The Evil of Express Scripts

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I’ve written before about some of my travails with Express Scripts.

The latest dealings with them is simply too annoying for me to let pass without comment.

Two weeks ago, I noticed it was time for me to order the single medication that I use daily.

I went to the Express Scripts web site, placed an order , got a confirmation number and then heard nothing else.

I didn’t get their usual string of annoying emails;

We’re processing your order”

“We’re really processing your order”

“We’re putting your order in a box”

,“We’ve put the stamp on your order”

“Do you want to schedule automatic home delivery?”

“We put your order on the shelf”

“Are you really sure you don’t want to schedule automatic home delivery?”

“We’ve moved the box containing your order to another shelf”

“Why don’t you want to schedule automatic delivery?

“The post man picked up your order”

“Your tracking number is…”

Normally, I’d get the tracking number a couple of days after I had the package in hand.

I didn’t think too much of their new terseness, I actually thought, “Great, I’m not being spammed to death with irrelevant B.S.”

Then I forgot about it… It’s not uncommon for them to take as long as 10 day to get my stuff to me. That’s rare but it’s happened in the past.

On the 10th day I log into the Express Scripts website, to see where my order is. I find that it shipped on September 11. I check the supplied tracking number and discover that the order was apparently delivered via a post office in Calimesa, CA. Apparently someone received the order… it’s listed as delivered by the Calimesa Post Office.

Whoa!, First, Calimesa is about 65 miles from me. Second I didn’t pick up the order.

I call Express Scripts and get this really snotty little bitch.

I wasn’t particularly upset when I started the call, I just needed to know what was going on.

But after speaking with little miss bitch I was angry!

Turns out Express Script policy is not to worry about it until 12 days after a package has gone missing.

OK fine what then? According to Ms. Bitch then they’ll send me another order but in the mean time I’m the one that has to follow up with the Postal Service.

WHAT? I’m not the one that shipped something only to have it go missing.

Every other vendor who ships something will initiate a trace in the event that a package goes missing. But not Express Scripts.

Which caused me to ask the question “What would have happened if this prescription was an opiate? Vicodin, Darvon, Demerol, Percodan? Those are heavy duty controlled substances, would Express Scripts be so cavalier about a package of that going missing?

Little Ms Bitch interrupted me 5 times while I was asking that question, then bitched at me for talking over HER!

Her response was “my hands are tied, our policy is clear” which I thought was a pretty defensive and pat answer.

I asked another question and little Ms bitch talked over me AGAIN. “What happens if I run out of my RX?”

If the patient runs out of their medication,

The patient has to contact their physician to get an new RX to have filled at a local pharmacy.

Which is seriously annoying because Express Scripts has the RX and could easily arrange with the local pharmacy to provide a small supply while the shipping issue is being sorted out.

Needless to say a stronger letter will follow to the fine dumb asses at Express Scripts.

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Saturday I couldn’t do anything, since I needed normal business hours to speak with supervisors.

I will be sending a letter to the FDA, the DEA (Both of whom are involved with the regulation of online pharmacies) Another letter sent to the California “Board of Pharmacy”. All of which will be CCd to Express Scripts Corporate offices.

Oh, By the way, you have to Google for Express Scripts corporate office address because it’s not on their damn web site!

It’s not just that I’m missing a single package.

I can’t be the first or only person to have a package go missing.

As a customer it shouldn’t be MY responsibility to track down that package.

There is the whole can of worms about what happens if the drugs being shipped are Schedule 1 drugs (Highly addictive or subject to abuse) and those go missing?

There’s the issue that if I’m out of the drug I need now I have to take my Doctors time un-necessarily to clean up Express Scripts mess.

Then there’s the problem that what my Doctor prescribes and what Express Scripts actually sends are two different things. Express Scripts has no problem taking a patient off a perfectly good medication that works effectively and predictably to put the patient on a “Generic” medication.

I don’t care what the hype says… A generic medication has a slightly different chemical makeup therefore It’s NOT the same as the prescribed drug. (I can produce proof that Generics aren’t as effective as the “real” drug I was prescribed. That proof is of course strictly about my own body and your milage will vary. But the ineffectiveness isn’t pronounced enough to FORCE Express Scripts to give me the “REAL” drug again.)

What the hell is Express Scripts doing prescribing medications without having ever personally seen the patient in question? 

If I have the RX filled at the local pharmacy, I’m going to get what the Doctor prescribed, which means I get to go through an uncomfortable re-adjustment to the “REAL” drug, and guess what? I get to go through that painful re-adjustment AGAIN when Express Scripts gets their shit together and sends me my damn order.

Express Scripts is Evil… They’re the Wal-Mart of the pharmacy world.

Most shopping plazas have a grocery store and a pharmacy. There’s a reason that became the norm, we all buy groceries and it’s no big deal to drop by the pharmacy when we’re picking up the weekly supplies.

That is, by the way exactly what I used to do. I’d call the pharmacy, place the order and schedule to pick it up on whatever evening after work when I was getting groceries. Simple, efficient, and it was good for the economy.

Yeah, think about that…

How often have you gone into the pharmacy to pick up a prescription and realized you’d forgotten vitamins, or shampoo, condoms or whatever?

Now, because of Express Scripts and companies like them, you don’t go into the pharmacy nearly as often.

This translates to a loss of sales on all those little incidental items, or seasonal items that you’d have purchased in the past. Now, you’re not likely to even see them.

Guess what? That means that local jobs in your community are at risk. Stockers, cashiers, and the staff of your local drug store won’t be as necessary because the drug store loses business.

Highly trained individuals like Pharmacists will not be in demand so their jobs are at risk too. Overall that degrades the quality of the local community.

I miss going to the pharmacy and picking up my prescription. I miss talking with the pharmacist and the human touch. I miss the confidence I had in my local pharmacist. They not only had my prescription records, but that they checked them for drug interactions.

I get NONE of that using Express Scripts. What I get from Express Scripts is inconvenience, and a snotty little Bitch that has no courtesy, and reads a script instead of being actually helpful.

I’ve said it before, RESIST! REBEL!

It’s your health and your body that these people are arbitrarily playing with. You don’t have to accept the B.S. they’re peddling.

Don’t agree to an insurance plan that includes Express Scripts, choose other insurance options if at all possible.

If your company has already bought into the Express Scripts kool-aid, You can try to force your company insurance programs to stop using Express Scripts.

Complain to your HR people every single time Express Scripts screws up, or swaps your working prescriptions for a generic without bothering to tell you.

Eventually, your company insurance administrators will get tired of hearing the complaints and fielding phone calls. When they do… you can be sure they’ll drop Express Scripts… because dealing with Express Scripts is too much trouble.

Check your prescriptions carefully

When Express Scripts substitutes a generic for the drug you were taking make sure they spoke with your physician.

Even though they claim in their letters that they speak with your Doctor about sending you the generics… They apparently don’t. My doctor has no record of them ever speaking with him.

Stop buying into this concept of cheaper is always better!

Sometimes cheaper is just another word for shitty.

Where’s MY Obama Money?

American healthcare

Couldn’t help myself.

When President Obama was first elected there was this little lady being interviewed on television, she was talking about all the good things that were going to happen for her since Obama was elected. One of the things she kept talking about was how she was going to get a new cell phone and a better apartment ’cause of Obama Money that would be coming to her.

When she was asked where that money actually came from she said she didn’t care, ’cause it was Obama money and Obama was going to make everything alright for her.

Myself and 300 coworkers layoffs were a direct result of President Obama and Congress having a pissing contest in late 2010 and early 2011.

Clearly BOTH sides forget that they are there to represent the PEOPLE not partisan interests.

Here we are in the election cycle again. The only thing that has changed, especially for people like me is that our unemployment is running out, we’re paying obscene prices for COBRA coverage ($600) a month and despite the media spin… things are improving at a snails pace.

WHERES MY OBAMACARE?

Guess what?

As usual, since I’m an American worker that has scrabbled and climbed to the middle class, contributed to the economy, paid my bills, didn’t use my house as a piggy bank, and have been responsible for myself and my shit.

I’m actually NOT ELIGIBLE for Obamacare… and won’t be until long after I’m destitute, homeless, masturbating under a bridge, and a burden on society. Which will happen a lot sooner than later paying out COBRA.

In general even in my 50s I don’t use $7200 of medical care per year. I’m extremely thankful for this. So why am I paying $600 a month to maintain COBRA? An even more interesting question is why does the Obama system make it illegal to not pay for insurance?

Between prescriptions, the occasional MD, Dentist, and Optometrist visit I’d say that if I were paying cash maybe I’d spend $3500 per year.

This is EXACTLY why so many employed folks CHOOSE to forego insurance. I went without insurance for YEARS… I paid out of pocket for services rendered…

And you know what???

Because it was a simple cash transaction I got pretty steep discounts and the same or better care BECAUSE the insurance companies weren’t involved. During those times… the Doc would say you need an antibiotic and hand me a bag full of physician samples. Great! no pharmacy bill.

I’ve been in an emergency room exactly once in my life. That was because I had a broken bone. I’ve been to urgent care twice. If there’s any way I can see my Doctor, I’ll call him drive to his office and wait. I’d rather have him look at me than some stranger anyway. 

So folks not having insurance are taking a risk but they do that every fucking day just driving on the freeways, especially now!

7 grand in my yearly budget would be a whole lot better than paying for coverage that I’m not fully utilizing. I’d imagine that the average American family could do a lot with 7K per year.

7 grand is 4 months of unemployment. Honestly, I’d rather have the cash.

So tell me again why we’re all paying so much?

OH Yeah! it’s to cover all the people who have no insurance, low incomes, and who regularly clog emergency rooms with non-emergency situations because they KNOW they will be seen by a doctor even if they refuse to pay their bill.

The disparity isn’t stacked in favor of the rich and middle class it’s stacked in favor of the poor.

So now here comes Obamacare <insert imperial fanfare here>. It does nothing for me. Insurance costs won’t be lower. My care will probably be degraded, and I’ll most likely end up paying out of packet to see the Doctor I want to see instead of some non-english speaking supposed doctor with whom I have nothing in common and whose instructions for my care, I can’t understand anyway.

The thing that annoys me probably most… is this wonderful debacle will put the country in even more debt and effectively lower the quality of care for everyone. Because after all mediocrity and socialism walk hand in hand don’t they?

I don’t shop a K-Mart for… well anything. I’ll be damned if I’m going to be forced into a K-Mart situation in health care. “We can do that required brain surgery for $500, but for $1500 we’ll sterilize the instruments.”

The liberal elite can’t understand why the middle class is pissed off!

It’s easier for them to call us selfish, and greedy rather than to take all their supposed intellect and actually understand the position they’re placing us in.

 

It Sucks getting old…

The Doc decided to add a medication to my regimen.

I took the first dose Friday morning and have discovered something that I never knew about before.

Hives!

Within 10 hours I’d broken out all over and I’m so itchy I’m loosing my mind. 

I will never ever tease my dog about having to wear the “Cone Of Shame” again.

All I want to do is scrub myself with steel wool, or just peel my skin off completely

My wrists, hands, feet were swollen and my hands hurt in a way I never knew was possible.

Forget water boarding give me one of these little pills and I’ll tell you ANYTHING.

The large welts on my arms are starting to go away but the itching on my legs is driving me crazy. I am frankly amazed that only little pill could cause this kind of annoyance for going on 3 days.

The itching has messed up my concentration so bad that I haven’t been able to read, write, or much of anything since Friday. I spent yesterday dozing with the assistance of Benadryl every 6 hours.

Problem is, there’s a lot of stuff I needed to get done this weekend.

So guys, before your Doc gives you some drug… as him if he’s ever taken it and what it did to him.