, how illogical is that!!
And how legal (much less ethical, moral, or practical) can it be for a NON-doctor to second guess your physician when it comes to prescribing information, and then FORBID you to even get tests or Rx's and pay out of pocket!!
If your doctor wants an MRI but the insurance company won't approve it, you cannot legally GET that MRI, even if you pay cash for it, or you will LOSE your insurance coverage!
They're stringing us along and perpetuating our sicknesses and discouraging us from trying to stay on top of our own health.
I want to know courses of action we have to fight this injustice! This is insane.
------------------
Life isn't what happens to you -- it's how you react to it!
Thoughts don't make us who we are -- Actions do.