Is It Legal To Send Insulin In The Mail

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How To Ship Foods With Dry Ice

Dry ice is often used as a shipping agent for perishable foods. If you're shipping perishables, you can pack them with dry ice to make sure they stay fresh on their trip! If you want to ship food with dry ice, buy some at your local grocery store, and make sure to wear gloves while you handle the dry ice. Wrap your food in plastic or paper to protect it, then use newspaper or cellulose and thick layers of Styrofoam to pack the food and the dry ice tightly together in a durable box. Keep track of how much dry ice you used in your package, since youll need to know that to fill out the shipping paperwork. For help labeling your package, read on! Purchase packages of dry ice. Before you can pack materials using dry ice, you'll have to purchase some. You can buy packages of dry ice at most butcher shops and grocery stores. Some UPS stores or FedEx stores may sell dry ice. [1] Get the right quality material for packing. Once you've obtained dry ice, you need material to pack it safely. Dry ice releases carbon dioxide, which can be hazardous if released through the package rupturing. A rupture can be caused by pressure pushed down on a package during shipments. Therefore, the material yo 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.

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