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General Parenting
formulary issue
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<blockquote data-quote="ysne58" data-source="post: 107153" data-attributes="member: 3570"><p>I did contact the insurance company about the formulary issues. They provided me the web address to contact the pharmacy benefit management company. The company has nothing that would allow a disabled person like me to contact them over the web with these issues. </p><p></p><p>I did figure out who the president of the company is. I took a guess at his email address and sent an email regarding this ADA violation. I explained that I had formulary issues that I need addressed and that I expected this ADA violation to be taken care of immediately.</p><p></p><p>As for the phentermine due process violation. I finally (with the help of the legislature) extracted an explanation of what they think they are doing and why they think they are in compliance with MN. Stat. 62M. They sent me a copy of their letter by email. Their policy and procedure does appear to comply with the statute. However, this creative attempt to take a written appeal and call it a reconsideration in an effort to sidestip this legal procedure is very definitely illegal.</p><p></p><p>On top of that, they didn't even have their facts straight on when and how I have contacted them and when I got the prescription filled during the 6 weeks that I actually had authorization. I'm not sure yet whether I actually have them over a barrel. I need to see what the people I copied my response to this letter do with this before I try anything else.</p></blockquote><p></p>
[QUOTE="ysne58, post: 107153, member: 3570"] I did contact the insurance company about the formulary issues. They provided me the web address to contact the pharmacy benefit management company. The company has nothing that would allow a disabled person like me to contact them over the web with these issues. I did figure out who the president of the company is. I took a guess at his email address and sent an email regarding this ADA violation. I explained that I had formulary issues that I need addressed and that I expected this ADA violation to be taken care of immediately. As for the phentermine due process violation. I finally (with the help of the legislature) extracted an explanation of what they think they are doing and why they think they are in compliance with MN. Stat. 62M. They sent me a copy of their letter by email. Their policy and procedure does appear to comply with the statute. However, this creative attempt to take a written appeal and call it a reconsideration in an effort to sidestip this legal procedure is very definitely illegal. On top of that, they didn't even have their facts straight on when and how I have contacted them and when I got the prescription filled during the 6 weeks that I actually had authorization. I'm not sure yet whether I actually have them over a barrel. I need to see what the people I copied my response to this letter do with this before I try anything else. [/QUOTE]
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