r/ExpressScripts

Paying twice the copay after the third fill

Does anyone do this because home delivery is so bad that you are willing to pay more for a 30 day supply rather than get a 90 day? There’s something to be said about the convenience of having your prescription in your hand that day, and not talking with endless express scripts agents who can never help you.

On the other hand, it does eat a hole in the budget.

So curious what choices people make.

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u/AdAdmirable1583 — 22 hours ago

Explain it to me like I am two

You have no choice but to use them. They give you three refills at the brick and mortar pharmacy and after that you have to pay the full retail price. They routinely deliver your medications late and you have no recourse. No accountability, no nothing. Representatives take no notes. You can call 14 times and each representative won’t know about any of the previous calls, so you start from complete scratch each time like Adam Sandler in 50 first dates. They won’t write up a ticket or anything, or have someone call you back. They give useless answers that don’t help.

How is cornering a business like this legal? I understand PBMs exist and all this stuff, but this really seems like mafia tactics to me. “You have to use our services no matter how shitty they are, and even if we put your life in danger”. Truly, I don’t know how this is allowed.

(Disclaimer: These are just my opinions)

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u/AdAdmirable1583 — 4 days ago

They cancelled order, said it was my doctor - a lie

Basically, MD sent an order in, they were out of the med. So THEY cancelled it. Sent me an email with that info and that is what it says in the app. Fine- they have done this before. I called back a week or so later to ask for it to be uncancelled because the med is back in stock (which they confirmed it is) and they said they can't, because my doctor cancelled it. Which I know is a lie. They have reversed a cancel in the past when they did not have stock.

I would not be so irritated if they said "it has been more than X number of days so we can't reverse the cancel" but lying and saying my doctor cancelled it sends me over the edge. Then insisting that is what happened on the phone, despite what the app is showing on the screen. Customer service guy literally said "we did not cancel it".

To note, I have actually had my doctor cancel meds before when he decides to alter a dose, and that message says "it was cancelled by your doctor".

Of course, being able to talk to a person at Express scripts seems to get harder everytime I have to call them. Their robot is a bully!! LOL

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u/Vlines1390 — 5 days ago