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I have been a Pharmacy Technician for over 10 years now, for the last 2 I have been working for a Pharmacy Benefit Management company (PBM) and every day I noticed lots of pharmacist and pharmacy technicians that are not willing to help patients.
You need to know your job in order to help others, if you don’t take the time to learn how can you know how to read a medication when has been rejected when an online claim is process.
One of the major pharmacies here in the states is Walgreens and is my opinion that is one of the pharmacies that they don’t care too much. You might say why? Continue reading and I will explain why.
Every day we received calls from patients that they go to their pharmacy (Walgreens) and they are told that that the insurance is not active when in fact it is or that the medication is not covered, when in fact it is. If you are in that position ask them to please take the time to call the insurance company and actually verify if your insurance is active or if the medication that the doctor prescribe you is covered.
If the system is rejecting the medicine, usually is because the medication required prior authorization. If the Pharmacist or Pharmacy Technician just takes 2 minutes to call the insurance and provide the doctor’s name, phone number and fax number to start prior authorization it will save your lots of time. Don’t let them tell you that your insurance don’t cover that medication without making the call. Normally the idea is to charge you full price for the medication.
Most people can’t afford the cost of their medications, if we don’t help the patient who is going to help. It only takes a few minutes to call the insurance company to verify if required prior authorization and if that is the case. Is part of your job no matter if the pharmacy is crazy busy, or if you have a millions thing to do in the pharmacy, if you don’t like your job / profession get out. Is one of our commitments when we decide to study any health careers like in this case Pharmacy.
I have been working as a pharmacy technician for over 11, currently I work for a PBM (Pharmacy Benefits Management) company. I get calls every day from very upset members and the reason, they are miss inform with their benefits.
Bottom line is YOU the members’ responsibility to read and understand your insurance plan but must important your benefits.
Under the pharmacy benefits you should asked some of these questions:
Ask questions and don’t assume.
For details visit my online store at http://www.youravon.com/noeliaanderson or use the link on this page SHOP NOW
For details visit my online store at www.youravon.com/noeliaanderson or just use the link on my page SHOP NOW