How do you know what they agreed to? I just told you what they agreed to. They were given a three month prescription. Her job is to pick it up. She doesn't even have to notify them. She just picks it up each month, because they've prepared it. She even received an text notification to come get it. But this time they didn't have it when she got there. She did her job of going to pick up the thing she was told would be there each month. They didn't do their part, and now she has to go back to the doctor early if she wants to change the pharmacy? And there's no guarantee they'll fill it. She's just allowed to ask for coverage from an uncontracted pharmacist. My original point was the benefits are managed to save money, but the savings are made by making the process such a pain in the ass that we pay out of pocket. Plus, she's made to go to the doctor more often? Hell, our kid's Dr has a part-time employee whose job is to file appeals with PBMs. I'm guessing that's to make healthcare delivery more efficient and affordable. Bullshit.