Funny story. You know how I was supposed to get my Lupron shot yesterday? Well, that didn’t quite happen.
I woke up yesterday and called my boss to let her know that I would be in a little late. I had to get my Day 3 blood drawn to make sure my ovaries are doing their job, pick up my Lupron shot from the pharmacy and bring it over to their office for the nurse to inject it.
Sounds easy right? That’s how the doctor made it seem. But in reality I spent almost two hours calling pharmacies to find one that had the drug in my specific dosage (one had it…but it was the pediatric form).
After a while I gave up, had my blood drawn and went to the doctor’s office to talk to the nurse. Maybe she knew where I could find Lupron in the correct dosage. She called all around but no one had it. I had one pharmacy that could have it by this afternoon and one pharmacy that had a lab attached and they could have it ready by that afternoon. The nurse told me that she could give me the injection today but I would probably have to take a pregnancy test beforehand. Ummm lady? I’m on my period. No sex happening over here and I can tell you that there is absolutely no way that I could be pregnant right now.
So I rushed to a fax machine to get the pharmacy the prescription. Five minutes later I received a call telling me that my insurance rejected the medication because it was not pre-approved and that it would be $1800. Would I like to proceed? HA HA HA HA HA. $1800??? For ONE SHOT???? Yeah right.
So once again I call the nurse and tell her the situation. She called the insurance company and I had two options. 1. Pay for the medication myself and ask for a reimbursement from my insurance company. 2. Wait until my insurance company orders the medication through their “specialty lab.” In the meantime I have to take birth control while I am waiting for the shot to arrive (something I haven't taken in over a year now).*
I opt for 2 because I don’t trust my insurance company to reimburse me.
So now I am on a birth control pill that I have never heard of (at least it was only $20) and hopefully the Lupron comes in from my insurance company before next Thursday as I am then out of town for 12 days. CP and I are confused as we have a ‘case manager’ at the doctor’s office and shouldn’t she have talked to my insurance company beforehand to make sure that the drug would be covered?
Oh and I’m feeling quite nauseous right now but have never had that feeling from birth control. Has anyone else had that side effect?
*I guess they need to keep my body in a “suspended” state.
5 comments:
Ugh. Just...ugh.
I will say, I almost always was nauseated the first few days of one of my birth controls (I don't remember which, which is funny because I took it for a good 3-4 years). So that can be a normalish side effect.
But it sucks that you're going through this!
Ugh, what an ordeal. I used to have that same issue a few yeas back when I was injectble birth control, I had to race all over NYC to get it then my doctor's office and get the shot.
When can you get the next shot?
I agree with the above commenters' ughs.
As a physician, I know what a pain in the butt this can be. Sadly we are uninformed on our end as well.
I must say that my saving grace has been my PHARMACISTS at cvs. I don't know where you go, but my pharmacist's do their job and do it WELL.
When i prescribed myself birth control, they called to suggest I switch to a generic form and save $10. I would never have known that.
Everyone should be on top of everything, but it is damn near impossible with all the healthcare information out there.
I would talk to everyone involved in your care, starting with your insurance company to see what they will cover.
Seems to me that your doctor's office is disorganized, at best. Our son had a $3,000 shot he was taking every month over the winter. We also had to get pre-approval. Our pediatrician's office took care of that task as well as ordering the medicine to be delivered direct to their office. We just had to call the day before to make sure they got pre-approval and then show up.
I'll chime in with my own ugh as well. Fingers crossed they get this worked out quickly!
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