Spent a frustrating day trying to get my Riluzole coverage. I think it has worked, and have been on it since August of last year. Called to have my meds filled, and it is no longer covered by insurance. I called OptumRX, as they are the insurance companies third party provider. (so they can dodge responsibility). After spending close to an hour each with 3 people on the phone, as I was transferred to different divisions, I was basically given the finger.
As of January , this was classified as a specialty drug, and has to be ordered through their online pharmacy. I didnt agree to, or sign up for this, and cannot opt out. Well, I run out Saturday, and they will not be able to fill it before I run out, as they can't ship until the paperwork is processed.
The best solution they has was for me to pay out of pocket for this refill, and I would be in the rotation from that point. Of course, that is an out of network purchase, and I would not be reimbursed.
Now mind you, I never recieved a call or any mailed item about this. But it is basically my fault somehow that they they caused this, in the name of convenience. And if they quoted me correctly, their is no cost savings for me, so the money they save in bulk purchasing goes to the bottom line...
I am so glad I the beginning I opted to stay on the line and take the survey...