I don't know if you remember that I wrote about being approved for Tecfidera. If not, you can read about it in this post.
The extremely condensed version of the post is that I was approved for a $0 copay program for Tecfidera.
That was a little more than a week ago, so one would assume that the medicine would be forthcoming, right? Well, one could assume, but one would be incorrect. I've been back and forth with phone calls between Biogen, insurance companies, and my doctor's office.
Biogen called me one day to tell me that they assigned me to the incorrect assistance program. Apparently, they have different departments for patient assistance programs. There is a department that gets you assistance with your insurance, and there is a department that gives you assistance if your insurance company refuses to approve the medicine. I would still have a $0 copay, but I had to be reassigned to the correct department.
In the meantime (while I was waiting to hear back from Biogen about being reassigned), my doctor's office called me to tell me that my insurance company finally did approve the Tecfidera. Seems that no one from the doctor's office ever filed the prior authorization form with the insurance company. Oops. Sorry.
So then today, my insurance company called me to tell me that I was approved for treatment.
I started this post while I was on hold, and the robotic yet cordial person* came back on the line twice to thank me for holding and for my patience. The third time she came back to the phone, she apologized and told me that she could call me back so I don't have to sit on hold. Great, let's do that.
So now, I'm waiting for the phone to ring.
All right, hot off the presses! Here is the latest information regarding the saga of getting Medicine for Lou Ann.
The specialty pharmacy voided the prescription when they thought I didn't have coverage. Biogen had to call my doctor's office to get them to send the prescription back to the pharmacy.
My cordial robotic representative will be out of the office on Monday, so I probably won't hear anything until Tuesday.
Maybe I'll be getting Tecfidera for Christmas!
*I wrote about a cordial yet robotic person in my previous post. This person is a different cordial yet robotic person.
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