Is it just me?
I'm having more problems trying to prescribe because prescriptions the insurance companies/PGMs don't match the correct NDC numbers for generics.
I write for a generic and it does not have Do Not Substitute. Shouldn't this allow them to switch to a more preferred generic?
Which inhaled corticosteroid do you like. I will write for generic fluticasone and it will be rejected with the recommendation that I should use QVAR but when I write for that it is also rejected. I call the PBM and of course talk to someone who has no clue of what an ICS is, they have to consult a pharmacist and it is recommended that Pulmicort flexihaler will not require prior auth (BUT ONLY FOR THIS PLAN).
But then I'll still get a fax from the managed care company recommending that the patient should be on a ICS despite the fact that I have written for several. And of course there's no longer Flovent HFA but a host of others some liked and some not.
Even generic albuterol inhalers? Come on! But there are eqv-pro-air, eqv-ventolin (x2) and just 90mcg/inh aerosols. Which one do they want???
And I haven't discussed the process of prior auth!
Last edited by Wendell365; 10/29/2024 11:51 AM.
