Medication Saga continues…

Well I definitely wasn’t lying when I said “roller coaster” this week really got to me. It is still so crazy to me how everything can be going fine and BAM one phone call has you crying in the work bathroom wondering how to move forward from here. I wasn’t going to share an update because to be honest I still have no clue what is going on but that’s the whole point of this blog to share all the details good, bad, and the unknown. Now I’m not sure if this is just my shit luck or other people have had struggles with insurance but here is where we are at.

1/25/21- We received the phone call that after WEEKS of back and forth we got approved for our infertility medications. This is HUGE and I know a lot of people that I talk to are self pay so I felt very fortunate. We were told that we could get them shipped right from Maxor Specialty Pharmacy and as soon as the prescriptions were filled someone would reach out to collect the copay and verify shipping details. Well if I have learned one thing during this it is DO NOT wait for someone to call you, I have turned into the most annoying patient and that’s okay. You really have to stay on top of everything and advocate for yourself and that’s exactly what I have done all week.

As the week continued I called every morning and afternoon to see if anything had been filled yet. Quickly I started to realize that every time I called I would talk to someone new and the story changed each time. One person would say it was “still being processed” and then the next person would say “hmm I only see one of the medications are you sure you need five”. Losing my patience would be an understatement. Lets not forget that my cycle Day 1 is due at the end of this week when I should start a round of birth control pills for 10 or 14 days and then start injections, so it is crucial to get these medications all squared away or we waste ANOTHER month. I know a month doesn’t seem like a long time but when you get this close to a start date and then you can’t start because of pharmacy issues it crushes you.

1/28/21- Driving home from work and my phone rings, its the pharmacy. I pull over because usually these are loaded conversations that I need a pen and paper for. All I hoped for was that everything was all set and they just wanted my credit card. Wishful thinking. The lady proceeds to tell me that 3 of the medications went back under review (still unsure of why and she couldn’t give me a reason) and that it would take another 72 hours. Also that the HCG medication I need is on backorder until 3/28 but ONE of the medications is ready to ship. Just one, which is pretty pointless because I need them all to start this cycle. The HCG I can pay out of pocket for because I refuse to wait that long but its pretty pointless to buy that without any updates on the other 3. So we are back to sitting around and waiting. I had a massive cry fest and Dave just said “screw it lets pay out of pocket for them all it’s not a big deal, I hate seeing you like this” which I absolutely adore him for this but it’s not the POINT. We pay a lot of money for 2 insurances, we made sure that we were covered for infertility treatments and medications before we even met with a fertility doctor. I refuse to just let up and swipe another card because they can’t get their shit together. The phone calls with the “I don’t know” responses are NOT acceptable! So if we have to wait another month so be it but I am not backing down on this.

Another 72 hour wait…