Wednesday, June 27, 2007

Drug Seekers and Prior Auth Hell

Number one on the list of things that I absolutely love to hear when I pick up the phone is "Yea, what brand of Percs do guys carry?" Don't you think it's cute how drug seekers give little pet names to their drugs?

I don't know what the hell was up today, but I got at least 6 questions like this today in some form or other. Some wanted to know if we carry a specific brand (ever hear a junkie try to pronounce Mallinckrodt? Pretty funny. Some even go so far as to give me the tablet identifiers - as in "I want the 510s".

Then there were the two scripts that look like they have been to about twenty pharmacies already. You know the type. Two different stickers on the back, DOB written on the front with a big 'W' on it....right underneath the note from some previous pharmacist that this guy got this last week. "Uh, I don't know what that's there for.". Yea right.

Totally unrelated, it was Prior Auth Hell today as well. Complete with the strangest one I've ever had to all for. Rx was for Orapred ODT which come packaged in one of those perforated foil unit dose thingies. You know, 6 individually wrapped tablets on 1 'sheet'. Each tablet can be ripped off of the sheet individually, without being removed from the foil. OK. Now I have an RX for 14 of these guys. The friggin insurance carrier needed a prior auth because the quantity dispensed was not a factor of 6. WTF? It took me the better part of 30 minutes to explain the complicated science behind unit dose packaging to this twit. Hopefully they take that particular edit out of their system so it saves some other poor soul the hassle.

Some days your the pigeon and some days your the statue. Today was a statue kinda day...

2 comments:

McIntern said...

oh well one insurance company that begins with an "a" won't let you bill 4 Viagra as a 4 day supply, has to be 8 or they won't pay.

While I commend them on population control i would have liked a heads up of some sort.

Mrs. Shanton said...

I recommend you only carry the "crappy" "percs". These will work just fine for the non-DSB'ers and will keep the totally annoying high-utilizers away. *smart!*