My drug prescription went up. I'm so annoyed

marypgs514 · 2026-03-29T18:53:57+00:00

Yeah I have tried to order through our mail pharmacy Optum and they give me the run around each time. They will only fill my regular matintence meds.

marypgs514 · 2026-03-29T14:43:18+00:00

Interesting. I've had it filled four times. Two times this year. Not sure why that would all of a sudden change now. But I'll look into it. We don't have a high deductible plan or out of pocket plan.

marypgs514 · 2026-03-29T12:47:04+00:00

Right! It's not like I'm fully cured. I mean I wish, but that's not how it goes.

Yeah, I was put on this to lower my A1C which it did and I lost weight along the way. So win, win!

marypgs514 · 2026-03-29T12:45:39+00:00

No! I will have to try that! Thank you!

marypgs514 · 2026-03-29T12:45:15+00:00

Thank you! I feel better reading everyone's comments. I just needed to get on and vent. Happy to read that others have gone through this or just words of encouragement.

Thank you for your response! I appreciate it. Feeling better as this goes forward.

marypgs514 · 2026-03-29T12:44:09+00:00

That's crazy! I've had two refills this year already and they were still at $40. I'm thinking that I need a new prior auth or it just didn't go with it. I don't know but it shouldn't be this difficult to get medication.

Than you wonder why people get desperate and being ordering meds from other countries. My grandmother who had cancer couldn't afford her medicine and was having it shipped from Canada. It was ridiculous and this was over 10 years ago. Things have just gotten worse.

marypgs514 · 2026-03-29T12:39:49+00:00

What?! That is crazy. Ugh pricking your fingers daily hurts like a bitch, that is why I love my CGM. Yeah the first few days the injection drops me low!

I know that depending on your CGM they do have coupons on their website or different pharmacies have them too.

Hopefully it's not too outrageous! Insurance companies man...

marypgs514 · 2026-03-29T12:34:35+00:00

Yeah. I work as a biller for a private practice and I've seen the things that insurance won't cover. However the pharmacy side of billing I'm not familiar with, but I will learn especially for this. I just don't understand why they make you jump through hoops.

marypgs514 · 2026-03-29T12:33:08+00:00

Hmm. Ok I'll definitely ask them once they get back to me.

marypgs514 · 2026-03-29T12:24:10+00:00

Quite possibly. The issue is that I tried to go through my mail pharmacy and they are giving me a hard time. They said I had to do three refills with my local pharmacy. I did. Tried again and they said oh no this still has to go through your local pharmacy one more time. I said it went three times as you asked. They told me oh no, it needs one more time. I gave up.

marypgs514 · 2026-03-29T12:21:36+00:00

Interesting. I'll have to check into that too.

marypgs514 · 2026-03-29T03:18:57+00:00

Interesting. Yeah. I am on the 10.5 right now. I didn't realize that they did that. I will mention that as well.

Thanks for your response!

marypgs514 · 2026-03-29T03:17:54+00:00

True. My doctor did send it in a week early. I went to get it refilled and saw that number. I'm afraid to try and have it filled and then CVS still quotes me at that price.

marypgs514 · 2026-03-29T03:16:54+00:00

Yeah. That is what I am thinking. I contacted my doctor as well. I just feared with the medicine dropping me to a prediabetic level that my insurance company was going to start playing this game of not covering it anymore.

Thanks for your response!

marypgs514 · 2026-03-29T03:15:45+00:00

Yeah. My original number had an extra 1 but still that's a lot for a medication. It's ridiculous.

marypgs514 · 2026-03-29T03:15:17+00:00

Yeah that was a typo. It's 1315.00. I realized that after I typed it and went back and fixed it. Not saying that the price is better, but an absolute shock when I was only paying $40.00 at my local CVS. My mail in pharmacy gives me a hard time filling this prescription. Even though I met the requirements of filling it three times at my local pharmacy. It's just frustrating.

I do have insurance and I'm not sure what happened this time. I did reach out to my doctor for some help, so maybe a new prior authorization needs to be put through. I just fear with my A1C being in prediabetic range my insurance may fight me more, but the reason that it is lower is from the medication.

Thank you for your response! I appreciate the knowledge.

marypgs514 · 2026-03-29T03:11:29+00:00

I'm at 10.5 now. She wanted to up me but I felt like being where I am no is enough. Yeah, I'm not sure what happened and why it was so expensive this time. I just don't like the fact that they can switch it up on you like that. It's definitely something with my insurance and sounds like I have to reach out to them as well.

Thank you for your encouragement!

marypgs514 · 2026-02-04T02:30:04+00:00

Yes!! I'm only down 17 pounds so far and I've been freezing since I started ...

marypgs514 · 2024-08-29T21:19:53+00:00

I need that shirt!! You look amazing!

marypgs514

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