Re: Sharing RX medication to save $


elgoog wrote:
> tonywesley@xxxxxxxxx wrote:
> > elgoog wrote:
> > > How does this purportedly save money?
> >
> > Co-pay.
> >
> > For instance, one script for 60 pills twice per day vs two scripts
of
> > 30 pills one per day. One co-pay vs two.
> >
> > > Maybe you are researching an urban myth.
> >
> > Not at all.
>
> Without a crooked doctor to write the script incorrectly, it would
> never get past the Drug Utilization Review (DUR) alerts. When the
> pharmacy receives a script, they verify the prescription with the
> prescribing doc, they enter the patient's insurance information, the
> Rx, dose and prescribing provider's ID: the payer's claim payment
> system would immediately detect the error, and the pharmacist would
not
> fill the Rx.
>
> Either you have a crooked doctor, or a crooked pharmacist. Why would
> they risk their licenses, their practices, their livlihoods and
> families for someone to save a $2 to $20 copay?
>
> I admit, you could be right. I just don't get it.

Even with a crooked doctor, you would hit max dosage limitation audits
on many drugs. Once the pharmacist sees the DUR alert, they are not
likely to dispense the perscription. The payer, insurance or Medicaid,
won't pay for it.

.

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