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United Health Care / damage paitents health

1 NC, United States Review updated:

My wife has been suffering from bone loss for many years, last April fell and broke both legs. As the only drug offered to enhance bone growth her physician prescribed Forteo, which she has been injecting herself daily for almost a year now. With their drug approval service they will not fill a prescription a few days early so these devices have 28 doses per vial. Called last Thursday to get refilled, pharmacy had to call doctor to get a renewed prescription which they did. Her drugs ran out yesterday, now after a year United Health Care needs the doctor to approve this medication, THE DOCTOR WROTE THE PRESCRIPTION!!! What does that tell you... Now this process will take who knows how long to process and all the advantages that this drug has provided my wife is mute...
What can be done???? This stalling process by the insurance company can be dangerous to a patients health...

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  • Ex
      12th of Jun, 2009
    0 Votes

    First of all, it is not UHC that approves or denies drugs...that would be your prescription drug plan. A formulary is available upon request. Second, most drugs that are preauthorized by your physician are covered to some degree if it is deemed medically necessary so maybe you need to go back to your physician and ask for a preauth to be sent to the company for approval. Hope that this gives you the avenue that you need to find a resolution to a very common misunderstanding.

  • El
      24th of Nov, 2009
    0 Votes

    I also take Forteo and have done so for over a year now. My husband recently lost his job and had to go on COBRA. There was a period where I had the same problem as your wife and was at risk of not getting a new monthly supply of the medication. Fortunately, I had somehow been able to get about 3-5 more days from each vial, which enabled me to bridge the time between when the insurance company would not cover me for additional months and when it finally was re-instated.

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