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.

Buckle up for 4 more years of Obama Bashing and pissing contests

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Romney may be going down in flames…

Not because he said anything wrong…

Well ok, approximately 46% of our population don’t pay taxes and he said 47%. And he should have been more precise… Federal Taxes… 

Romney isn’t being destroyed because of imprecision. He’s being destroyed for telling the truth.

If you do the math, one way or another 46% of our population isn’t paying federal taxes. Guess what? They’re NOT breaking the law. 

A large percentage of them are retired folks, remember the baby boomers??? Well they’re still retiring!

Social Security by definition makes them dependent on the government. It should be remembered that Social Security is technically a term life insurance policy that they have paid into all of their working lives.

Yes, they’re dependent on the government to dispense their money. But NO SSI doesn’t represent an “Entitlement” program. The SSI recipients don’t pay Federal Taxes, nor should they.

Then there are the working poor, they make money, but usually don’t make enough to cross the Federal Tax threshold. Not only don’t they pay taxes… They shouldn’t pay taxes!

Mixed in there somewhere are the perpetual victims, we all know they exist why deny it?

There are always people in any society for whom nothing you do to ease their burden is ever enough. These people are 100% dependent on the government. And they don’t pay taxes either.

So Romney was right and wrong. The problem is that what he said and the way he said it, sounded bad. 

He’s absolutely right that 46% of America is in all likelihood not going to vote for him.  It wouldn’t be in their best interests because they’re as afraid of him cutting social services, as the Republicans are of President Obama expanding social services.

Romney, rather than wasting time trying to convince the hard sells is making a conscious choice to focus on those folks that can swing the election his way.

President Obama is doing the same thing. He’s not bothering to focus on the hardline Republicans. The President is rightly concentrating on those swing voters whose votes will carry him to a win in this election.

So why is it right for one candidate and wrong for the other one? It’s not. Each candidate must ignore those people who won’t carry them to victory and do only what is going to insure them winning.

The truth notwithstanding it’s likely that Romney will loose because of media spin and the choice of the American People to believe exactly what they’re told on TV. I wouldn’t mind our candidates winning or losing based on facts and truth.

No doubt, we all remember the poisonous vitriol the media hurled (rightly so, in many cases.) at former President Bush.

The same venom is being heard time and again regarding Republicans in general, even when they’re agreeing with their Democratic counterparts.

One can get a full measure by simply listening to the difference in reports covering the Tea Party and Occupy (what ever this week). The former are portrayed as nut jobs the latter are spun as victims. I view them as two sides of the same coin. (Another blog post entirely to justify that statement.)

I cringe to think the office of the President of the United States hinges on who makes the best commercial or who the media likes versus the choice being made by informed voters.

Obviously I took a wrong turn because I’m living in a Kardashian / Snookie world.

If you happen to see a door to a real world, please give me a call…

Paraprosdokian Of The Week

A Friend sent me a list of these. I thought it would be fun to share them.

Paraprosdokians are phrases or sentences that lead us down the garden path to an unexpected ending.

Money can’t buy happiness, but it sure makes misery easier to live with.

I’d actually hoped to get off the Muslims but…

I couldn’t resist.

After reading the news today out of France.

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Normally the French are wrong just out of habit.

But this morning I woke up read the news and started laughing my ass off, after I  had an epiphany. 

It’s become clear is that Muhammad is the Achilles heel of the Islamic world.

So us evil bastards in the West need to start using it to our advantage.

We need to get England to publish something about Muhammad, then have Sweden follow on with something else about two weeks later.  Then have the other EU countries follow on at 2 to 3 week intervals. 

All we have to do to win the war on terrorism is to keep insulting Muhammad… The radical Muslims will destroy themselves and their countries in a rabid foamy mouthed orgy of hate and stupidity.

Let them keep burning, looting, and bombing their cities and countries. It’s far more effective, cost efficient, and safer way to deal with the problems of the Middle East.

After all, why spend a million dollars on a cruise missile when we can drop a flyer showing a crudely drawn image of Muhammad taking it up the ass from a camel?

The damage the radicals would do to a city or their country is far greater than the damage that would be done by 100 cruise missiles.

Yeah, there may be some collateral damage and we might have to be a lot more careful in public places but that would only last for a little while, Eventually the radicals will decimate themselves and those that don’t actually kill themselves will be too weak to be much of a threat.

It beats the alternative plan… Sterilization of the infestation area with Nukes.

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As an alternative to nukes we could always steer asteroids into an orbit that would be appropriate for planetary bombardment.

Targeting the exact areas in the Middle East would be tricky but we could stop global warming and still have access to the oil reserves after a few well placed asteroid impacts.

Pssst don’t tell the Primitive Islamic Savages, AKA “PIS” we don’t have that capability quite yet.

On the bright side… I’m sure that someone is working on it.

Romneys Headaches

You almost have Ap mitt romney leaked tapes dm 120918 wblogto feel sorry for the guy.

I also find the timing of the release of this videos  very interesting… Now the media is picking up on the comments and blowing them way out of proportion. 

I don’t necessarily agree with the guy on all points but I sure as hell believe that he’s entitled to say stuff privately without being recorded and having those recordings posted all over the internet.

Thus far he’s said that “47% of the population is going to vote for Obama because they’re dependent on government.” 

You know that’s probably about right 47% of the population is going to vote for Obama without a doubt…

Just look at the 2008 election,

52.9% of the voters voted for Obama, 45.7% of voters voted for McCain. That’s actually a pretty close split between the Democratic and Republican parties.

If you go back to 2004 Bush 50.7% Kerry 48.3%

2000 election 47.9% Bush, 48.4% Gore… Yes! That’s not a typo! That’s what Wikipedia says…

Bush won because of the electoral college. By sheer votes of The People, Al Gore should have been President.

This opens a whole other discussion about the electoral college and why I think it should be disbanded.

However that discussion will have to wait.

The point I’m making here is that the past 3 Presidential elections have been won or lost by a pretty narrow percentage of the peoples vote. The 2008 election had the highest voter turn out of the previous 3 Presidential elections 63% No matter what you may think of President Obama, you have to admit that his candidacy energized the voter base, and that’s a good thing.

Romney is in trouble for saying it, and then qualifying his 47% comment with the following;

“… who are dependent upon government, who believe that they are victims, who believe the government has a responsibility to care for them, who believe that they are entitled to health care, to food, to housing, to you-name-it. That that’s an entitlement. And the government should give it to them. And they will vote for this president no matter what…These are people who pay no income tax.

I don’t agree about the no income tax part… But in general I think he’s making a valid observation. I have personal knowledge of a specific group of people in this country who perceive themselves as victims and entitled all the time no matter what!

The people who are dependent on government, NO MATTER THE REASON will vote for President Obama.

It’s obviously in their best interest.

Romney is right, there is nothing he can do or say that will win these people over, short of becoming a democrat and making the same promises the democratic party does.

Why is this such a big deal?

For god sake we have a candidate that spoke the truth as he sees it.  He’s taking the heat and he’s not backing down from his position.

Isn’t that what we want? Leadership?

We don’t have to hang on the Presidents every word, we don’t’ have to agree with every position, We need a President that speaks his mind, has conviction, and who is strong enough not to wither in the heat of battle.

We do need a President that when faced with facts that contradict his opinion is capable of gracefully accepting the new information, incorporating then new data and moving forward.

The problem is, so many of the entrenched politicians in Washington and in the various state government for that matter are fat, dumb and happy. They’re safely ensconced in the halls of power and know it’s not in their best interest to rock the boat, so they don’t. Business as usual in Washington is the way of things.

In this election we need not only a President who is a LEADER we also need politicians in Washington to be leaders. If our politicians aren’t going to lead, then they need to follow. A strong President who’s direct and upfront might be just what we need to make Washington work for a change.

I loved this comment from Jim Messina, Obama for America campaign manager,  “It’s hard to serve as president for all Americans when you’ve disdainfully written off half the nation.”

I seem to recall that in 2008 Election President Obama disdainfully dismissed the “Flyover States” however I can’t find the reference now so I could be incorrect.

We all have our likes, dislikes, opinions and preconceived notions.

Saying that half the country isn’t going to vote for you is not writing those people off. It’s a statement of opinion and doesn’t necessarily mean you’ve written this people off. In fact, it could mean that you’re going to be more sensitive to their situation. Although I don’t think we haven’t seen too much of that kind of thinking about the “Flyover States” from the Obama administration.

Romney is also taking heat about comments that he made about Palestine

He’s quoted as saying Palestine is “committed to the destruction and elimination of Israel and are uninterested in peace.”

Again… from the observable evidence… this is a true statement.

After all, you don’t keep randomly lobbing RPGs and other explosives into residential neighborhoods if you’re really interested in peace.

Lets give the guy credit where credit is due. 

He’s demonstrating the kind of leadership that a President should, regardless of whether you agree or disagree with the statements. At least Romney has a set of balls.

Anybody heard about the new digs Obama is, or has purchased in Hawaii? I thought he & Michelle were going to move back to their Chicago digs after his term in office. After all Chicago is a gun free crime free paradise.

Yeah a little snarky but It’s my blog…