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Is It Legal To Send Insulin In The Mail

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How long does cannabis stay in the system? Visit http://www.drug-aware.com. This depends upon how you are doing your testing. If you are testing a saliva sample, cannabis is detectable for a number of hours. If you are testing a urine sample, then cannabis is detectable for a number of days. With hair testing, cannabis is detectable for a number of months. It is also dependent on how much cannabis has been used. In the case of urine testing, a one-off use of cannabis wouldn't be detectable much longer than around a week, whereas use once or twice a week, say at weekends, would be detectable for around 10 to 14 days. Long-term regular use can be detectable as long as a month. This is because the cannabis metabolite is an oil, and bonds with your body's fat reserves. The more you contaminate your body, the longer it takes to leech out of your system at low levels. The easiest way to determine the the cannabis has left the person's system is to carry out a cannabis drug test using a home kit. These are inexpensive and simple to carry out. http://www.youtube.com/watch?v=pAX7qI...

Mailing Cannabis - Best Practices

There are several simple rules about mailing cannabis. Here they are: It is debatable if shipping marijuana within your home state is illegal. However, there is no debate that shipping weed from one state to another is definitely illegal. Functionally, shipping small quantities of pot, in the vast majority of cases is not a major offense. There are still examples of people being crucified for the illegal possession of marijuana in the US. Having a valid Cannabis ID Card (420 medical patient) is a good idea because if law enforcement is involved, they tend to be lenient on medical patients, as opposed to stoners. Use USPS rather than a big courier. Couriers can open anything, anytime, but USPS need a warrant and are extremely unlikely to investigate small, well wrapped (no smell) packages. Have a medical marijuana card. If there are issues, medical patients can receive better treatment. Don't ship more than an ounce at a time. If you're inclined to gamble, maybe 4 ounces tops. Pounds are reserved for the experienced drug dealer, so stay away from scoring a year's supply on one go. Triple wrap weed in watertight zip lock bags. Mail to a secure location and don't mention your name on Continue reading >>

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  1. Krysbarr

    Express Scripts refusing to fill my insulin, is this legal in USA?

    I have to use Express Scripts to get my insulin because it's a non narcotic that I take regularly. I had my doctor send them a 3 month prescription 3 weeks before I needed the insulin to be cour sing though my body. I saw my doctor on February 14, 2017 and Express Scripts got the prescription on February 15, 2017.
    I realized on the evening of March 3, 2017 that I was very low on insulin and wondered why my new prescription hadn't come in yet. I looked on the Express Scripts site and saw my insulin prescription had been cancelled because my dose was "over the manufacturer'so reccomended dose". I called and inquired about it, yes that is why it was cancelled, the pharmacist just needs to speak to the prescribing doctor and confirm the dose and get a new prescription from him. I had to wait until Monday, February 6, 2017 to call my doctor. I called him first thing that morning and his secretary called me later the same day to let me know he took care of it.
    I checked the Express Scripts site yesterday, Wednesday, February 8, 2017, and it said my insulin was being "processed" but would not be shipped until my doctor called in to speak with the pharmacist about their concerns about how my insulin may interact with some of my other medications. I called Express Scripts immediately and asked why they didn't ask my doctor this when he called just a couple days ago. The lady apologized for my troubles and told me she looked deeper and saw that the Tricare part of Express Scripts was down and had not updated yet, so I could not see that they had in fact charged me my $20 copay and already mailed out 270 vials of Novolog U-100 to my home and I should get it in a matter of days since it has to be refrigerated. I asked if she was sure because I use up to 300 units per day and I've been told that's a massive amount and so 270 vials would last me around 90 months, so are you absolutely sure? She said she was positive they shipped out 270 vials and charged my card on file $20 and that the site should be updated by tomorrow. The only thing on my mind was that was 7.5 years worth of insulin for me, I hope I can find a way to give away at least as much as what would go bad before I could use it to people that can't afford it, I'm only supposed to get 27 vials for 3 months worth.
    I checked the site this morning, still said the pharmacist wanted to talk to my doc. I called docs office, took about 3 minutes to convince the receptionist that I know the doctor called the pharmacy Monday to fix the problem, they decided they have a new problem now and won't send me insulin until he calls them. Then I called Express Scripts spoke with someone only interested in getting me to give them authorization to charge my card more than $1, so I asked for a manager, as soon as he heard my problem it was "hello, hello, I can't here you" click. I called to talk to a manager again and I explained I just got disconnected from a manager, but she wanted to know what the problem was and told me that she saw that I needed to pay the $20 copay. I asked if that's all that needed done, if I pay it you'll ship it, no more excuses, no need to talk to my doctor? Well not exactly, OK manager please. Then I got a manager who did her best to help. She listened without interupting, she called the pharmacist, who had just gotten off the phone with my doctor minutes before, and she said my insulin was being packaged and would be shipped out today and she was going to send it express mail free of charge. Which at this point I'm crying out of frustration and happiness at the thought that maybe I'll make it until my insulin gets here without getting admitted to the ICU again with ketoacidosis. The manager told me not to worry, it will be ok, her dad has diabetes too and so she knows how it is. So today, Thursday, February 9, 2017, after 2 prescriptions for the same exact dose/quantity/brand, 2 refusals to mail my insulin to me (online) (and I'm not allowed to take it to any other pharmacy or else it's not covered by my insurance), 2 calls from my doctor, 4 calls from me, a pending $20 charge on my card, a confirmation number, and a "pending shpiping estimate date" listed under the shipping status of my insulin on their site, I'm hopeful I'll finally receive my insulin after about a months time.
    Can Express Scripts really not send an insulin depedant diabetic their insulin with a valid prescription and even then a personal call from the prescribing doctor? This seems like it should be illegal not to honor a life sustaining prescription, especially since theybwont allow me to take it to any other pharmacy, or rather they won't cover it if I take it to another pharmacy.
    And if it is legal to refuse to honor my insulin script until talking to my doctor:
    a. How many times can they do it? Cause I'm pretty nervous I'm going to find out tomorrow, after the doctors office closes, that they're going to have another "concern" for my well being and need to speak to my doctor before shipping my insulin, for a 3rd time.
    b. For something as necessary as insulin, if they're going to cancel a prescription for it out of need b to speak to the doctor, shouldn't they have to make more of effort to contact either of us other than an email, such as a phone call?
    I know a lot of people are uneducated or under educated about diabetes all together, but a vast majority of people that come to know me always thought that people that are type 2 diabetics don't NEED insulin and can very easily manage their diabetes with exercise, diet, and maybe pills alone.
    Do they think because I'm listed as a type 2 that they have an out if I get sick from high sugars because I could havee managed by exercising more or watching what I eat better? I know that Express Scripts is in the business of making money, and I know they are losing a lot with the amount of insulin prescribed to me versus the $20 I pay for 90 days worth, this is what first went through my head with the first problem they had (which I tried googling the recommended daily dose of Novolog U-100 and could never find anything about it, I'm extremely curious as to what they recommend. So please, if anyone can send me a link to that info I'd greatly appreciate it)

  2. PeterPumper

    I think someone messed up, either your Doc or their clerk, and listed your dosage as 3000 units a day instead of 300 units a day.
    While 300 units a day is a lot, it's certainly not unheard of. Before my pump, I took about 200 units daily myself.
    However, 3000 units daily would be a Huge amount, and certainly could be greater than a max dose set in a system such as Express Scripts as a safety measure if nothing else, Just imagine if the script shipped as listed, and some unknowing healthcare worker (or family member) administered 3000 units of insulin to you. Besides the fact that it would take 30 1cc syringe fulls, it would surely kill you.
    So, be glad That didn't happen.
    What you've got here is a breakdown based on incompetence and miscommunication, not conspiracy and illegality. While no less frustrating, it's at least less intentional.
    What would I do? I'd call my doctor, explain to them the whole situation (including the dosage screw up), and try to get one human at at least a supervisory position speaking with another human at a supervisory position. I'd also talk to my doctor about either getting a couple vials of Samples to bridge the gap, or an allowance from someone to fill a short-time script locally on an emergency basis.
    Try to take a breath and start over. I knw this sucks. When it's all over you can write letters, call people, yell, scream, and go for blood. But right now you need to focus on getting your insulin.
    Best of luck. Keep at it. You'll find someone at Expreess with a brain eventually, just out of statistical luck.

  3. Chrysalis

    I'm sorry that you are having such a difficult time. As you yourself said, 270 vials for 3 months is 10 times your usual dose so there must be some mistake someplace. I hope that your doctor can give you some samples to tide you over until Express Scripts gets it worked out.
    Meanwhile, I, too, have had lots of trouble with Express Scripts. I discovered that there are independent pharmacies (sometimes called "compounding pharmacies") that can fill a 3-month prescription in a brick-and-mortar store. It depends on your type of insurance, though. Here is a post about that: https://www.diabetesdaily.com/forum/...ns/#post958761 Maybe that will help you in the future.

  4. -> Continue reading
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Please watch: " | Digital India | Documentry | Ministry of Electronics and Information Technology & CSC" https://www.youtube.com/watch?v=4YU_9... --~-- The law relating to labour and employment in India is primarily known under the broad category of "Industrial Law". Industrial law in this country is of recent vintage and has developed in respect to the vastly increased awakening of the workers of their rights, particularly after the advent of Independence. There is no provision for appeal against such awards and the same can only be challenged by way of writ under Articles 226 and 227 of the Constitution of India before the concerned High Court or before the Supreme Court by way of appeal under special leave under Article 136 of the Constitution of India. However before the provisions of the Act, 1947 may become applicable certain pre-requisite conditions must exist. 1. The dispute must relate to an Industry; 2. Section 2(j) of the Industrial Dispute Act gives a comprehensive definition of industry. The definition of industry in this clause is both exhaustive and inclusive and is quite comprehensive in its scope. It is in two parts, the first part says that it means any business, trade, undertaking, manufacture or calling of employees and then goes on to say that it, includes any calling, services employment, handicraft or industrial occupation or avocation or workmen. This definition has undergone variegated judicial interpretation. In case of Bangalore Water Supply and Sewage Board Vs. A. Rajagappa [(1978) 1 LLJ 349] a 7 judges bench of the Supreme Court has given the widest possible meaning of the term industry which virtually covers almost all organized activities under the ambit of the term industry. After the decision of the Supreme Court in Bangalore Water Supply and Sewage Board case the question to be asked is not what is an industry, but what is not an industry.A very sensible and pragmatic definition of the term industry has been attempted in the Industrial Relations Bill of 1978. With the dissolution of the Parliament in 1979 the Bill lapsed. The definition has been amended by the Parliament in the Industrial Disputes (Amendment) Act, 1982 with new definition of industry in Section 2(j). However the amendment has yet to be brought into force. There is an urgent need for a comprehensive and practical definition of the industry. 3. Under this Act an Industrial Dispute can be raised only by workman employed in an industry. Section 2(s) of the Act defines workman, which means any person employed including an apprentice, in any industry to do any skilled, unskilled, manual, clerical, supervisory or technical work for hire or reward, whether the terms of employment be expressed or implied. The definition of workman under the Act also includes any person who has been dismissed, discharged or retrenched in connection with or as a consequence of any dispute. However, in this regard it is not the nomenclature or designation of the employee but the actual nature of duties performed by him/her that will determine the status of such employees. In India even the Pilots and Engineers of aircraft have been covered under the definition of workman although in terms of their salary and wages and authority they exercise, by no stretch of imagination, they can be equated with labour and working force of the industry. In some cases, even doctors have been recognized as workman as they perform technical or skilled job. This area of the definition of workman requires an urgent legislative modification. Stressing the need for recasting the definition of workman, the Second National Labour Commission recommended as follows. "Relatively better off section of employees categorized as workmen like Airlines Pilots, etc, do not merely carry out instructions from superior authority but are also required and empowered to take various kinds of on the spot decisions in various situations and particularly in exigencies. Their functions therefore, cannot merely be categorized as those of ordinary workmen. 4. The dispute must be an Industrial Dispute. Section 2(k) of the Act defines Industrial Dispute and only disputes covered under the definition can be referred for conciliation or adjudication under the Act. The definition of Industrial Dispute in section 2(k), can be divided into two parts viz : 1. Dispute or difference between employer and employers Between Employer and workman Between Workman and workman 2. Subject matter of dispute. Connected with the employment or non-employment The terms of employment With the condition of labour. Legal Gyan FB page: https://www.facebook.com/LegalGyanIndia/ Email us at [email protected]

Is It Legal To Post Insulin From The Uk To The Netherlands?

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Is it legal to post insulin from the UK to the Netherlands? Hi all. I am glad to report my levels are now stable since starting Humulin M3. I've worked out that 5 cartridges lasts me about 50 days. Now my problem is getting it abroad. I absolutely cannot afford to register over there at the moment, as my boyfriend is a student and we barely have money for food. I will be back here in 6 months for check ups and hopefully get more medication if my doctor says it's okay. I am seeing my GP on Monday to have a chat with him about it and see what he says. But I need a back up plan incase he says no. (to giving me enough until christmas). I am completely aware that insulin MUST NOT freeze or get too hot. England to Amsterdam is literally a 40 minute flight, and I know it -could- still freeze on this, so I'd probably send it by boat or in the euro tunnel if that's possible with cooler packs and/or necessary precautions. That isn't what I am concerned about. What I want to know is, is it LEGAL? Do you need a doctor's permission to post it? I also need Metformin, Micro-Fin Continue reading >>

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  1. Krysbarr

    Express Scripts refusing to fill my insulin, is this legal in USA?

    I have to use Express Scripts to get my insulin because it's a non narcotic that I take regularly. I had my doctor send them a 3 month prescription 3 weeks before I needed the insulin to be cour sing though my body. I saw my doctor on February 14, 2017 and Express Scripts got the prescription on February 15, 2017.
    I realized on the evening of March 3, 2017 that I was very low on insulin and wondered why my new prescription hadn't come in yet. I looked on the Express Scripts site and saw my insulin prescription had been cancelled because my dose was "over the manufacturer'so reccomended dose". I called and inquired about it, yes that is why it was cancelled, the pharmacist just needs to speak to the prescribing doctor and confirm the dose and get a new prescription from him. I had to wait until Monday, February 6, 2017 to call my doctor. I called him first thing that morning and his secretary called me later the same day to let me know he took care of it.
    I checked the Express Scripts site yesterday, Wednesday, February 8, 2017, and it said my insulin was being "processed" but would not be shipped until my doctor called in to speak with the pharmacist about their concerns about how my insulin may interact with some of my other medications. I called Express Scripts immediately and asked why they didn't ask my doctor this when he called just a couple days ago. The lady apologized for my troubles and told me she looked deeper and saw that the Tricare part of Express Scripts was down and had not updated yet, so I could not see that they had in fact charged me my $20 copay and already mailed out 270 vials of Novolog U-100 to my home and I should get it in a matter of days since it has to be refrigerated. I asked if she was sure because I use up to 300 units per day and I've been told that's a massive amount and so 270 vials would last me around 90 months, so are you absolutely sure? She said she was positive they shipped out 270 vials and charged my card on file $20 and that the site should be updated by tomorrow. The only thing on my mind was that was 7.5 years worth of insulin for me, I hope I can find a way to give away at least as much as what would go bad before I could use it to people that can't afford it, I'm only supposed to get 27 vials for 3 months worth.
    I checked the site this morning, still said the pharmacist wanted to talk to my doc. I called docs office, took about 3 minutes to convince the receptionist that I know the doctor called the pharmacy Monday to fix the problem, they decided they have a new problem now and won't send me insulin until he calls them. Then I called Express Scripts spoke with someone only interested in getting me to give them authorization to charge my card more than $1, so I asked for a manager, as soon as he heard my problem it was "hello, hello, I can't here you" click. I called to talk to a manager again and I explained I just got disconnected from a manager, but she wanted to know what the problem was and told me that she saw that I needed to pay the $20 copay. I asked if that's all that needed done, if I pay it you'll ship it, no more excuses, no need to talk to my doctor? Well not exactly, OK manager please. Then I got a manager who did her best to help. She listened without interupting, she called the pharmacist, who had just gotten off the phone with my doctor minutes before, and she said my insulin was being packaged and would be shipped out today and she was going to send it express mail free of charge. Which at this point I'm crying out of frustration and happiness at the thought that maybe I'll make it until my insulin gets here without getting admitted to the ICU again with ketoacidosis. The manager told me not to worry, it will be ok, her dad has diabetes too and so she knows how it is. So today, Thursday, February 9, 2017, after 2 prescriptions for the same exact dose/quantity/brand, 2 refusals to mail my insulin to me (online) (and I'm not allowed to take it to any other pharmacy or else it's not covered by my insurance), 2 calls from my doctor, 4 calls from me, a pending $20 charge on my card, a confirmation number, and a "pending shpiping estimate date" listed under the shipping status of my insulin on their site, I'm hopeful I'll finally receive my insulin after about a months time.
    Can Express Scripts really not send an insulin depedant diabetic their insulin with a valid prescription and even then a personal call from the prescribing doctor? This seems like it should be illegal not to honor a life sustaining prescription, especially since theybwont allow me to take it to any other pharmacy, or rather they won't cover it if I take it to another pharmacy.
    And if it is legal to refuse to honor my insulin script until talking to my doctor:
    a. How many times can they do it? Cause I'm pretty nervous I'm going to find out tomorrow, after the doctors office closes, that they're going to have another "concern" for my well being and need to speak to my doctor before shipping my insulin, for a 3rd time.
    b. For something as necessary as insulin, if they're going to cancel a prescription for it out of need b to speak to the doctor, shouldn't they have to make more of effort to contact either of us other than an email, such as a phone call?
    I know a lot of people are uneducated or under educated about diabetes all together, but a vast majority of people that come to know me always thought that people that are type 2 diabetics don't NEED insulin and can very easily manage their diabetes with exercise, diet, and maybe pills alone.
    Do they think because I'm listed as a type 2 that they have an out if I get sick from high sugars because I could havee managed by exercising more or watching what I eat better? I know that Express Scripts is in the business of making money, and I know they are losing a lot with the amount of insulin prescribed to me versus the $20 I pay for 90 days worth, this is what first went through my head with the first problem they had (which I tried googling the recommended daily dose of Novolog U-100 and could never find anything about it, I'm extremely curious as to what they recommend. So please, if anyone can send me a link to that info I'd greatly appreciate it)

  2. PeterPumper

    I think someone messed up, either your Doc or their clerk, and listed your dosage as 3000 units a day instead of 300 units a day.
    While 300 units a day is a lot, it's certainly not unheard of. Before my pump, I took about 200 units daily myself.
    However, 3000 units daily would be a Huge amount, and certainly could be greater than a max dose set in a system such as Express Scripts as a safety measure if nothing else, Just imagine if the script shipped as listed, and some unknowing healthcare worker (or family member) administered 3000 units of insulin to you. Besides the fact that it would take 30 1cc syringe fulls, it would surely kill you.
    So, be glad That didn't happen.
    What you've got here is a breakdown based on incompetence and miscommunication, not conspiracy and illegality. While no less frustrating, it's at least less intentional.
    What would I do? I'd call my doctor, explain to them the whole situation (including the dosage screw up), and try to get one human at at least a supervisory position speaking with another human at a supervisory position. I'd also talk to my doctor about either getting a couple vials of Samples to bridge the gap, or an allowance from someone to fill a short-time script locally on an emergency basis.
    Try to take a breath and start over. I knw this sucks. When it's all over you can write letters, call people, yell, scream, and go for blood. But right now you need to focus on getting your insulin.
    Best of luck. Keep at it. You'll find someone at Expreess with a brain eventually, just out of statistical luck.

  3. Chrysalis

    I'm sorry that you are having such a difficult time. As you yourself said, 270 vials for 3 months is 10 times your usual dose so there must be some mistake someplace. I hope that your doctor can give you some samples to tide you over until Express Scripts gets it worked out.
    Meanwhile, I, too, have had lots of trouble with Express Scripts. I discovered that there are independent pharmacies (sometimes called "compounding pharmacies") that can fill a 3-month prescription in a brick-and-mortar store. It depends on your type of insurance, though. Here is a post about that: https://www.diabetesdaily.com/forum/...ns/#post958761 Maybe that will help you in the future.

  4. -> Continue reading
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You may regularly take several medicines, it's a good idea to know the names of your medicines, what they look like and when is the best time to take them. Keep an up-to-date list of all the medicines you are taking. Keep your list with you, and take it with you each time you visit your doctor, pharmacist or other health professional. Download a Medicines List from NPS http://www.nps.org.au/consumers/tools... Produced by Diabetes Tasmania & NPS - Better Choices. Better Health 2009 Australia.

Urgent: Sending Medicines From India To Usa

URGENT: Sending medicines from India to USA Few weeks back, My parents left USA on visiting visa but left their Insulin medicines in our home. So, I need to send them ASAP to USA from Hyderabad. Also, please let me know who can take a small packet of 200gms to USA. Don't you think shipping the medicines is the fastest way? A bunch of medicines that are legal abroad may not be approved by the FDA for the US. Getting non-approved medicine into the US probably violates a bunch of rules. They may have to go to a doctor here and get a prescription. One can send medicines by post/courier with proper prescription along with authorization letter from concerned drug regulatory authority of that country. The declaration has to be clear. I should have informed you earlier before I subscribe to your suggestions. After few investigations, I came to know that we can't send any medicines to USA through courier (FedEx, USP and Speed Post). In fact, private players are willing to accept tablets in small quantity but not Insulin liquid bottles as per US regulatory norms. Finally, I came to know that It is only possible to send any medicines to USA in less quantity through our well wishers with pres Continue reading >>

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Popular Questions

  1. Krysbarr

    Express Scripts refusing to fill my insulin, is this legal in USA?

    I have to use Express Scripts to get my insulin because it's a non narcotic that I take regularly. I had my doctor send them a 3 month prescription 3 weeks before I needed the insulin to be cour sing though my body. I saw my doctor on February 14, 2017 and Express Scripts got the prescription on February 15, 2017.
    I realized on the evening of March 3, 2017 that I was very low on insulin and wondered why my new prescription hadn't come in yet. I looked on the Express Scripts site and saw my insulin prescription had been cancelled because my dose was "over the manufacturer'so reccomended dose". I called and inquired about it, yes that is why it was cancelled, the pharmacist just needs to speak to the prescribing doctor and confirm the dose and get a new prescription from him. I had to wait until Monday, February 6, 2017 to call my doctor. I called him first thing that morning and his secretary called me later the same day to let me know he took care of it.
    I checked the Express Scripts site yesterday, Wednesday, February 8, 2017, and it said my insulin was being "processed" but would not be shipped until my doctor called in to speak with the pharmacist about their concerns about how my insulin may interact with some of my other medications. I called Express Scripts immediately and asked why they didn't ask my doctor this when he called just a couple days ago. The lady apologized for my troubles and told me she looked deeper and saw that the Tricare part of Express Scripts was down and had not updated yet, so I could not see that they had in fact charged me my $20 copay and already mailed out 270 vials of Novolog U-100 to my home and I should get it in a matter of days since it has to be refrigerated. I asked if she was sure because I use up to 300 units per day and I've been told that's a massive amount and so 270 vials would last me around 90 months, so are you absolutely sure? She said she was positive they shipped out 270 vials and charged my card on file $20 and that the site should be updated by tomorrow. The only thing on my mind was that was 7.5 years worth of insulin for me, I hope I can find a way to give away at least as much as what would go bad before I could use it to people that can't afford it, I'm only supposed to get 27 vials for 3 months worth.
    I checked the site this morning, still said the pharmacist wanted to talk to my doc. I called docs office, took about 3 minutes to convince the receptionist that I know the doctor called the pharmacy Monday to fix the problem, they decided they have a new problem now and won't send me insulin until he calls them. Then I called Express Scripts spoke with someone only interested in getting me to give them authorization to charge my card more than $1, so I asked for a manager, as soon as he heard my problem it was "hello, hello, I can't here you" click. I called to talk to a manager again and I explained I just got disconnected from a manager, but she wanted to know what the problem was and told me that she saw that I needed to pay the $20 copay. I asked if that's all that needed done, if I pay it you'll ship it, no more excuses, no need to talk to my doctor? Well not exactly, OK manager please. Then I got a manager who did her best to help. She listened without interupting, she called the pharmacist, who had just gotten off the phone with my doctor minutes before, and she said my insulin was being packaged and would be shipped out today and she was going to send it express mail free of charge. Which at this point I'm crying out of frustration and happiness at the thought that maybe I'll make it until my insulin gets here without getting admitted to the ICU again with ketoacidosis. The manager told me not to worry, it will be ok, her dad has diabetes too and so she knows how it is. So today, Thursday, February 9, 2017, after 2 prescriptions for the same exact dose/quantity/brand, 2 refusals to mail my insulin to me (online) (and I'm not allowed to take it to any other pharmacy or else it's not covered by my insurance), 2 calls from my doctor, 4 calls from me, a pending $20 charge on my card, a confirmation number, and a "pending shpiping estimate date" listed under the shipping status of my insulin on their site, I'm hopeful I'll finally receive my insulin after about a months time.
    Can Express Scripts really not send an insulin depedant diabetic their insulin with a valid prescription and even then a personal call from the prescribing doctor? This seems like it should be illegal not to honor a life sustaining prescription, especially since theybwont allow me to take it to any other pharmacy, or rather they won't cover it if I take it to another pharmacy.
    And if it is legal to refuse to honor my insulin script until talking to my doctor:
    a. How many times can they do it? Cause I'm pretty nervous I'm going to find out tomorrow, after the doctors office closes, that they're going to have another "concern" for my well being and need to speak to my doctor before shipping my insulin, for a 3rd time.
    b. For something as necessary as insulin, if they're going to cancel a prescription for it out of need b to speak to the doctor, shouldn't they have to make more of effort to contact either of us other than an email, such as a phone call?
    I know a lot of people are uneducated or under educated about diabetes all together, but a vast majority of people that come to know me always thought that people that are type 2 diabetics don't NEED insulin and can very easily manage their diabetes with exercise, diet, and maybe pills alone.
    Do they think because I'm listed as a type 2 that they have an out if I get sick from high sugars because I could havee managed by exercising more or watching what I eat better? I know that Express Scripts is in the business of making money, and I know they are losing a lot with the amount of insulin prescribed to me versus the $20 I pay for 90 days worth, this is what first went through my head with the first problem they had (which I tried googling the recommended daily dose of Novolog U-100 and could never find anything about it, I'm extremely curious as to what they recommend. So please, if anyone can send me a link to that info I'd greatly appreciate it)

  2. PeterPumper

    I think someone messed up, either your Doc or their clerk, and listed your dosage as 3000 units a day instead of 300 units a day.
    While 300 units a day is a lot, it's certainly not unheard of. Before my pump, I took about 200 units daily myself.
    However, 3000 units daily would be a Huge amount, and certainly could be greater than a max dose set in a system such as Express Scripts as a safety measure if nothing else, Just imagine if the script shipped as listed, and some unknowing healthcare worker (or family member) administered 3000 units of insulin to you. Besides the fact that it would take 30 1cc syringe fulls, it would surely kill you.
    So, be glad That didn't happen.
    What you've got here is a breakdown based on incompetence and miscommunication, not conspiracy and illegality. While no less frustrating, it's at least less intentional.
    What would I do? I'd call my doctor, explain to them the whole situation (including the dosage screw up), and try to get one human at at least a supervisory position speaking with another human at a supervisory position. I'd also talk to my doctor about either getting a couple vials of Samples to bridge the gap, or an allowance from someone to fill a short-time script locally on an emergency basis.
    Try to take a breath and start over. I knw this sucks. When it's all over you can write letters, call people, yell, scream, and go for blood. But right now you need to focus on getting your insulin.
    Best of luck. Keep at it. You'll find someone at Expreess with a brain eventually, just out of statistical luck.

  3. Chrysalis

    I'm sorry that you are having such a difficult time. As you yourself said, 270 vials for 3 months is 10 times your usual dose so there must be some mistake someplace. I hope that your doctor can give you some samples to tide you over until Express Scripts gets it worked out.
    Meanwhile, I, too, have had lots of trouble with Express Scripts. I discovered that there are independent pharmacies (sometimes called "compounding pharmacies") that can fill a 3-month prescription in a brick-and-mortar store. It depends on your type of insurance, though. Here is a post about that: https://www.diabetesdaily.com/forum/...ns/#post958761 Maybe that will help you in the future.

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