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Medco Sucks
Posted by Nellie305 on 04/06/2009
Medco stinks. They seem to think that they are allowed to tell physicians what to prescribe, and dictate what will be covered. My insurance caters to them - which is not fair since I am the one footing the bill. My insulin arrives warm all the time, and when I call and complain, one of their LICENSED PHARMACISTS ACTUALLY TOLD ME HE DOES NOT HAVE TO ABIDE BY FDA REGULATIONS!!!!!

I'm sorry, but he is WRONG! Simple fact - they suck.

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Posted by Anonymous on 2009-04-06:
Your insurance caters to them because Medco provides medications cheaply and thereby cuts down on the cost of claims. EVERY insurance company tries to bully doctors into writing Rxs for the cheapest meds, or restricts them to third-rate formularies. Most times the substitutions don't matter. But, there is no excuse for receiving warm insulin.
Posted by BokiBean on 2009-04-06:
I gotta ask, what is the danger of warm insulin? My best friend's hubby gets insulin from Medco as well and she has complained about it being warm. Does it break down?
Posted by Soaring Consumer on 2009-04-06:
They DO have to abide by FDA regulations. Give the FDA a call right away.

Any company that blatantly claims that they don't have to obey the law is to be avoided.
Posted by Anonymous on 2009-04-06:
If your insulin is arriving warm, that is an issue. If they continue to send warm insulin, contact the board of pharmacy for your state and initiate an official complaint.

Regarding your insurance catering to Medco, your insurance dicatates to Medco what they will and will not cover. All pharmacy benefit management companies will abide by whatever drug list your insurance company requests. If the drug list is less restrictive then your insurance premiums (or those your employer pays) will be higher.
Posted by old fart on 2009-04-06:
I went to the American Diabetes Association site...
here are a few excerpts...
A bottle will keep for up to one month at 86 degrees...

An open bottle will keep for up to one month..

A vial may be heated to prevent discomfort by injection..

It might be worth doing some more research on the subject...

What's the truth of the matter Doc..?
I'm curious...
Posted by Anonymous on 2009-04-06:
OF, you are correct. I looked it up. We always store our insulin the refrigerated section of our facility. Because we cannot control the temperature of the warehouse of the shipper or the temperature of the delivery vehicle, we always send our insulins out in cool packs. If the vials are delivered and they are noticably warm (not just room temperature), that would concern me. I guess it's better to be safe than sorry.
Posted by old fart on 2009-04-06:
That makes sense John... It's easier to warm something up than it is to cool it...
Posted by nstigator39 on 2009-04-07:
WE are having lots of problems with Medco too. Cut out two of my medications entirely and cut back on my wifes, she can only take half the dose the doctor prescribed. It is a shame that they have more control than your doctor, may as well just call them up and ask what can I get for my condition.
Posted by Anonymous on 2009-04-07:
I do not work for Medco but I do work for another pharmaceutical company. I have to re-state what I said earlier, Medco or any pharmaacy benefit management company cannot dictate what medications you can or cannot have. It is up to your employer and benefits administrator as to what kind of coverage they request and are willing to pay for. If you want a less restricive plan, that can be accommodated. Speak to your HR department or benefits office. Explain to them the hardship you are having with the benefits they are providing. Medco and any other pharmacy management company will provide any level of coverage that your employer requests, but there will be a higher premium charged that will more than likely be passed on to you.
Posted by Anonymous on 2009-04-07:
Here's a long story made longer, OF. The ADA recommendations are written exactly as you say. Why? Because patients who lose electricity d/t a storm, travel, or some other minor event may throw out perfectly good insulin because 'it got warm'. They should not. Unopened insulin is fairly stable, provided it is not exposed to temperatures high enough to denature it (insulin is a protein). Opened insulin has a high probability of being contaminated with bacteria (unless the patient practices rigorous aseptic technique when drawing the insulin). These contaminants can multiply the same way they would in a pack of unrefrigerated hotdogs. The question here was about shipped insulin, so we are talking about a sealed vial.

Peak temperature - If the insulin arrives warm, the patient has no idea how high the temperature the insulin was subjected to (Ever leave something in the trunk of your car on a summer day?). It is possible that the vial was subjected to up to 140-160deg during shipping and has since cooled to merely 'warm'. How much denaturization took place? Who knows? But, who wants to take chances if the patient requires consistent dosing? Same with nitroglycerin tabs. They must be kept cool in storage, but it is okay for them to be (in a patient container) at room temperature or in a jacket pocket for a few days. More than that and they should be replaced with fresh tabs from cool storage. The 'carried' tabs are 'probably' okay. But, if I were a heart patient would I settle for 'probably'? No. Nor, would I settle for insulin that is 'probably' okay.
Hope that helped.
Posted by Anonymous on 2009-04-07:
Very helpful info everyone. This could clear up some issues for people using insulin.

As for Medco, I found that I could get a lot of RX's filled at my Kroger store which sells generic drugs, without insurance, for $10 for a 30-day supply. They also had another rate for 90-day supplies, also cheaper. I think Costco, Walmart and others do the same thing.
Posted by BokiBean on 2009-04-07:
Nice answers, and thanks! Now I gotta look up denature.. :D
Posted by Anonymous on 2009-04-07:
kia, you are right. I work for an insurance company and my benefits STINK! So... I get what I need at Ralph's (Kroger). Its cheaper than my pharmacy copay!
Posted by WAVESUSA on 2009-06-09:
Medco, could care less, about patients, and the pharmacists claim to know more than a patient's physician. They sat on 3 prescriptions (mind you all generic and covered by my plan) claiming they didn't think I needed the antibiotic, etc. I asked why they did not call my physician (his address and phone number clearly printing on the presciption? Well, we just didn't know what YOU wanted. Since when do I, myself, write prescriptions. They never had the courtesy to call my physician or myself. They just set the prescriptions aside for another pharmacist to deal with it. Well, needles to say, I called my physician, whom call the 3 precriptions necessary and I received them all for $4.00 a piece. Ha! LOL to MEDCO, you will certainly go broke or have many more lawsuits against you, since you will certainly be the cause of a patient's death.

Posted by sam I am on 2011-07-20:
Medco absolutley sucks butt!!! Their customer service is a complete joke full of faires!!! They danced around the fact that they are making me as a consumer pay for the mistakes made by the dr in writing an rx. i recieved one month supply but was still charges 3 months supply...is that a joke must be because Im not paying for anyones mistake!!!
Posted by allison on 2012-08-30:
Fortunately I don't have any real medical issues where I need to take my med everyday. My insurance requires for long term drugs, I have to use Medco's mail order service. I ordered my prenatal vitamin via Medco's mail order and I noticed that there's almost a week lapse from the last pill to getting your next shipment. I can't imagine what people with chronic life threatening conditions will do when they have to wait a week without their meds. I'm surprised Medco hasn't been sued for billions of dollars.
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non-delivery of medication
Posted by on 08/29/2003
ATLANTA, GEORGIA -- Patients beware!
Medcohealth (ex-Merck Medco) received my prescrpition for four different items on 08/11. Eight days later I received two itmes of this prescription at my office at work, which was quite unusal, before they used my homeaddress, suddenly they switch to my employer. Being located at a real big office complex (> 4,500) a lot of mail gets handled there - but things can take a while, so I call them immediatley to correct the shipping address, also asking for the missing prescription. I was told that stuff is getting shipped as a seperate shippment. On 08/21 I receive in the eveing a call at my home from medcohealth "verifing" my home address. (!?!) One specific item supposedly has to be shipped overnight express, as the medication is perisable. The shipment was announced for leaving medcohealth on Monday 08/25 - arriving next day. I was a bit surprised about this call, as the person I called two days before had claimed the stuff was already on the way - but I thought things can get mixed up, when four different things are ordered the same time. Patiently i wait till Tuesday 08/26 but nothing arrived - on 08/27 I call to follow up and the surprise story truely starts ... what medication is missing - I don't know as a) I can't read the physician's handwriting anyway, b)didn't know that I have to make copies before mailing it to medcohealth and c) finally the prescription is for my 13 old. I only know what was delivered - but the service worker at the phone does not know what may be was shipped, what may be was not ... connects me to a special service worker for my healthcare provider (huh?). Yet no other result with the next phone worker, they don't find anything about the two missing prescriptions. I'm told I will be put on hold for further review of my files - but then - bang the system hung up on me.
Okay - let's write an email via the "myuhc.com" website contact ... telling my frustration about being told different things about the same shipment, but still not getting any help from medco on the phone ... I hope for an answer (promised on the website:"within 24 hours") On 08/29 nothing, no answer, no medication, but the invoice for >$100 comes with the mail. After calling back asking for help a) where the medication went and b) when it was shipped and c) if there is a solution for getting it in short term, I'm nearly half an hour on the phone with a 'supervisor' who tries to understand what happend but can't give me any details on the missing medications but a run around telling me "should know your prescriptions names, that are missing". Nevertheless not one time when I was on the phone with medcohealth, anybody did address a word of excuse to me for their failure to ship as promised ("7-11" days) the prescriptions, neither for their inability to tell me what happend in between the calls ... and really no feeling for the need to help me. I therefore asked for the transfer of the prescription to my local pharmacy ... I don't know if this will work, but at least finally I know the prescription names # numbers.

Anyone who needs real medications should think twice before ordering via mail from "medcohealth" an unfriendly & unreliable service according to my experience!
Patients beware!
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Posted by LOIS52857 on 2004-02-17:
Posted by truffing on 2004-03-14:
Used medcohealth.com to order refills of prescriptions I normally would get filled at the pharmacy. I requested (through the website) on Monday, March 8th. I kept checking the website on a daily basis to see if the status was changing. (As I'm running low on the prescription and want to make sure I don't run out.) The website kept telling me that the order has not shipped, and they have not received a "new" prescription from my doctor. I called my doctors office on Tuesday, just to make sure they got the fax from Medcohealth. The recepionist said "yes we faxed a new prescription over to them on Monday afternoon". Wondering what was going on, I called Medcohealth and spoke with a Customer service rep. The CSR told me they received the fax on Monday, and the prescription was waiting to be filled. The CSR also told me that I might want to speak with my doctor about a two week refill. I told her I had about one week left at home. Now I'm wondering if/when I will receive my medication. Personally, I think Medcohealth has taken on more than it can chew. With the big 3 (Ford, Chrysler, and GM) requiring their employees to use medcohealth for "maintenance" drugs, I think medco can't keep up with the demand.
Posted by truffing on 2004-03-15:
Goverment sues medcohealth in September 2003 over several issues. One of them involved large kickbacks from drug companies. Another one involved employees changing the date prescription orders were received. This allowed medcohealth to not pay late fees to major health plan providers. I wish I new what the verdict was. The article can be located at this link:

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MEDCO Health Solutions? “Solutions” would be the last word I would use to describe this company
Posted by Nikke99 on 07/25/2008
FLORIDA -- Medco Health Solution of Irving, TX, my employer’s prescription benefit provider of choice, has over the past year sent multiple notices that I have leisurely tossed in the trash. As the notices have increased in number, and annoyance, I opened them to find that the company would be doubling my co-payment if I continued to fill my long term prescription through my local pharmacy. I was being bullied into utilizing their mail-order service, but to their credit the co-pay would be substantially less. Reluctantly I contacted my doctor to request my prescription be faxed to MEDCO, and his assistant with a large sigh (as to make clear her disapproval) complied.

I received a notification by e-mail that my prescription had been sent, and patiently waited for its arrival. I was becoming increasingly more satisfied because of the savings and convenience. I dreaded the monthly trip to the local pharmacy to pick up my medication, it was just inconvenient. Within days, my prescription and bill came bundled together as one. I opened the package to find the ‘brand’ name prescription and a bill for $52.00 for one month, instead of the generic at $20.00 for 3 months I had been expecting. I contacted MEDCO immediately, sure this would be easy to remedy. I was wrong.

I was politely advised on 3 separate phone calls by 3 separate MEDCO representatives, and in a letter declining my appeal:

“Your mail-order pharmacy filled your prescription as written by the doctor. You are required to pay the full co-payment for each prescription dispensed.”

I found humor in the fact that they continued to say, “your mail-order pharmacy” and “your prescription” considering these where only two pieces of this tangled mess I had no contact or control over. According to MEDCO my doctor apparently signed the 'fill as prescribed' instead of allowing for a generic substitution. Since I have been going to the same facility for these same medications, I know this was an inadvertent mistake.

My issue with MEDCO is their complete lack of accountability, and their obvious lack of checks and balances. To continue reporting this more an impressive quarterly earnings, they have to bully and take advantage of their clients. We are not their clients by choice, but by lack of options. I have since contacted my doctor to receive repeated apology, but he and his office have no control over MEDCO crediting the mistake. MEDCO needs to implement a system that allows consumers to accept or decline the medication (with full knowledge of the brand and cost) prior to dispensing. The mail-order service has a NO RETURN policy, obviously when dealing with medication, and this leaves absolutely no recourse for consumers.

I have since thrown the medication in the trash, and been forced to pay the bill. They made it very clear they refuse to fill prescriptions with past due balances, and send the bill to collections if refusal to pay is continued. As I explained to three MEDCO representatives and in two separate appeal letters:

“I understand mistakes are made, and service is not determined by lack of issues/problems but in how they are resolved.”

This company gets an F- in my grade book, and are in desperate need of a process overhaul. MEDCO is the school yard bully of prescription drug benefits, and if I had ANY other option I would take it.
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Posted by BEJ on 2008-07-25:
Why is this the fault of MedCo.The Pharmacy can only fill the prescription as written by the MD. It seems to me the fault lies with the physician. Why didn't you get the medical office to write you a new Rx with generic specifies? Why did you throw away the medication--now you have nothing.
Posted by Anonymous on 2008-07-25:
I agree with your assessment of Medco. They ARE a bunch of bullies. My wife has a prescription for migrane headaches. The prescription calls for a certain number in a month. The problem arises when Medco considers 34 days in a month! No matter what the doctor says, Medco will not relent.
Posted by Sunny1981 on 2008-07-30:
I don't understand how Medco is in the wrong by following your doctor's order.....
Posted by Anonymous on 2008-07-31:
A couple of points. The doctor's staff likely sighed not out of disapproval, but out of frustration. The number of patients who change pharmacies after presenting an Rx is huge. It's not just a simple matter to write a new Rx and be done with it. Takes about 30 min of combined doctor and staff time to do it properly. "Fill as written" may be appropriate for some meds. All generics are not equivalent to name brands with regard to admixtures and active concentrations. For some drugs, this is not critical. For others, which must be carefully dosed, it can cause some headaches in attaining proper steady state blood concentrations of the med. VH post!
Posted by HASABRAIN2SMART on 2008-08-03:
#1 your dr wrote your prescription either the way u requested or they way he/she felt would be best for you and if u think that medco was wrong then why didnt u ask for a copy of the script? # 2 you as a grown adult should have full knowledge of your health/prescription plan because U picked it when you signed that lil paper during open enrollment @ your job!# 3 HAD U READ that paperwork you signed you would have known that there was a limit on how many times you could go to your local pharmacy! Take some responsibilty for your own heathcare, did u want medco to give you a glass of water to take the pills too?
Posted by treatmebetter on 2011-02-23:
Dear Nikke99, I was shocked to read of your health plan being able to double your copayment if you did not use Medco & that hasabrain2smart wrote this is in many health plans. I pray I don't find out this is true w/mine! How is this even legal in a free country?? And hasabrain2smart have you read, memorized & UNDERSTOOD every single detail of every agreement you've ever signed?? IT IS HUMANLY IMPOSSIBLE!
Also overworked doctors and their staff (due to insurance companies and the endless, changing regulations they enforce) should not be expected by Medco to be mistake-proof either. The problem with the whole system is that it's a MAIL ORDER, so once pills are sent out they can't be taken back, due to health regulations (I learned this for ONLY $60-sarcasim). This is unlike your local pharmacy where they can not only put the drug back on the shelf & not charge you for it, but they know your face and you can talk to the same person more than once!!! I guess "you get what you pay for"!
It's true what is written under another post that Medco needs a class-action lawsuit & to be put out of business--but so do the INSURANCE COMPANIES! Oh well, none of these complaints will matter once we are under the nightmare of socialized medicine! Anyone who voted for that obviously doesn't have friends who live in Canada!!!
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Medco Pharmacy-Incompetent Thieves
Posted by Julie S. on 09/18/2010
My Dr. wrote a Rx for me. I told him the generic caused more drowsiness and irritability so he crossed out "generic allowed" and signed his name above "Dispense As Written" AND circled it. Although I normally get generics to save money, I should not have to suffer increased drowsiness from a generic medicine that does not work the same as the brand. Medco sent me the generic. When I called, and was transferred FIVE times, (re-telling the same story) I was told by the Pharmacist that the Dr. had not signed for Brand. This is a blatant LIE.

I'm a certified Pharmacist Technician and know how to read a Rx. The RPH told me she would contact the Dr. and I said. "but it's already been filled for generic". She stated, "if the Dr. writes for Brand, then they'll fill it for the $35 copay". A week later, I tried to use my debit card and it was overdrawn. Medco had filled the brand and charged me $463.00!!! Don't ever give Medco access to your bank account. Medco is stating that I requested brand, NOT the Dr. The second RPH admitted the Dr. had written for brand, but it was also signed on the generic and although it was crossed out, they interpreted it to mean generic. Even though BRAND was circled?! That money was going to be used for college tuition. Now I have 180 days of a medicine I occasionally use.

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Posted by leet60 on 2010-09-19:
I am not sure why your doctor did not make this clear to you but there is NO difference in the pharmaceutical effects of a generic vs. brand name drug. In fact the FDA estimates 50% of generic drugs are produced by the same manufacturers that produce the brand name. They may differ in size, shape or color but not content.

From the FDA website (www.fda.gov)

"A generic drug is the same as a brand name drug in dosage, safety, strength, how it is taken, quality, performance, and intended use. Before approving a generic drug product, FDA requires many rigorous tests and procedures to assure that the generic drug can be substituted for the brand name drug. The FDA bases evaluations of substitutability, or "therapeutic equivalence," of generic drugs on scientific evaluations. By law, a generic drug product must contain the identical amounts of the same active ingredient(s) as the brand name product. "
Posted by GenuineNerd on 2010-09-19:
Maybe next time you should try a local pharmacy instead of a mail order company, but then again, there are also large numbers of CVS, Rite Aid, and Walgreens complaints on My3Cents as well. I do agree, in many cases brand name drugs do work better than generics for some people...my late grandmother always insisted on Tylenol, since store brand/generic acetaminophen tablets did not work for her pain, although they both had the same dosage of the active ingredient. Sometimes, the non-active ingredients used in generic drugs can change the effectiveness of the active ingredients.
Posted by Helpful on 2010-09-19:
There's a couple of questions that come to mind. First, if you are a certified Pharmacist Technician, why wouldn't you arrange to have the RX filled locally, especially where you either work in the industry and would at least have connections locally? Second, it would seem the mistake was accepting the RX whereas it had so many issues of crossing out and circling. The proper thing was to have the doctor rewrite the RX so there wouldn't be a question or problem.
Posted by Venice09 on 2010-09-19:
We had a similar problem with CareMark when we were using mail order at one point. If there's a generic available, they really don't want to give you the brand even if that's the directive on the prescription. They gave my husband and the doctor such a hard time. It went on forever and we ended up paying a lot of money for the brand. I realize the three-month mail order is cheaper, but you might be better off dealing with someone in person at a local pharmacy. I'm sorry you're out the money, but I don't think there's anyway you'll get it back. I'm not even sure if you can dispute the charge with the credit card company.
Posted by Lifemates on 2010-09-19:
Probably better to go local with the prescription drugs.
Posted by trmn8r on 2010-09-19:
I used Medco for 3 years and had no problem with them. One thing - I would never give ANY company other than my electric utility access to my checking account for precisely this reason. An innocent mistake can cause a lot of headaches. I used a credit card with Medco. I'm sorry you had trouble - I agree you will be better off going local.
Posted by Venice09 on 2010-09-19:
Trmn8r, I forgot to mention that. We used a credit card, too. This is a good example of using credit wisely. I'm not sure disputing the charge in this case would help, but at least the OP would still have the cash!
Posted by Momof3 on 2012-10-15:
The reason a person would go mail order for their prescription drugs is because many insurance now REQUIRE that you do so. They demand that any maintenance medication that is taken for 3 months be written as a 90 day prescription by the doctor. This would include high blood pressure meds, cholesterol meds, etc. Then you MUST fill it by mail or you must pay the full amount, not just your co-pay.
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Medco Mail Order or Online Order Drug Store Sucks
Posted by BobEngineer on 07/23/2009
Medco takes 7 to 11 days to process and ship by snail mail your important perscription. Medco charges your employer less for each prescription and you are forced to use a service that takes weeks to get prescription through snail mail
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Posted by Eloise on 2009-07-23:
Patience is a virtue!
Posted by Suusan B. on 2009-07-23:
I used to have an insurance plan that utilized Medco for mail-in 90 day supplies of medications. They make it extremely clear to allow two weeks for your prescriptions to be delivered and if they are needed sooner get two prescriptions from you doctor - - one for 30 days to fill at a local pharmacy and one to mail.
Posted by goduke on 2009-07-24:
The good thing is that you can order your refills on most Rx's at 2/3 of the way through using your existing order, so that you're never actually out.

And yes, your employer is using Medco to try and cut the cost of the prescriptions. That's kind of a given.
Posted by Anonymous on 2009-07-24:
When I order refills online from MEDCO the prescriptions arrive in about 5 days. A new prescription does indeed take up to 11 days to arrive.
Posted by oldisgood on 2009-07-24:
I also have mail order through Medco. I order on day 1 and usually have my meds by day 4 or 5. My meds are shipped from Phoenix and I live in Indiana. I am really happy with Medco. Sorry you have a problem.
Posted by Anonymous on 2009-07-24:
I found out that my generic meds were cheaper to get at my local Kroger's ($10/90 day supply) than they were through Medco. So, sometimes you might want to compare options before ordering. That way you can get your RX immediately and also save money. Several other pharmacies also have this plan now, so call and see if yours does.
Posted by Principissa on 2009-07-24:
kia, is it 90 pills or 90 days? I know some places around here say 90 day supply but that could only mean 90 pills.
Posted by Anonymous on 2009-07-24:
Princi, I only take mine once a day, so my RX does last 90 days.
Posted by Principissa on 2009-07-24:
Oh. I know my mom has to take 2 a day so she can't get the meds for $10. They give them to her for $20 though so it's still pretty cheap.
Posted by Anonymous on 2009-07-24:
Princi, it could also be the meds she takes. Not all generics are on the list. I know one of my allergy meds isn't either. But, if it is, it is definitely a good bargain and cheaper than most mail-in plans.
Posted by Principissa on 2009-07-24:
I didn't know there was a list. It's still nice that they do this for people and I'm sure it really helps out a lot. Especially for people who really need the medications and can't afford them. I wish they had this program when my grandparents were alive. Between the two of them it wasn't unusual for us to spend close to 1500 a month on medications towards the end.
Posted by Anonymous on 2009-07-24:
Princi, if you ask, they will provide you a list with every generic they cover for the lower prices. There are quite a few meds on it. Also, when people have low incomes, many times you can get the meds directly from the pharmaceutical company. People need to ask their docs for this info.. There are special programs (which are probably tax deductible for the company). The doc will usually give samples (if available) until it can be worked out.
Posted by Principissa on 2009-07-24:
Well hubby is going to start taking alopurinol for his kidney stones so I'm going to check with the pharmacy to see if it's a covered drug. Our co-pay isn't that high, but saving the extra 5.00 a prescription will help out.
Posted by Anonymous on 2009-07-24:
Yep, Princi, every $5 helps, that's for sure.
Posted by BEJ on 2009-07-24:
I always get my MedCo prescriptions with 2-3 days. Never had any problems.
Posted by Julie on 2012-06-26:
Medco calls me, gets all my info, calls my doc and pharmacy. Sends me 3 months of meds, my insurance doesn't cover 3 months ahead of time. I get a bill for 179.00. How is that saving me money. I hate this service and now they are harrassing me. I sent back the meds to them and they refuse to credit my account. Do not use them, scam....I can go to the doc and get another script and get it refilled for 10.00. This is simply aweful what they have done.
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Yes Medco Sucks Big Time!!!
Posted by FthehealthinsuranceCO on 04/26/2009
Yup, when I called they lied to me and would not give me a fax number to get a pre authorization for Nexium.

They won't cover Nexium even if you are dying and need it! I hate them and United Health Care .... seems like the worst health insurance we've ever had!
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Posted by Soaring Consumer on 2009-04-26:
Appalling that they are refusing to cover a medication that you need to save your life.

Contact your state's insurance commissioner and the National Insurance Crime Bureau.
Posted by BokiBean on 2009-04-26:
Nexium is for excess stomach acid. Dunno if that qualifies as a life saving medication. A lot of insurance companies are dropping nexium because other over the counter medications are available.
Posted by Anonymous on 2009-04-26:
"...medication to save your life." "National Insurance Crime Bureau" Got to love the drama!!

Boki, your answer may be correct but lacks so much in comparison.
Posted by BokiBean on 2009-04-26:

*tap dances through the post*
Posted by Anonymous on 2009-04-26:
Soaring, your suggestion is not only inaccurate, it is irresponsible! STOP IT!

I have said it a million times. Your insurance will cover what your employer (and you) are willing to pay for (in higher premiums). Boki, best (and accurate) answer.
Posted by *Brenda* on 2009-04-26:
lol, nexium isn't a medication to save your life. Soaring do some research before you post.
Posted by old fart on 2009-04-26:
If you've never had a killer case of heartburn ....
Posted by Anonymous on 2009-04-26:
Who in their right mind wouldn't trust the helpful advice of a record setting 3 star member here?

Posted by Suusan B. on 2009-04-26:
An insurance company decides to either cover a drug or not and in your case, they don't pay for Nexium. FYI - - I have Cigna and they don't pay for it either.
Posted by Anonymous on 2009-04-26:
Ask your doctor for a discount card to save up to $50 off on Nexium. Or go to www.purplepill.com and enroll for a purple plus savings card. Nexium is for acid reflux and I have heard that it works better than anything sold over the counter. No, I don't take it, but I do work with a lot of pharmacies and have heard from patients that it is a great medication.
Posted by *Brenda* on 2009-04-26:
My insurance will pay for it, you just have to try 4 other heartburn medications and have them not work before they'll give you an approval.
Posted by Anonymous on 2009-04-26:
Baking Soda works for my chronic heartburn and if it really gets bad you drink a little Vinegar. I kid you not!!!
Posted by DebtorBasher on 2009-04-26:
ZZ...my Parents always mixed the Baking Soda with vinegar...then they'd stir it up real fast until it fizzed and drank it all down in one attempt...then my Dad would have a loud 'burp' when he was done, and said that's just a way of knowing it works. I don't think I have ever, EVER heard my Mom burp...I must take after her.
Posted by old fart on 2009-04-26:
When I get heartburn or gas I just take a swig of coke or some kind of carbonated beverage, wait 5 minutes, belch and go on my way...
It is amazing how folks get all uptight over something this freakin' simple..!
Posted by Anonymous on 2009-04-26:
Amen...Getting a friggin' "scrip" over a case of heartburn!!
Posted by old fart on 2009-04-26:
Zzrokk... It's nuts ain't it.
The problem is that the big companies have brainwashed folks(sheep) into believing that everything is somehow bad for you and they and only they have the answer to your problems from hangnails to braincancer...
Posted by Anonymous on 2009-04-26:
Amazing how many doctors this website has generated.
Posted by Anonymous on 2009-04-26:
You got it, OF!!!
Posted by Anonymous on 2009-04-26:
C20, I've "played" doctor before. Does that count?
Posted by Anonymous on 2009-04-26:
If it did John, you and I would bring it up to 5 physicians here. lol!
Posted by Anonymous on 2009-04-26:
LOL WOO HOO!! Good times!! >:-)
Posted by Anonymous on 2009-04-26:
C20, you rang??
Posted by Anonymous on 2009-04-26:
Yes, I am a doctor and no, my specialty isn't in Gastronomy or internal medicine but I know my trade and my "female patients" swear by it!!!!!!!!!!!!!
Posted by Anonymous on 2009-04-26:
I did JC.
Posted by Anonymous on 2009-04-27:
There are some cancer patients that take Nexium to help ease their symptoms. It's not just for heartburn. It really does help repair damage to the stomach and esophagus
Posted by Anonymous on 2009-04-29:
Littleyaya for that diagnosis there is not an insurance company in the wordld that would deny payment for the medication. PPI drugs are usually commonly prescribed for GERD when patients should first take a drug like Pepcid, Tagamet, Zantac, etc. first. A PPI (not limited to Nexium) to repair esophageal damage would not have its coverage denied... and if it was, I would go to every media outlet available and spill the beans big time. No insurance company wants bad press...whether on TV or in print.
Posted by DanShudak on 2009-10-08:
Esomeprazole (pronounced /iːsɵˈmɛprəzoʊl/) is a proton pump inhibitor (brand names Sompraz, Zoleri, Nexium®, Lucen, Esopral; Axagon in Italy, Nexiam in Belgium) developed and marketed by AstraZeneca which is used in the treatment of dyspepsia, peptic ulcer disease (PUD), gastroesophageal reflux disease (GORD/GERD) and Zollinger-Ellison syndrome.

Now.....It is not intended to treat heartburn, but hb is a side effect of "GERD". Mainly because constant acid reflux burns the esophageal passage and causes HB.
It cannot simply be fixed with all the old wives tales you all have been spouting.

Also UHC only fills a 21 day supply of any RX that I have filled at my local pharmacy. Therefore you must pay another copay for the remaining 9 days of the RX. How many doctors do you know that write a 21day RX....NONE! What kind of BS is that.

Also UHC prefers you use generic...fine! Make my copay $4.00 instead of $10.00 or $15.00!
It is cheaper for me to go to wal-mart and not use my insurance in a lot of cases.
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Poor Service from MEDCO Pharmacy
Posted by Packrat on 12/18/2007
What MEDCO can do is amazing to me. My local pharmacy would never accept a prescription from a doctor, fill it and then charge my credit card for the prescription without my consent, but MEDCO claims it can do just that and I can do nothing about it. Tonight I received a box of medications that I did not order and a bill stating my credit card had been charged $100. I called MEDCO and "the supervisor" I spoke to stated MEDCO had received a prescription from my doctor and it is their policy to automatically fill it and bill me, and of course she stressed how I had to pay regardless of whether I wanted the medications or not.

I was so shocked. I work in the health care field and have worked with pharmaceutical companies, private insurers, pharmacies and medicare/medicaid; I feel I know a little about how this business works. Medicaid in California treats it's patients better than any other system in my experience. I'll wait and see what "the grievance" the MEDCO supervisor supposedly filed for me does- maybe a couple days- before I consider contacting the Postal Inspector about Mail Fraud, my credit card company about unauthorized charges , my congressman, state representative and the Pharmacy Board in my state, and whoever else I think might need to hear about this. I would urge everyone else who's had a terrible experience with this company to do the same. It's shameful that any company can get away with this type of treatment of it's clients.

One additional thing I noticed- there seems to be a lot of complaints about this company around 2004 and now again- kind of makes me wonder ....did Merck stock just tank or what?
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Posted by Anonymous on 2007-12-19:
You fail to say if you contacted your doctor to verify a prescription was indeed sent. MEDCO can either fax or mail a copy of the prescription to you.
Posted by Principissa on 2007-12-19:
I would be on the phone with my doctor ASAP to find out if he really sent over a prescription. I would also call MEDCO and demand they send me a copy of the prescription. If in fact your doctor did not send in a prescription for you, and they have nothing on file that they can send you, or they refuse, I would strongly suggest that you find a new pharmacy.
Posted by pugmuncy on 2008-01-03:
Hi - I wish this website posted the dates these were originally posted (or maybe I missed it) but I use Medco for my son's diabetic supplies and the same thing happened to me. They charged me $75.00 for a box on syringes that I could buy at Walmart for about $10.00. They refused to refund me the money (oh, I forgot to mention that I did not order these, it was a customer service error). After about 5 phone calls and no help at all I finally called my credit card company and told them that it was an unauthorized charge...THEY REMOVED IT!! Try this, it may work for you also!
Posted by moonbaby on 2008-12-01:
I just want to chime in on how unprofessional and shady this company is. I most recently mailed in a prescription which they told me I had to have pre-authorization. After 2 calls from my doctor and 4 calls myself and 8 weeks later I still am unable to get pre-authorization. They are telling me that a program change to the system is necessary to allow the health care agents to pre-authorize this medicine, it's a commonly used medication by-the-way. I threatened to call the local union rep to complain. When the union rep called Medco is saying that my doctore never called and I had only called one time. These people should be put out of business. I wonder have they done this to others and possibly put someone's life at risk by denying necessary medication? I am filing a greivance with whom ever will listen!!!!
Posted by mrdetermine on 2010-09-15:
When I first started Using Medco it was a GOOD thing and now after 4 years I beg to differ. They have changed my medication to generic t least 4 times when ALL of my prescriptions say brand name only but they just don't get it or can read , or some thing. They will tell you your doctor changed your prescription when you know THT is not true at all. Their customer service sucks too , their pharmasists don't help much at all if any. I have been going through this crap for years . If there was another mail order company available to me I would change in a heartbeat. RUN ..they will suck you in then spit you out, then spit ON you, and walk away with a smile on their face..
Posted by nomomedco on 2012-02-08:
I work in specialty provider office and have been having the most difficult time with Medco ever. Over the last week there have been multiple complaints that about medco. Most of them refusals to fill meds as requested, which all companies do, but even with letters of necessity. One pt had to get their lawyers involved, and of course suddenly those letters were honored. But I feel the latest takes the cake. The pt had been taking a Rx as prescribed as 2mg x2 daily, but Medco changed it suddenly as 4mg. When pt called and reported the mistaken med, they told her to take the med once a day instead. Hmmm... This is why this country needs more regulations on the pharmaceutical companies.
Posted by Omafaurl on 2012-07-20:
I coldn't believe my eyes when reading the comment on Medco. It is so close to my problem. My doctor faxed a prescription to Medco for Crestor tabs. All other prescriptios on my plan were $10. I received my confirmation by email. No price. When I received my Credit card statement they charged me $194.00!!!! I couldn't believe it. I called them immediately and said I would sendthe ones I had not taken back to them for a credit. They said I couldn't do that. I have talked to so many people at that company and all I get is I should have called for the price. I said where does it tell me to call for a price since I have a prescription plan, I thought that I would be charged the same as all other times. I asked if charging me so much didn't send up a red flag on my account since I had never paid so much before. Of course not. They absolutely will do nothing about the charge. After reading the comment about Medco, she gave me a lot more people and places to call and let them know about this unfair charge. There is no other business in the USA that can charge you without letting you know how much it will be.
S. Faurl
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Prescription orders
Posted by Jj72 on 12/20/2006
I have talked to them 12-15 times faxed them RX from doctors office 3 times talked to a supervisor 3 times at 877-797-3687 ext 2958 and I am a diabetic who still cant get his prescription filled by this company correctly it has a very bad customer service they wont even call the doctor to see if the RX is correct.

Someone is going to get hurt by this company very soon. It's a very difficult company to deal with and has no customer service that acts promptly whatsoever.

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Posted by Anonymous on 2006-12-21:
So why do you deal with them?
Posted by Skye on 2006-12-21:
Does your insurance require you to use them?? It sounds very dangerous, and I hope you can get this situation resolved.
Posted by CrazyRedHead on 2006-12-21:
I have Medco as my prescription coverage. My husband is covered by BC&BS through work and he is required to deal with this particular perscription plan, unless he wants to pay full price for his meds...I don't think so!

I get Verapamil (maintenance medication) through Medco and I have never had any trouble with them. But then, this is my first perscription and have only dealt with the online prescriptions for only about 1-2 months. I usually go to the pharmacy, but his prescription plan states that maintenace meds must be done through Medco online prescription and will not be filled through the pharmacy.
Posted by Anonymous on 2006-12-21:
Medco has numerous complaints all over the internet. Insurance companies shouldn't require people to mail order scripts. That's just nuts especially for diabetic type medicine. What, are we becoming Canada now. JJ72, I hope this gets resolved – hang in there.
Posted by heaven17 on 2006-12-21:
I'm probably going to be scolded/flamed/smacked down for this, but it's a major peeve of mine, and I see it a LOT. It's PREscription. Not PERscription. Spelling lesson over.
Posted by Anonymous on 2006-12-21:
Heaven17, I feel your pain. People who write in ill formed fragmented sentences has always been my pet peeve of choice. I can usually navigate around minor misspellings but when the sentence structure is so poor as not to be able to convey a cognitive line of reasoning then it just gives me a headache. You know what I mean, heaven17?
Posted by Anonymous on 2006-12-21:
jj72, I feel your pain and I don't understand how the insurance companies take it upon themselves to take charge of the Doctors orders and control how and when drugs are dispensed. Where is the government when you need them or should I say how much does the government make out of this?

As to the spelling issue, I can’t spell and I admit it. I find that people that think they can and must constantly correct people usually can’t communicate very well in the real world. Get a life!
Posted by heaven17 on 2006-12-21:
I'm horrible at spelling myself which is why I have Dictionary.com bookmarked! Call me petty, but I think it's in everyone's best interest to at least make an attempt at decent grammar and spelling. It's particularly important when addressing a company or corporation. I certainly didn't mean to diminish the OP's valid complaint, but, for such a short post...yikes. I love the irony, too. So many people in this country criticize immigrants who don't bother learning English, yet few of us natives can spell or use our own language correctly. But I digress. You know what? Spell how you like and write how you like. No skin off me. Good luck in getting anyone to understand you, though...
Posted by cycolbur on 2006-12-31:
At IBM we have to use Medco also and they are the single worse company I have ever dealt with. When my husband's doctor puts down that he needs a certain amount of viles of insulin for 3 monthes they say no he needs less. Sometimes he has to wait 6 weeks for delivery. Try to order sryinges and finally give up because the person you are talking to is a idiot. Billing they quote you a price then when they don't ask just cause you have used a credit card before the just put it through and say well it went through, nice they could have asked first. I have to jump through hoops just to get his stuff ordered. My husband is a diabetic with several heart attacks plus he has depression I cannot be without his medication. I wish we had a choice to go with them or the local pharmacy. Conversations with them regarding his medcation sometimes is just scary. I have a post office box but they have to deliver the insulin to the physical address now try getting the rest sent to the po box scary. my po in town luckly knows to give us the stuff I told them I have told medco many times the address. They are so quick to get they money but slow to deliver. Many people I know have problems with Medco who work at IBM we jsut wish Ibm would get us a real pharmecical company believer me cheaper is not always better.
Posted by BobEngineer on 2009-07-23:
Pages and pages of complaints on Medco, when will the FTC or Consumer protection step in and either shut down or fine this for profit only ripoff company
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Do Not Use Medco - You Will Be Sorry
Posted by Duped by Medco on 01/06/2010
If you have the opportunity stick with Walgreens, RiteAid or CVS.
This company is a rip off.

No customer service.
They will not refund a penny even if it was their mistake.
They have rude customer service agents WHEN you do get to speak with a human.

Mark my words you will be SORRY!
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Posted by Anonymous on 2010-01-06:
Details would be helpful. What is YOUR complaint with Medco?
Posted by Anonymous on 2010-01-06:
I'll give you some details! They are liars. They can't count. They can't read a calendar. They think a typical month consists of 34 days when you try to fill a prescription in 31 days. Customer service consists of squirrels in cubicles who make medical decisions over the wishes of your doctor. The left hand has no idea what the right hand says. These are some of the nicer things I have to say about the thugs at Medco!
Posted by Anonymous on 2010-01-06:
And have you complained to your benefits administrator? If you are limited to this service provider due to insurance restrictions, they have the power to take Medco to task for the bad service.
Posted by goduke on 2010-01-07:
They are not making decisions over the wishes of your doctor. They are enforcing a benefits plan which your employer agreed to and purchased. You need to read your plan information which was sent in the mail; it will make the whole relationship easier. Take your doctor your forumlary, so that he/she knows what can be prescribed without additional work. Check on the processes and possibilities for a prior authorization for Rx's not on the formulary.

Pro is right. Complaint to your benefits admin. You can also contact the agency in your state which regulates insurance companies.
Posted by *Brenda* on 2010-01-07:
I have heard about so many problems with Medco. I just stick to using CVS. I don't care if it costs me a few dollars more.
Posted by JDec on 2010-01-07:
Dear Goduke, I don't think you have the full understanding of what is happening to the Medco customer.
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Customer Warning - 90 Day By Mail Prescription Rip Off
Posted by Screwed by Medco on 06/17/2008
This is a Medco by mail warning.

Understand that if you receive by mail a 90 day incorrect prescription it is your problem you are held responsible for the cost of that prescription. A doctor in my practice, NOT MY PRIMARY CARE, send through a prescription for a drug I had not requested. (My Primary Care checked and didn't know why the other did it. His response was a shrug.) However, since it was a "valid" ( read: legal) prescription, it was at my cost which was $170. The fact that it was not a drug I am taking was not relevant. And until I pay the $170 "co-pay", my prescription drug coverage was placed on hold my Medco. I was no longer able to receive the medications I need at co-pay costs.

At a pharmacy you can hand an incorrect prescription back to the pharmacist. Medco's 90 day prescriptions come in the mail and are not returnable You are the last stop on this chain of action and it's your problem.

Medco will save you $5 here and there, but eventually you will pay the price.

Each plan is administered differently. My plan, after 3 refills, Medco blocks you from using a local pharmacy. At that point for insurance coverage you must use Medco by mail. Therefore, I no longer have prescription coverage for my blood pressure medicine. I guess in the typical American style, it's far more logical for me to stop those meds, have a stroke and then allow the medical cost to roll to my healthcare coverage, rather than offering a fair solution to this issue.
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Posted by Suusan B. on 2008-06-17:
This sounds like an issue for the prescribing doctor - - not Medco. From what you've said, they filled the valid prescription that was submitted to them.
Posted by Twice the Price on 2009-11-20:
That is one thing I don't like about this company. They should not bill or ship to a customer until it is requested by the customer. If a doctor calls in a prescription at any other local pharmacy, you will not be charged until you pick it up. I think a simple change in their processes could be a big help. Unfortunately, I think they are looking to bill as quickly as possible. It should not be legal though. It really should be requested by the customer.
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