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Express scripts no longer home delivery2/24/2023 ![]() After the resubmit I discovered that the pricing search at Express Scripts provided me with obsolete pricing and coverage information and that there was no current coverage under his plan for the medication. He went to the doctor and requested that the script be changed to a 20mg dose and resubmitted to Express Scripts. But I did see it covered under his plan at a 20mg dose and I told my husband. The medication under the 40mg dose through the online account associated with my husband's plan. Problem is that the co-pay quoted was applicable under my plan NOT his. My husband went to our physician who then sent the script to Express Scripts under his coverage. Customer support at Express Scripts said it would have to be submitted to mail order and it would be covered with a co-pay of $17.21. Express Scripts refused to allowĬVS to transfer the claim to my insurance coverage even though the Trust would not cover it. They tried but received the message that the claim must first be run through the primary coverage. So we requested that CVS file the claim under my benefit which does cover the PPI. When CVS ran the claim through Express Scripts the claim was denied because the drug prescribed was not on the Plan's approved drug list. Last week our primary physician prescribed a proton pump inhibitor (PPI) at 40 mg for my husband's indigestion through CVS, a retail pharmacy. Currently the script is shown under my benefit with no claim history and the claim history is shown under my husband's benefit with no associated prescription.Ĥ. It took me several weeks to get Express Scripts to move the coverage under my benefit but they have refused to move the associated claim history to my benefit. Since the my husband's benefit was labeled as secondary for me, my credit card was billed the total cost of the medication because the script was not processed by the primary insurance first. When I looked at my online account it appeared that everything had been properly transferred, but when I received my next refill under one of those prescriptions, Express Scripts processed under the my husband's benefit and not mine. I called Express Scripts and requested that all my active prescriptions be moved from my husbands benefit to mine under my benefit associated with my employer provided insurance so that future refills would be processed under the primary coverage. When my Express Scripts coverage under my employer was enabled I had several active mail order prescriptions that had been filled previously by my husband's health insurance benefit. Stranger still I did have that capability prior to obtaining mail order prescription benefit under my employer's insurance benefit.ģ. Their web support claims that this capability is being restricted by our insurance providers even though the providers have placed no such restriction on our prescription benefit. Neither my husband nor I are given the option to enable household view on either our online Express Scripts accounts. It took multiple calls and working with a supervisor at Express Scripts to identify correctly the primary and secondary for us.Ģ. Which had been providing me mail order prescription benefit under my husband's insurance, they added my insurance as primary coverage and left the Trust as primary coverage as well for both my husband and me. When I obtained Express Scripts coverage under with my employer in January 2014, These are the issues my husband and I have had to endure when dealing with prescription coverage through Express Scripts.ġ. Lies, lies and more lies.Īlexa Alizoti Read full review of Express Scripts I spoke to at least 2 agents a day, for three days. Then tried to tell me that I never placed the original orders at the same time! I knew way more about my account at this point than she did. I then wanted to confirm whether or not this order would be expedited. I had to provide my address a total of three times. The agent on this particular call had zero patience, she was rude and short with me. Let with no other choice, I called Express Scripts, again, to put a temporary address on my file so that they could send me the medication to Key West, Fl. They pharmacy would have to call Express Scripts and then fill the medication. I was told I could get a vacation override however, I would have to obtain a brand new prescription from my doctor and then take it to my local pharmacy. Therefore, even with the expedited shipping, there was no possible way it would arrive to me before my vacation. I immediately called to get the status on the order and was told that the second prescription was just placed in process. ![]() ![]() I was shocked when I only received one prescription. I needed them before a vacation, so I authorized expedited shipping for $21. I initiated refills for two of my prescriptions and was told that they would ship out together. ![]()
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