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For those unfamiliar with Pharmacy Benefit Managers (PBM), and feel like getting angry, this is a well informed and well written article.
https://www.npr.org/sections/health-shots/2023/07/07/1186317498/pharmacy-benefit-manager-pbm-ads-congress
Fucking Express Scripts
So much of my life wasted fighting those absolute fucks
My insurance company constantly tries to push me to use them, but they are so unreliable and difficult to work with. I refuse to use them again. They email me every time I pick up a prescription from a real pharmacy and I report it as spam every time.
All my prescriptions have to go through them as part of some sort of "fuck you, whatcha gonna do about it, drop dead?" process, though I technically still do get to use my choice of pharmacy in the end.
That sucks. Sorry you're stuck with them.
My previous insurance just wouldn't cover any long-term prescriptions if I didn't fill it through Caremark on a 90-day supply. It was so annoying to deal with them. My regular pharmacy is two blocks away, if there's an issue with insurance or something, they give me a call and have generally been pro-active. Caremark would just sit on their hands until I realized it was weird I hadn't gotten a shipping notification, only to go "Oh, yeah, when we got this prescription we specifically requested you send through us, we decided there wasn't enough info to determine if you need it, so you need to call your doctor and tell them to call us."
I had a similar situation, and found it much more reliable to have the prescription re-issued short term so I can get it locally