You are billing the insurance for a 30-day supply, but it is not a 30-day supply

May 27, 2015
9:33:40pm

PharmD

Say you wanted to get a year's worth of blood pressure medication, so your doctor wrote a prescription for 365 pills to be used in 30 days (once-a-day dosing). It is insurance fraud to do that. If it is cash pay, not a problem.

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PharmD

New username: Groin Squirrel
Bio page: PharmD
Joined: Oct 19, 2014
Last login: Aug 3, 2018
Total posts: 0 (0 FO)

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Messages

Author

Time

doctors are confusing sometimes...

NanoFab Coug

5/27/15 12:45pm

But Pharmacists know as much as, or more than, doctors about meds. They should

supertux

5/27/15 1:18pm

We are worried because using it too much causes more headaches.

PharmD

5/27/15 1:25pm

You're not telling me anything I don't know...

NanoFab Coug

5/27/15 6:51pm

Ah yes, taking a ton of triptans sounds like cutting edge to me...

PharmD

5/27/15 9:36pm

based on the amount of research into cluster headache... that's the best the

NanoFab Coug

5/27/15 10:37pm

Look....any pharmacist that wouldn't question someone getting 40

PharmD

5/27/15 11:12pm

I appreciate the question. It allows me to educate non-cluster sufferers

NanoFab Coug

5/28/15 12:12pm

You take 40 pills over 2-4 years?

tank

5/27/15 1:56pm

That's what it sounds like. I would be a little hesitant too if someone was

PharmD

5/27/15 1:59pm

Yep no reason for an rx of 40.

tank

5/27/15 6:19pm

Wait what? How does insurance fraud play into this at all? Did he say he had

SuperTank

5/27/15 6:39pm

You are billing the insurance for a 30-day supply, but it is not a 30-day supply

PharmD

5/27/15 9:33pm

Ok. So he said nothing about insurance. So why are you talking about insurance?

SuperTank

5/27/15 9:55pm

Insurance is an important part of filling prescriptions.

PharmD

5/27/15 11:07pm

Ok. But still irrelevant to this conversation.

SuperTank

5/28/15 5:06am

in my experience, when the insurance company is faced with a choice to pay for

NanoFab Coug

5/27/15 10:34pm

He takes 40 pills over the course of a month, and has to do it every few years

SuperTank

5/27/15 6:41pm

No. Where did you get that idea?

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