Script-friendly doc - fine but insurance? | ADHD Information

as long as the doses aren't the same the insurance company won't refuse... its only when you have a one month supply and try to fill the same exact dose before that month is up...as for the half filled prescription they won't charge you twice for the copay for the remaining pills.. at lease they shouldn't I have been seeing my doctor for three visits now every two weeks. Started me on dexedrine, which I thought was odd for a patient he had never seen with little history of stimulant use, and has written me a new prescription each visit we've had since, usually within the first (and often last) five minutes. This is all fine and dandy - I obviously don't have to take them all if I don't want/need to, but I'm concerned whether or not insurance will pay for so many separate prescriptions within the same month? They're all from the same doctor so I'm obviously not "doctor shopping", and if the pharmacy had a problem with it they could just call his office. But could insurance refuse compensation unless I have only one prescription per month? Also, if anyone knows anything about how pharmacies and copays work, I'm a little confused about my payments. I usually pay for my bottle of Barr dextro, but the last time I went, they didn't have my full prescription in stock, yet they still charged me for half of the script. Are they really "allowed" to charge the same copay twice just because they don't have your full prescription in stock? I guess I should just ask them, but that seems kind of unfair. But then, it's only so I guess it's not that big of a deal.

My biggest concern is: can insurance refuse to pay for multiple prescriptions within a four week time frame? Has anyone dealt with this before? I guess I should call my insurance, but any input would still be appreciated =)

sleepytimerules wrote:

"I'm a little confused about my payments. I usually pay for my bottle of Barr dextro, but the last time I went, they didn't have my full prescription in stock, yet they still charged me for half of the script."

Thier records should show that you only got half of your prescription, and when you go back, they will give you the rest for free (I have had to do this for bp meds). However, this may be different for controlled substances.

Are your scripts for increasing doses as you are being titered up to effective dose? If so, you just hang on to the partials in case you need them later. If not, maybe someone else has experience with this.

The second prescription I got was due to an increased dose. The third, which I picked up today, is for XR. So altogether, I have prescriptions for a total of 1500mg IR and 1200mg XR, so that's almost three GRAMS (2700mg) of dexedrine in less than four weeks, coming from someone who's never filled a prescription for a schedule II before. That's an incredible amount. I guess the issue is, can insurance refuse compensation because I look sketchy? Or do they have to have proof? I can't just hold on to them and fill them later because of expiration issues.