I have had the same experience with all the drug managers like Medco, Express Scripts and Caremark. They will often send the patient an unrequested generic or substitute for their brand name drug, claiming that we have authorized the substitution. As Wayne says, we never respond to such direct inquiries, unless initiated by the patient at an office visit.
When the patient challenges them to provide hard evidence that we okayed the change, they will refuse, saying they are not allowed to send the patient this information!
This type of devious practice is merely
standard practice for the Pharmacy Benefit Managers.
