I was on the phone with the ins. co this morning. We have medical finally! Whoohoo. It has been 3 years since dh had a full time job (he left shortly after Sept. 11th to go back to college) and thus, we haven't had decent medical. Anyhow, I was checking on some info for our vision plan and decided to check some info regarding Zofran. Our health ins. contracts out our perscription coverage to an outside co. They really push their mail order option. I had checked online to cross reference with their formulary and it did show coverage for both 4 and 8 mg Zofran in both oral and sublinguial.
Long story short, the lady on the phone told me that 8 mg, 4 times a day would be an $11000 perscription and it wasn't covered. LOL I mean, this is the insurance lady and she seemed shocked. But I told her I knew it was covered monthly, and she said that yes, I could get it from my local retail pharmacy for $25 for a 120 pill, 30-day supply. (The $11K was for a 3 month mail order supply).
So, the point here is that she didn't think I had any Zofran coverage until I asked her to check other ways of filling the perscription. If I hadn't been persistent, I might have thought I didn't have any coverage.
And the other point, or question really is, I have to pay a $25 co-pay no matter how big the script. So, since it would be a 30-day supply, can my Dr. write me that large of a perscription? I mean the insurance told me it would be $25 for a 120 pill script. My other Dr. even though it was the same script of 8 mg 4 X day, only wrote it out for 30 pills, not 30 days. I want to save on my co-pays if possible.
Emily