Double copay for the same prescription- help!
I’m currently taking a daily medication that I need to function and be a productive member of society. The medication my doctor has prescribed to me is 65mg and comes in a capsule. The capsules themselves come in strengths of 10 mg; 18mg; 25 mg; 40 mg; 60 mg; 80 mg; and 100 mg. So to get my prescribed 65mg I’m given 40mg pills and 25mg pills. The problem is that when I go to pick up my medication the pharmacy treats these two different pills as separate prescriptions. And charge me a copay for each pill. Like huh?
I currently have Kaiser as my healthcare provider and I’ve talked to countless people- from billing, to the pharmacy, to my Dr, to customer service about this and no one seems to be able to help fix this double payment. The most ‘ help’ I’ve gotten is the suggestion to change my prescription to one of the provided strengths. That suggestion within itself is infuriating, but the thing is I’ve already tried other dosages and they just don’t work as well as my current one. One person I spoke with shared that this is something that other people experience and that I’m not alone in this issue.
It truly seems insane to me that anyone would have to pay a double copay just to get the dosage they need. But hey this is aMeRiCa 🤡 so maybe I shouldn’t be too surprised…
I’m not one to take such things lying down so I’m looking for help- has anybody run into this before? Have you successfully found a way around it? How can you get exceptions for medication you NEED in order to exist?
