30 day supply limit

getbozman · Newbie Joined: Apr 25, 2008 Posts: 1

Hello: I have been on Rebif for a year and a half with very few side effects and no new lesions. My medical insurance company was changed a few months ago and the new one limits my supply to 30 days instead of the 90 day supply I had before. Makes it more difficult to travel. When I asked why the limit on Ribif when the plan says you can get 90 day supplies if you use the in-house mail order firm, they sent me a letter saying that all "agents for muliple sclerosis and neurological related therapies" were limited to 30 day supplies. Anyone else have the same problem or have a clue why the insurance company would single out MS treatments?

GeoGuy · Posted: Wed Apr 30, 2008 8:14 pm Post subject:

I 've been on Rebif since February of '07 and also have very few side effects and no new lesions as of my last MRI in November. When I started I was set up with a pharmacy that shipped my meds in the 30 day supply version. My insurance company kept trying to get me to switch to their own pharmacy with a promise that they would send me a 90 day supply and save me money. They caught me on fuzzy brain day and I caved in. They promptly screwed up the order, sending me the 22mcg instead of the 44. When I called to complain I had to go through five layers of phone options before I got to a live person. I switched back to my regular pharmacy, where I always get a real person on the phone and they never screw up the order. Yes the 30 day supply does make planning travel a bit more complicated, but the service I get is worth it. I bet if I asked them to, my current pharmacy would ship my meds anywhere I wanted.
_________________
RRMS since 01/07.

janello · Newbie Joined: Jun 07, 2008 Posts: 1

I've had the same experience with my insurance company. I went around and around with them about getting a 90 day supply because my copay structure usually gives me 3 months for the price of 2 if I use the mail order pharmacy for 90 day supplies. The answer I fianlly got was "sorry, we don't do 90 day supplies for the really expensive drugs." Confused

I'm very lucky because my copays are low and overall my insurance is fantastic, so I decided to just let it go...