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Yesterday I had my first therapist appointment and it went well. After getting home, I called the outpatient clinic's pharmacy refill line to get my meds refilled since I had taken my last day of meds on my initial scrip and had one refill to cover me until I meet my new meds doc in late July.

A few hours later the therapist called to let me know that when he filed my visit, it came back that I had been disenrolled from NorthSTAR for some kind of missing paperwork. I immediately called the clinic I had enrolled at to find out what happened and was told to call back in about 15 minutes because their financial person was with a client. I duly called back and they were closed (!) so I left a message with my name, number, and that I just found out I had been disenrolled and needed to know what to do because I was out of meds.

This morning I called the clinic again and found out that the financial paperwork I had faxed down there at the beginning of July (and called after the holiday weekend to confirm it had arrived) didn't get passed on to NorthSTAR so I had been disenrolled. The financial person assured me it would be faxed over today but it would take around 2 days to get me back in the system.

I asked if I could still come down to pick up my meds because I was out and had called in a refill yesterday; their reply was no, I could come down in two days to pick them up. (Refills are filled within 24 hours of calling for them and will be put back if they're not picked up within 48 hours, so the refills I'd called in Monday are as good as gone.) So now that I'm on meds that every single doctor, nurse, counselor, etc. has told me I have to take every day in order for the medication to work, two pages I had faxed where I was told to not getting taken care of promptly by someone else meant I was expected to go without them. What?

I'd already priced my meds at Walgreens prior to getting them filled at the outpatient clinic pharmacy, so Vogon encouraged me to call our neighborhood store and see if I could get them transferred today and pay out of pocket. I called and spoke to a very nice pharmacist who listened to my situation, confirmed my personal information already in their system, and asked for the prescription numbers and the clinic pharmacy number, then told me it'd take about 45 minutes to get everything transferred and I could pick them up later today.

I think it's really sh*tty that I can't get continuous medication coverage because of a snafu beyond my control at the outpatient clinic /and/ that they didn't tell me I'd been disenrolled when I was there this past Friday, but I am extremely grateful for my local Walgreens.


( 6 comments — Leave a comment )
(Deleted comment)
Jul. 11th, 2006 07:59 pm (UTC)
That is really nice!

My local Walgreens called down to the outpatient clinic pharmacy and had me set up by lunchtime. Paying out of pocket was worth every cent for not having to skip two days of medication.
Jul. 11th, 2006 04:02 pm (UTC)
that is ridiculous!
Jul. 11th, 2006 04:18 pm (UTC)
The clinic to which you faxed the paperwork would be legally liable. A few people there might have to settle for cold dinners and so forth to ensure that you got your medications, but they could do it if they chose, and the expense to them could be a lot less than paying to watch lawyers dance.
Jul. 11th, 2006 10:01 pm (UTC)
I transferred my prescription to Walgreens and paid out of pocket for it, which I decided would be less likely to negatively affect my recovery than going two days without medication.

I'll be letting my new meds doc know how I feel about being treated that way after doing my part to make sure the paperwork was at the clinic within a reasonable amount of time. I may make a formal complaint with Value Options, which oversees the NorthSTAR program.
Jul. 11th, 2006 05:03 pm (UTC)
Jeez. Good thing at least a few people in the medical-paperwork world are on the ball!

It totally sucks when you take all the appropriate steps and someone else just falls down on the follow-through.
Jul. 12th, 2006 09:47 pm (UTC)
I'm very relieved I didn't have to go without my medication.

Now I just have to go get all the paperwork issues resolved and I'll be good to go.
( 6 comments — Leave a comment )


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Melissa, starry-eyed soy-lovin' Expatriated Zulu

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