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I'd find a new pharmacy. What one did you use?
The mangled-care pharmacy benefits manager (Medco) is dictated by my insurance company (United Health). So I'm stuck with them unless I switch insurance plans -- which really isn't an option for me at this moment.
One of the people I spoke to at the PBM said I can switch back to using my local pharmacy (CVS). I'm strongly considering that option.
I'd try the pharmacy. Because I'm an old geezerette, I'm on Plan D, which has been switched to United Health, and if I use their mail-order service (Prescription Solutions), I get three months' of meds for the price of two. Generics are "free," that is, I have to pay $38 a month, and that includes all generics until I hit the "doughnut hole." And I'm sure the cost will escalate every year. (It was $23 two years ago before Pacificare sold to United Health.) But I've had good luck with Prescription Solutions. I can phone in the orders and get the drugs within a few days.
My insulin (Levemir) is Tier 2, so it's $69 copay for three months' worth.
My pharmacy just sent me an ad for their mail-order service, but I haven't read it yet.
I always send everything to insurance certified mail..I write the certified # on each piece of paper I send them..then I have proof of delivery, even when they do the send it back thing.
I also save the send it back envelope so I can tell them when they sent it back. We have found they usually have a copy. Some states you can demand to see your insurance file, and get copies of it (of course you have to pay for the copies at the local standard rate-ha), we have found on some occasions this to be worth the cost
I spoke to another supervisor today, who happily gave me her fax number, and when I faxed the stuff I sent originally, said it was sufficient that she could tell accounting to pay the reimbursement!
She also indicated that there's no co-pay in the specific circumstances.
And she took my phone number and told me she'd call me when the reimbursement has been processed.
Wow. Clearly who you talk to (the luck-of-the-draw) makes all the difference in the world...
I have had a very similar experiance with my mail order, I have two insurance providers, get meds from my primary and send receipts to the secondary for reimbursement, after sending info to them twice and multiple phone calls I gave up, now I will get them filled locally. My secondary insurance like the receipts from the local pharmacy. Go figure, saving money the insurace company way!
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That's why I get my meds and diabetes supplies at Wal-Mart, and they will do a 3 month refill too! Plus, they're only 1/2 mile from my house--a nice easy walk.