We have been waiting what seems like FOREVER to see if the Freestyle test strips would be authorized as medical necessity since they are the strips Ike’s OmniPod uses and they aren’t normally covered by our insurance.
Well I received a call on Friday from Ike’s doctors office letting us know that the request for medical necessity was approved! Unfortunately when our pharmacy tried to run the script it kept getting rejected! Well I called Caremark today and talked to a girl who was amazing! She is the first person to tell me that while they provide the prescription benefits – another company, Allied Benefit, administers the plan and does all the authorizations! Finally I felt like I was getting somewhere!
I called Allied and talked to a extremely helpful rep who assured me that the authorization was approved, he checked with the prescription benefits coordinator who gave me a date to have my pharmacy run as the service start date. Thankfully, he also gave me a number, extension, name, and case number to have the pharmacy call in case it still didn’t work. It didn’t work – but my pharmacy was gladly willing to call!
I just heard back and it turns out they had associated the authorization with another family member and for that reason it wasn’t going through!
Ultimate goal achieved – a months worth of Freestyle test strips are now waiting to be picked up at the pharmacy! Ike is going to be one happy camper and personally – I never knew how much I love test strips!