Re: Sharing RX medication to save $


"elgoog" <bjdefend-newsgroups@xxxxxxxxx> wrote in message
news:1114533970.043885.84290@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
>
> <Hawk...@xxxxxxxxxxxxx> wrote:
>> ">>
>> >.
>> >
>> >> > 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...
>
> Depends on the state and the drug.

hmmm...would be interested in data here...I know our pharmacy has a sign
saying all controlled scripts will be verified...however I have watched them
fill my scripts on a WEEKEND....so know they never called to verify..must
have an honest face!! not to mention the type of meds I get

but verifying ALL scripts?? yikes that would be cumbersome!!


>> 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 believe any fraud is significant and should be prosecuted; but, I
> understand your sentiment.
>
> I cannot imagine a provider cooperating in this type of mini-fraud to
> save copay any more easily than I can imagine chickens eating coconuts.


you are correct....obviously my doc agrees ....ANY fraud is fraud....

oh well...now the old guy is on Medicare..so no drug coverage anyway!!!


>> >> 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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