My doctor prescribed me otrexup and sent in my prescription to the local CVS. CVS sent it to speciality care... a week later CVS said my insurance won't cover it through them and sent it to my insurance directly... (Optum RX). I am still waiting to hear from them. I heard some people just get this from the pharmacy... any experiences?
My insurance company insists on using a specialty pharmacy for MTX, Enbrel, Orencia... Since they have to approve the script, they know my doc wants me on whatever ... this time Orencia, last time was Enbrel. It has worked pretty well. They call me when I have one injection left, ask if I have any side effects or problems, if any of my meds has chnaged and we set up a delivery date. Though MY insurance, this costs me nothing. I've only had a problem once with them and it was partly the fault of the pharmacy and mostly the fault of FedEx. But it was all taken care of. The rest of my meds I get at Walgreens.
You can get some biologics from a regular pharmacy if your insurance lets you but THEY have to special order it. I was on Enbrel with a different insurance from what I have now and I got the Enbrel through Walgreens, but they had to special order it - at no extra charge. My current insurance insists I go through their specialty pharmacy.
It's not CVS its your insurance company. I get mine at a CVS. You can't get Biologics from CVS or any others, special pharmacy for that.
Yes. I used to get my scripts filled at CVS but can no longer do so. Your insurance should've sent you a letter. I received the letter this year stating my insurance will no longer cover any scripts from: CVS, etc. Rite Aid and one or two local pharmacies is not on the list. I tried to fill my MTX at Rite Aid but they had to order it more than once and I can't deal with that. To be safe, I go to my hospital pharmacy. They always have it and my insurance covers. You will have to call your insurance and ask them for a list of pharmacies in your area that are covered.
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