I was referred by my ENT to a Lung & Sleep care Dr in February for a sleep study. I was told the earliest I could get an in-lab sleep study was in May. Three days before my May appt, I get a call saying they're cancelling my sleep study because my insurance didn't approve it. I ask why wasn't the pre-approval process done months earlier, and the lady laughed and said something along the lines of 'honey we're way too busy to be doing pre-approvals that far out.'
They also prescribed me Modafinil to help with fatigue/lethargy. They sent it to my regular pharmacy on file. My insurance didn't cover it, and it ended up being way too expensive so I didn't get it filled. I then found out that I could use Good Rx and get it through a different pharmacy for much cheaper. On May 1st I called and left a voicemail for the nurse, and also messaged her through the patient portal asking to send it to a different pharmacy. I was very clear in my instructions. After a week of waiting, I got an update that my prescription had been sent in error to the original pharmacy. Since then I have been calling and messaging them every day to get this sorted out. Tomorrow will mark 2 weeks that I've been requesting it be sent to the new pharmacy. It's considered a controlled substance, so it can't be transferred from pharmacy to pharmacy. It needs to be called in directly by the Dr's office. I've only ever received one response by phone, and one response through the patient portal from them. Otherwise it's radio silent. I've also called my ENT's office since they referred me there, and let them know about the situation. I even asked if they could prescribe it for me. They said no, but that they also reached out to the Sleep office on my behalf and I still haven't heard back.
The pre-approval failure is one thing, but waiting for a prescription to be called in for 2 weeks just seems negligent and ridiculous. Is there something I can do? Some regulatory board I can file a complaint with? Any other suggestions on what actions I can take?
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