Wellcare Part D: How does a Quantity Limit of 15 day supply every 90 days make any sense
My wife recently had surgery and the surgeon prescribed Journavx for the pain. The initial prescription was for 29 tablets, a double dose loading followed by a single dose every 12 hours.
Towards the end of the 2 weeks, she asked for a refill for another 2 weeks as she still has some pain. This was turned down based on the quantity limits that Wellcare has.
Looking this up on their formulary, it appears that this drug has a 30 pill limit per 90 days. How does this even make sense. We tried appealing for an exception but that was turned down.
So, instead of a non opioid pain killer, she now has to rely on a narcotic, which she was hoping to avoid totally.