so it's a break in that sense. And it's been quite some time since I posted an I Smell Bullshit rant. Lots of sarcasm, here, and bitter, coping irritation.
Yesterday, I took Sophie to The Neurologist to discuss The State of Sophie, Inc. We went over various medication options over tea and cookies (only one medication left to try) and Sophie demonstrated one of her larger seizures, spontaneously, for The Neurologist's edification. We left with a prescription for locosamide or Vimpat, the prettier name, wished the good doctor Happy Holidays and went on our way.
Today, I took the prescription over to The Pharmacy and several hours later received a call from The Pharmacist.
Hello! We spoke with your insurance company regarding the Vimpat, and that drug is not covered on your plan. However, they suggested you replace it with Lamictal, which they will cover.
With my mouth hanging open (Lamictal? Now the insurance company is replacing anti-epileptic drug suggestions from my doctor?), I told The Pharmacist that no, we can't just take Lamictal, a drug that Sophie was on over five years ago for about seven years and that I guess I would call the insurance company and see what was up. The Pharmacist told me that he would order the drug anyway, that it cost $367 for the three week supply and that he hoped we could straighten it all out.
Here's the Christmas part of this post:
Ho!!! Ho!!! Ho!!!
I made the call to The Insurance Company (Anthem Blue Cross) and spoke briefly to an enthusiastic clerk who advised me to have The Neurologist call The Insurance Company for an authorization for medical necessity for the Pharmacist for Vimpat for Sophie. Then he wished me Happy Holidays and is there anything else I can help you with?
Ho!!! Ho!!! Ho!!!