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Re: OT- Rant Continued

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> M. wrote:

> I'm completely out of Actiq and Humana says I'll get my prescription in 3-4

weeks.

,

You need to call a case manager immediately and tell them you have cancer as

these guidelines are usually for non cancer to tak Actiq as it specifies for

cancer patients.

You need to get a prescription for a Home Health Agency to send a Nurse out

weekly to check on you and manage your pump and medications.

They did this for my Dad and that is why you have to have a case manager

assigned to you. This way the Nurse can call and manage these problems and not

you.

This borders on criminal. It would be the insurance who is not processing and

they need to tell you the reason why as Actiq can be sent in mail.

My insurance company did this on me ONCE and then I said I wanted it in my

records so they did not hold it every month because they think it is too high

dose and

understand why I get one dose mid day.

Good Luck and I ranted with you in another e mail and it explains why this

happens. Once they got this down, they left me alone. My justifications are good

for a year but check how long you pre-authorizations and justification are good

for. Good luck. Bennie

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