Monday, June 04, 2012

Blood Glucose Strips Refill: Physician Approvals Required for Insurance

By Dr. Bill Quick, Health Pro Sunday, January 17, 2010
I called my pharmacy's automated system one day earlier this past week to refill my blood glucose strips, and was informed by the system's robovoice that my physician needed to be called to authorize the prescription. No big deal; it's been a year, and my physician is fine with me testing my blood s...
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1/17/10 3:14pm

I'm used to testing 5-7 times per day---200 strips per month. Kaiser is cutting me back to 50 strips per month as a non-insulin-dependent T2. My doctor is unable to think outside the box that Kaiser has put her in and is going along with it. I've been round and round with pharmacists, my doc, members services. I've told them that I couldn't have gotten from a 6.5 to a 4.9 without frequent testing, listed all I'd learned that was keeping me healthy, etc, etc. They are cutting the baseline for the insulin-dependent back to 5 per day. Doctors can prescribe more if they want to. Mine didn't. I am incredibly angry.

Anonymous
Anonymous
1/17/10 5:36pm

I test foour times daily per Dr.'s orders and for the last year I've been asked by my pharmacy to forward to them logs showing my readings for the past quarter.  Pharmacy states it is a MediCare regulation which allows testing only 3 times daily.

1/17/10 7:45pm

I test between 6 to 8 times a day and the pharmacy where I go has been telling me I only need to test once a day. Fat chance that will  happen. My doctor fully backs me up though which is good.

I thought the reason that Medicare limited test strips was based on the fact that in the early days, people with diabetes only took insulin once a day, so why test more. I did not realize that the reason for limiting test strips was to prevent people from getting strips to resell to 3rd Party Payors and to prevent people from getting strips who are ineligible. Besides one can go get a cheap meter and cheap strips via any of the store brands, so how is this regulation going to stop people. Personally it only hurts people like us who need the test strips to manage our blood sugars.  So in other words the government in their efforts to prevent others from using the test strips is at the same time preventing us from having the ability to manage our diabetes. Sure stinks to me.

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By Dr. Bill Quick, Health Pro— Last Modified: 10/11/11, First Published: 01/17/10