Advice for fighting my insurance on allowing my doctor’s dosing instructions?

My doctor prescribed me a medication that was 4 pills a day for the first week and 2 pills a day from then on out. It says that on the prescription.

The problem is my insurance doesn't recognize the split dosing and wants to act as if I only took two pills during the first week. This means they don't recognize that I will run out before they say my next refill is due and now I am a couple days away from running out. CVS says they can't bill insurance and if I want to get continued coverage I'll have to pay out of pocket for the gap week until insurance starts paying again and I can't afford it. I just don't know if I can appeal nor win an appeal by Saturday night.

Edit: after hours on hold I got the insurance to approve it. I suppose since they record it and I mentioned it got it from the ER and at risk of some type of clot/stroke/emolysim without it they got scared 😒 but they were sticklers about not letting me pick it up the night before I need it and I have to pick it up the day of but I guess that's fine.

Thank's for y'alls advice, I got lucky but maybe someone gets help from this thread in the future.

submitted by /u/dc469
[comments]

See also  Questions about having private insurance (through my parent’s employer) and Medicaid at the same time