tag:blogger.com,1999:blog-4221085674812107695.post8482457712243596765..comments2024-03-28T05:34:46.884-05:00Comments on The Law of Compounding Medications And Drugs: Pharmalot Blog--Anthem Blue Cross Blue Shield ends coverage for compounded medications as of November 1Unknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4221085674812107695.post-86654772430453187392013-09-20T19:04:07.238-05:002013-09-20T19:04:07.238-05:00I got one of Anthem's letters. I have testost...I got one of Anthem's letters. I have testosterone compounded because there are no commercially available creams with the dosage I need -- as Rx'd by my endocrinologist. The letter says that they are ending coverage because testosterone is not approved by the FDA. The stupid thing is that testosterone is approved by the FDA so I don't even understand Anthem's letter. Anyway, I guess now I have to get 5 bottles of Androgel a month, which is going to cost Anthem $2,500 a month instead of the $20 Anthem pays after I chip n my $40 co-pay. Worse, Androgel does not even work -- no matter how much of the goop I smear on myself. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4221085674812107695.post-89328024166732090332013-08-31T14:35:49.290-05:002013-08-31T14:35:49.290-05:00It seems from their letter that they are omitting ...It seems from their letter that they are omitting the main ingredient for treatment, and instead just listing another ingredient in the compound as a method to deny coverage, Does everything have to be about money? Anthem, how about a little integrity?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4221085674812107695.post-82295614261971031102013-08-31T14:23:08.944-05:002013-08-31T14:23:08.944-05:00Sorry for the spelling/wording errors, it would n...Sorry for the spelling/wording errors, it would not let me edit it .Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4221085674812107695.post-47576977624314947722013-08-31T14:20:53.410-05:002013-08-31T14:20:53.410-05:00This should be considered white collar crime, thef...This should be considered white collar crime, theft by deception. We received a similar letter pertaining to bioidentical hormones. Their letter referred only to one ingredient in the compound, progesterone, 100 mg, used yo balance the main ingredient, C-triesto .25mg. Their letter failed to mention that the compound main ingredient. It took a year of many, many hours on the phone and manual submissions to get this straightened out as they tried to avoid payment on it last year, Now here we go again. We need legislation to reimburse people for their time in fighting these attempts to defraud us, and fines for these corporations.Anonymousnoreply@blogger.com