From a clinic physician - Just before medication therapy was about to begin, Dr. Duplasee discovered that health insurance would not cover the $130,000 cost of growth hormone she prescribed her patient, Lisa. With no options for alternative[...]
From the pharmacy team: We have a patient in our hospital clinic who is prohibited by her insurance from filling prescriptions with the hospital specialty pharmacy. We call that “insurance lockout.” So the patient has to fill her prescriptions[...]
From the Pharmacy Team: One of our clinic patients is a Veteran dealing with two serious, chronic conditions. A few months ago he was first treated for compression fractures in his back and had surgery planned. Before his surgery took place,[...]
From the Hospital Specialty Pharmacy Team: One of our Rheumatoid Arthritis patients, Aliyah, lost her insurance and our specialty pharmacy team was asked by the clinic physician, Dr. Patel, to see if we could somehow find a way to get her started[...]
From a specialty pharmacy liaison: This week I was in a private room saying goodbye to one of my patient's, "Bill," whom I have been helping since 2016 to battle Chronic Lymphocytic Leukemia (CLL). When he and his wife, "Sue," came in for Bill’s[...]
A nurse in my clinic told me her mother was misdiagnosed with a stroke, and later misdiagnosed again with Parkinson’s. It wasn’t until she brought her mother to our clinic that she was correctly diagnosed her with ALS.
From a Specialty Pharmacy Liaison: Last Monday I lost my first patient here at the hospital oncology clinic. I first got to know the patient, her husband and daughter a few months ago with her initial diagnosis and first round of treatment.
From the Specialty Pharmacy Team: A few months ago Dr. B approached me to help a 12-year-old patient living with severe psoriasis. Under Dr. B’s direction my pharmacy team - financial assistance experts, prior authorization experts, clinical[...]
From the specialty pharmacy team – a specialist in financial assistance, another in prior authorizations, and an on-site patient liaison - didn’t know they were in for a two-month battle with the insurance company. They didn’t think three rounds[...]
From a Hepatitis C clinic: One of my patients with no pharmacy insurance was prescribed Harvoni for 3 months of treatment. The patient couldn’t afford the $100,000 price tag and was stressed not knowing what to do. In all likelihood the treatment[...]