Has this ever happened to you? Let’s say your health insurance forces you to use one type of pharmacy, a mail-order pharmacy. But they will allow for medication at, say, CVS, as long as you get a 90-day supply. The medication you are on is $60 a month retail, and $25 with commercial insurance and a manufacturer coupon. So you go get your 90-day-supply of medicine and are willing to pay the $75, but CVS says that the manufacturer won’t allow a coupon on a 90-day supply. So you call the mail-order pharmacy to get it filled, and the mail-order pharmacy says they won’t take the coupon. Like, they just say no. No reason is given, just no. “We don’t accept coupons of any kind.” So you can’t get the 30-day refill at CVS, because your insurance says no. And you can’t use the manufacturer coupon because the pharmacy your insurance is making you go through won’t take it. No, this has never happened to you? Just wait, I’m sure it will.
Healthcare in our country is so jacked up, that this is the sort of thing that happens on the reg. Now mind you, this happened to my husband and it’s for medication he could probably come off of for a few months, or switch brands, it’s not like brand-specific or saving his life everyday when he takes it. But, he’s been on this medication for several years now and has been paying $45 a month, then one day they just upped their price of the medication. Presumably they had their reasons. I mean, nothing changed in the way they manufacture or sell it. There were no changes to the “fillers” and what not. But I’m trying to be optimistic here and assume that it wasn’t just the pharmaceutical company being greedy bitches (because I have friends who work for big pharma) but…
I keep thinking about people who are not covered by health insurance. We are. And our doctor is cool, and she can probably just call in a new, generic script on Monday, and sure maybe he will have to make an appointment with her, and pay another $30 co-pay, and take an afternoon off work to get it all situated, and that’s fine because he can do that. But what about the people who can’t? What about the people who have no idea there are other options? What about the people who can’t take an afternoon off work, or that extra $30 co-pay will set them back for the week? What about those people? Who is thinking of those people? Not big pharma. Not United Healthcare. Not Optum Rx. Not anyone like that.
My husband was frustrated, sure. But he will get the problem resolved. But there are people who can’t get their situation resolved. There are people who need much more important medication everyday. Life-saving medication. And it is taking months to get things like this resolved. And months can mean death for some of these people.
I’m probably not saying anything you don’t already know, that is if you’re even a little bit “woke” as the kids say. But just in case you didn’t know, this is the kind of thing that is happening. And it’s happening to people like us. It’s happening to the working middle-class. The upper-middle-class. It’s happening to the lower-middle-class. And it’s certainly happening to the people below that. And no one is benefitting from it, but Big Pharma.
I’m sorry if you’re any of those people. I’m sorry if you’re walking through this right now. Ask your doctor for help. Ask your friendly, neighborhood pharmacist. They want to help. They get it. And please, for the love of all that is holy, find out the politicians in your area, and nationally, who are working to make things easier on the health insurance companies and big pharma, and vote them the hell out, y’all. We have to fight for people that can’t go at it alone.