What started as minutes on the phone has quickly turned into hours, between United Healthcare, Wallgreens Specialty Pharmacy, and Nike Human Resources. I have reached the boiling point.
All I want is my crizotinib. I’ve been on this drug for over 2-years. I understand that it is a costly drug clocking in at over $10,000 a pop on my plan. I understand that I have, through Nike, a prescription coverage that states I will pay 20% plus $20 copay up to my out of pocket maximum of $1,500 for name brand drugs. Why does United Healthcare and Wallgreens tell me I owe over $7,000 for a 90-day supply for this drug?
Finally, Wednesday evening being completely frustrated I broke down and started crying during dinner. I told SW I needed some help.
The next morning before 7am he began making phone calls. Finally, United Healthcare has confirmed that I only owe the remaining balance of $900 to reach my out-of-pocket maximum for prescriptions and they are taking the lead on getting my situation corrected.
I’m keeping my fingers crossed that all of this gets resolved before my bottle of crizotinib goes dry.