Re: Sharing RX medication to save $


">>
>.
>
>> > When the
>> > pharmacy receives a script, they verify the prescription with the
>> > prescribing doc,


no...properly written scripts are NEVER verified in any manner...to do so
would entail a LOT of unnecessary work...

scheduled meds...sometimes...but routine meds,,never

but as to the "crooked doctor" example...this is a valid statement...

a prescriber will write on the script AND document in the chart EXACTLY what
the patient is taking..ie...1 tab twice a day or 60/month.....scripts and
charts have to match..in case of audits..another provider filling
in...etc...not many prescribers are willing to risk being "caught" in
insurance fraud...

which is what it is...EVEN if the stated number and dosage on the script is
within the range...

I once asked hubby's doc to write for TWICE the dose of an expensive
med,,,then I would split the pills..he would get two months for one co
pay....

doc's answer " I always promised my wife I would not go to jail...for
insurance fraud"...

this is NOT to say that some providers will not do this...but it is
insurance fraud in a "small" context
>> I'm sure mine doesn't. It just gets keyed into their computer. They
>> get it wrong often enough.
>
> It gets keyed into their computer and processed by the payer. The
> pharmacist is supposed to validate the original prescription with the
> doctor's office (it may be done electronically). Refills don't need to
> be checked unless there is a change in dosage.
>
>>
>> > 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.
>>
>> You jump to an erroneous and dangerous conclusion. I did not say I
> do
>> this. I don't share my meds.
>
> Neither. The familiar "you" was not intended to refer to you
> personally. I apologize for my lack of clarity.
>
>> > Why would
>> > they risk their licenses, their practices, their livlihoods and
>> > families for someone to save a $2 to $20 copay?
>>
>> For some people, a second $20 co-pay is the difference between
> getting
>> the presciption filled or going without.
>
> Possibly correct. The copay system is designed to introduce an element
> of patient responsibility without introducing undue financial burden. A
> person who is not in need of cash assistance might have a $20 copay,
> another person who is on cash assistance might have only a $2 copay.
>
>
>> > I admit, you could be right. I just don't get it.
>
> You're probably right. It probably does happen. Especially when one of
> the patients is conning the doctor for purposes of drug abuse - in
> which case, I don't have much sympathy.
>
> I appreciate your response in this matter. You have helped me to see
> that it may in fact be happening. People do stupid things sometimes.
>


.

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