ObamaCare: Walmart can't fill perscription until doctor talks to insurace company !??!!??!

reply to post by Wrabbit2000

The war on pain medication came in January and that came by way of flyers actually posted in the rooms and down the hallways of the offices my Wife goes to saying NO chronic pain meds could be dispensed or even DISCUSSED with anyone but the primary physician under any circumstances. She was cut from her pain meds within a very short time of those flyers appearing and told to do the best she could ....after being on opium based meds for years without break.

This has nothing to do with Obamacare, this has to do with a growing problem we have in this country...opioid addiction.

There are huge changes taking place in the healthcare field right now on how they treat pain, it has nothing to do with Obamacare, it has to do with "patients" filling up doctors office claiming they have horrible "back pain" or horrible "neck pain" or any type of "horrible" pain and claim that only Vicodin or Oxycotin will help with.

It is amazing that some people try to connect everything to Obama.

reply to post by Chrisfishenstein


So long as you got yours and screw the rest, right? This is exactly the kind of uniquely American mentality that is bringing your nation down. Your tax dollars could be spent on helping to keep your fellow Americans alive and healthy, or trillions upon trillions of it could continue to be spent on pointless wars in nations many Americans couldn't point to on a map if their lives depended on it.

Obamacare is nothing more than a bandage on the hoover dam. That # ain't going to be fixing anything. But I hope that it can, at some point in the future, act as a stepping stone toward a fully socialized health service. Maybe, in the not so distant future, the American voting public sill get over their phobia of any kind of socialism as if free healthcare would somehow open the door for McCarthy's Red Menace to come stomping into small town America.

The Baby Boomers will mostly be gone in just a few more years, America, so just wait them out. In the meantime, for the love of God, desperately try not to contract a serious illness.

OMG, there are enormous differences between one generic thing with item A in it, or another, the fillers and the way its produced makes it different for all people, and not to mention that we are all different. I can only take ibprofun for pain, swelling and for fevers, tylenol unless with codeine, and can only take that when in extreme pain such as surgery, for its overpowering, doesnt work, so if i have to take that would take 5 or 6 at a time to get even my fever lowered. well that is liver damage.

So....alot of meds have terrible side effects. People really need to search for arthritis meds and psychiatric meds for they seem to produce cataract, glaucoma, and lower the immune system and you need testing. And that in turn means you can't just go off them quickly. My aunt got everyone to check if they were taking something that caused cataracts after her surgery. Its horrible what they do.

Each drug is not the same, and to do that to people is extremely evil.

I think people need to really research and try natural substitutes for just about everything if they can possibly get away with it.

I'm so grateful that so far its just ibprofun, a few higher pain killers for surgery and antibiotics, once in a while, and thryoid meds. I even take the supplements, vit D and MSM from the health food store only off and on, for don' t believe we're meant to be inundated with high doses of things all the time.

By the way, the drugs that can cause cataracts, and that lower your plate count in your blood can cause sudden death syndrome if you have to go off them suddenly. They hand them out like candy to bi polar disorder.

And they're very very dangerous. But, you can't just quit.

And its not up to an insurance company. Doctors who know your case, and often times, you have to work extra long years to even get them to stop doing the wrong thing by you, and get something that even works, or a med change, Know Better than any insurance clown.

Originally posted by Wrabbit2000
reply to post by Chrisfishenstein

 

The war on pain medication came in January and that came by way of flyers actually posted in the rooms and down the hallways of the offices my Wife goes to saying NO chronic pain meds could be dispensed or even DISCUSSED with anyone but the primary physician under any circumstances. She was cut from her pain meds within a very short time of those flyers appearing and told to do the best she could ....after being on opium based meds for years without break.

Interesting. I've been on opiates regularly since 2004, sporadically since 2001. I've NEVER had decent prescriptions through my general practitioner - at one point he was giving me prescriptions for 30 pills (not 30 days worth) and scheduling 1 every 4 hours (6 per day), so I'd have to go in every 4 days, pay for a new appointment and get a new prescription good for 5 days. Then I had the first back surgery and started getting pain meds from my surgeon. The compounds aren't any better, I can't seem to get stronger meds without the obligatory aspirin/acetamenophen/ibuprofen combinations, but at least he gives me a script for a 30 day supply (which generally lasts more than 6 months). Since I'm "PRN" that's why I can't get anything stronger, but after a dozen years, still no addiction symptoms. I do have a pretty high tolerance though!

However, Medicare Part B is supposed to pay for diabetic test strips and foot care for diabetics - yet because I'm on the wife's private insurance, these benefits have been denied me since I went on disability in 2009. It seems that there's a little circular fraud of "pre-certification of benefits" required by the insurance company isn't the same as "denial of benefits" which is required by Medicare before they'll pay out. I just found that that from the pharmacy perspective, it's the detailed prescription requirements of Medicare that Doctor's aren't conforming to - your Doctor can't just write a normal prescription, it has to follow a certain form and format for Medicare to pay out. And there's still the business of being able to show Medicare that the claim was rejected by the "primary" insurance company. The whole system just sucks unless you're indigent, without any assets and without any working spouse that does have other health insurance benefits.

ganjoa

reply to post by Wrabbit2000


I am on narcotic pain medication, have been for close to 7 years now.

My post had nothing to do with her medication and everything to do with government assisted insurance....Which is clearly what the OP is complaining about....

That is partially my hard earned money going toward the drugs the OP is complaining about.....I am happy to see the insurance company get involved to get the cheapest medication available.....If you want better stuff, get a job...Get insurance, and pay for it yourself!

I don't like government assistance on most things along with welfare......It is too easy for free money while the rest of us slave away to pay for them.......If there is a reasonable excuse to welfare or government assistance, I am all for it.....It's the people walking themselves into the pharmacy to pick up their prescriptions that irritate me......Stopping at the bar on the way home with my money to buy a drink while I work to pay for it.....

I can just see how many people, and I know some personally, who have had years of fighting for their health and safety from bad meds, and having to go to a different doctor and its not easy to switch here in Canada, and bring in printouts and new york times articles, to ensure they are on a safer medication, only now, in the US, they would be sent back to the dangerous one, and the other not covered, once you finally get a good doctor who listens.

You guys need to stop your evil clowns running things. We need to too.

reply to post by firemonkey


Uh, lookey here firemonkey - some of us are completely disabled with spinal disease and even on Medicare - yet effective pain relievers just aren't available.

Seriously, vicodin (hydrocodone) and oxycodone don't do sh-t to relieve the pain and it's nigh on impossible to get a decent pain reliever that doesn't have near toxic levels of aspirin or acetamenophen in it if one has to multi-dose for relief. After a plate & 6 screws in my neck, a butt crack halfway to my shoulders from 4 lumbar surgeries and looking at steel rods to correct scoliosis in the near future I'll have to go on constant pain medication that absolutely will result in addiction in order to get effective relief.

So for those of use that can provably justify strong opiods, there is no effective relief available given the sad state of government regulated medical practice. When the real pain arrives, it's some oxy, some hydro, some muscle relaxers and some whiskey - no way that's a medically sound treatment, but it does work.

Update - BTW, you can't get oxycontin without being on a constant treatment plan - they don't prescribe it on an "as needed" basis - gotta stick to oxycodone plus an NSAID.
ganjoa

reply to post by Monger

So long as you got yours and screw the rest, right?

Yeah since that's what I stated....

I said someone on goverment assisted insurance....(hint hint OP).......SHOULD have to have insurance find them the cheapest medications because they aren't paying for them....

How is that screw the rest of them?

reply to post by Chrisfishenstein


The whole thing needs to be equal and work for the poorest child in your country or you are run by demons. PERIOD. UNIVERSAL CARE!!!!! NOT SLAVERY.

Most of those who can afford great meds should be in prison or counseling healing centers, far away from earth, for either their crimes against humanity or for supporting it, for the majority on earth can't afford it and they are the people and they don't need to be forced under and evil draconian pyramid scheme and deprived of the resources of this planet. We have all that it takes to live in abundance but for the crimes and dark occult beliefs of the demons in training at the top.

reply to post by firemonkey


Look, I didn't bring it up to debate. I didn't read it in the papers and I didn't "hear about it" through a friend of a friend. This was said to me, directly, by two different medical doctors in relation to what got her cut off pain meds with no notice, no help or support and all the sympathy of Nurse Ratchet. If you check, I wrote a thread on it at the time and found others sharing similar issues. It's not surprising as I mentioned, her office had flyers all over the rooms and hallways. Dozens of them across the whole office, saying this same thing.

Argue with the Doctors who do this for a living....after all, I'm passing on what professionals related, not my own opinions or interpretations of it.

Here is what it takes to be intelligent, and human/humane and good not a dark hat:

Equality.

Universality.

Better pharma, their drugs are insane, seems Rockefeller wants to kill alot of people via his subsiduary, pharma Baxters. And hand them to other doctors, like for cataracts, on a regular basis. I saw that name stamped on huge boxes in the hospital, here in Canada. Looks like we're all under this crap. So better pharma's working for the people.

Understanding that we're all different, we don't even respond to pain meds the same way, and even antibiotics are different for each person. What is needed for the individual needs to be covered, and that shouldn't have horrible side effects.

Originally posted by Chrisfishenstein
reply to post by Monger

 

So long as you got yours and screw the rest, right?

Yeah since that's what I stated....

I said someone on goverment assisted insurance....(hint hint OP).......SHOULD have to have insurance find them the cheapest medications because they aren't paying for them....

How is that screw the rest of them?

Pardon me good sir, but just exactly where in the OP do you find that the problem is "government assisted insurance"?

My posts in this thread speak to government assisted insurance, but I see nothing in the OP that leads me to the conclusion that it has anything to do with government assisted insurance.

The reference to ObamaCare points to government regulated health care.

ganjoa

reply to post by ganjoa


Yes, people in your situation need strong pain medication...you are a rare case.

I am talking about the people who stroll in to the doctors office with a smile on their face and say they are in horrible pain that is unbearable...and say they are in a hurry because they are going golfing.

There IS a problem with opioids in this country...not saying you are part of that problem.

reply to post by firemonkey


Thanks. Just saying not everybody is faking the back pain - and making a comment about how crappy these drugs are in their legally regulated dispensable form. Of course, I have yet to see how anyone could or would abuse vicodin without totally frying their liver - not to mention there's nothing remotely "fun" about using them.
I've heard some folks get a "rush" or a "high" from that stuff, but it's way beyond my experience.


ganjoa

reply to post by Chrisfishenstein


You know, I hear this a lot these days. "People are spending my tax money!". Well, this Government is running around 5 TRILLION a year in expenses right now with at or below half that actually coming from ALL tax sources combined. That includes Corporate and Business taxes.



That is based out of 2012 projections, so the numbers are worse now. The Trillion a year in Fed buying hadn't begun when those numbers were made.

Where in those many trillions do you figure your thousands a year of paid taxes figure in and where do you figure others being cut off benefits during this period of time will in any form benefit you or cost you less? Perhaps we'll save a few cents a year in compounding interest on the trillion + of deficit, but this whole "They're spending my money!" argument on benefits down to this level of detail and specifics sounds plain silly when looking at the actual numbers we're dealing with.

Obama could have skipped Africa and likely saved enough to have supported a measurable % of the area of costs we're talking about here ...so it's pretty wild to get offended at pennies when dollars are being burned for pure nonsense, isn't it?

Originally posted by ganjoa
reply to post by firemonkey

 

Thanks. Just saying not everybody is faking the back pain - and making a comment about how crappy these drugs are in their legally regulated dispensable form. Of course, I have yet to see how anyone could or would abuse vicodin without totally frying their liver - not to mention there's nothing remotely "fun" about using them.
I've heard some folks get a "rush" or a "high" from that stuff, but it's way beyond my experience.

ganjoa

I don't think anyone tries to abuse them...but they are addictive by nature. Not addictive that people love them...but chemically addictive to the brain.

So what often happens is that someone gets vicodin or something similar after a surgery...and then even after they don't need it anymore...they start making up stories to continue to use it.

It's a big problem in healthcare right now...doctors trying to figure out who really needs it and who is just making up stories. Not to mention the fact of them unnecessarily overcrowding the doctors office.

reply to post by firemonkey


Agreed. It also makes life harder for those that really DO need them!
2nd line

ganjoa

As someone who works in a pharmacy I can tell you that prior authorizations are nothing new. The insurance company wants to make sure other alternatives have been tried first before paying for a new drug that is only brand name at the moment. Depending on the insurance company they will also require it for certain controlled substances or many other things. For example we have a patient whose insurance requires a PA for their Adderall because they're over the age of 18. Once PA is given it is only good for a year so you may need to get multiple ones for the same medication over and over.

In regards to generic vs. brand, every generic must be bioequivalent to the brand. If a generic exists a pharmacy is most likely going to dispense that unless the doctor or patient specifically requests the brand. This is due to the fact that the pharmacy will most likely get a larger profit percentage from the generic than the brand. It's also the law to do it this way in a few states.

In conclusion prior authorizations have nothing to do with Obama.

reply to post by ganjoa


The insurance that does this now (prior to Obamacare) is Medicaid or government assisted insurance....(Welfare), (free), however you want to describe it......It is government assisted......

reply to post by Wrabbit2000

Obama could have skipped Africa and likely saved enough to have supported a measurable % of the area of costs we're talking about here ...so it's pretty wild to get offended at pennies when dollars are being burned for pure nonsense, isn't it?

NOOOOOO

This is where the country took a huge dive, thinking like this! Nothing against you Wrabbit, I usually agree with you but you are thinking off base here IMHO....

This is how we start to actually save money in this country.....Even $5 per prescription for everyone on medicaid would save a ton.....Then move onto the next thing that millions of people saving even pennies add up to a large amount!!

This is only how you start though, it has to be sustained until progress is being made! Golfing trips can be cancelled as well Mr. Obama