Archive for the 'Insurance Companies' Category

When bad PBM’s get even worse

Over the last 200+ entries, I have fought for truth, justice and AWP -5% + $6.50.  I’ve laid down the smack against doctors, other pharmacists, drug-reps, insurance companies, Liberty Medical (fuck you) and even myself.  Now someone else is on the angry chopping block.  This rant is a magical mix of useful information and gutter-talk.  [...]

Wednesday, August 13th, 2008

You’re either with us or … a huge douche!

As you have read before, California instated a 10% cut for its Medicaid Rx reimbursement.  However, last Saturday the courts overturned the ruling until 8/11/08.  Their computer systems still have the 10% cut, but they will let us know how they wish to deal with that ball of wax once the shit stops falling from [...]

Wednesday, July 16th, 2008

California Medicaid Cuts – Ground Zero

Yesterday the California Medicaid system (Medi-Cal) cut reimbursements by 10% across the boards for Doctors, Dentists and Pharmacies.  For pharmacies this was both the dispensing fee AND the drug cost reimbursement. Yesterday is also the day where if your MediCal Rx costs over $150, pharmacies will lose money due to the state reimbursing below the [...]

Wednesday, July 2nd, 2008

Fuck Copays

Copays are the bane of our existence. There isn’t a day that goes by that I don’t get into an argument or discussion with some retard about their copays.  Be it too high (even though they paid the SAME amount last month) to the infamous rocket-science-level deductible, its like we spend 99% of our time [...]

Monday, March 3rd, 2008

A plea from a fellow independant

Working for an independent gives you sort of a bond with other independent pharmacists. From shitty reimbursements to dealing with patients; we don’t have the luxury of a ‘corporate office’ and people in suits with fancy lawyers to cover our asses. So I recieved this letter from a pharmacist in California. Since he claims he [...]

Wednesday, January 9th, 2008

HIPAA Primer for BravoRx

Dear BravoRx, Please get your collective heads out of your asses and research what is and is-not information that is protected by HIPAA.  Today I had to spend 20 min on the phone yelling at one of your representative because they would not give me the birth date they had on file (which was wrong) [...]

Tuesday, January 8th, 2008

Medicare Part D – 1/1/2008

Did it go smoothly? No.  Was it a complete clusterfuck? Yes.  Am I suprised? No. Today was a diaster.  I had some insurance companies publish the completely wrong information on the cards, bunch of stuff that isnt formulary, “card? what new card?”, and a shitpot full of people whom a deductible = rocket science.  Lets [...]

Wednesday, January 2nd, 2008

Medicare Part D – Mexican Food and NPI

First off, Merry Xmas to everyone. The 1st is looming closer and closer.  For those in you not in pharmacy, the best way I can describe the feeling is as such. You just ate at this Mexican food restaurant.  The food was good, but you have this feeling in the back of your mind that [...]

Monday, December 24th, 2007

Medicare Part D 2008 – Please Not Again

Does anyone but me have this feeling of impending doom about the first of the year?  For those not in the know, a whole bunch of Medicare Part D plans are changing/merging/switching/etc as of the first of the year.  I know that HealthNet (I think its HeathNet) is switching processors, and there are about 4 [...]

Tuesday, December 11th, 2007

For Sale: WellCare, gently used, only $5

This post should of been titled “Putting the ‘oh shit someone told on us’ in WellCare” See what happens when you cross The Angry Pharmacist ™? You get raided by the FBI, your stock tanks like a post-thanksgiving turd, your exec’s abandon ship and put their business on CraigsList, and Pharmacists everywhere are digging your [...]

Thursday, November 1st, 2007

The Angry Pharmacist is Stephen Fry proof thanks to caching by WP Super Cache