VAC Prescription Drug Audits
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VAC Prescription Drug Audits
Has anyone received more then 1, one, VAC prescription drug audit survey over the last 12 months?
I'm asking because I have done 3 over the last year and in the previous 14 I've had 2. Just really curious...
I'm asking because I have done 3 over the last year and in the previous 14 I've had 2. Just really curious...
Teentitan- CSAT Member
- Number of posts : 3312
Location : ontario
Registration date : 2008-09-19
Re: VAC Prescription Drug Audits
Teen,
I've never received an audit/survey for my meds that are paid for by DVA.
I've never received an audit/survey for my meds that are paid for by DVA.
Guest- Guest
Re: VAC Prescription Drug Audits
I've never received one either. Never even heard of it until now.
Bruce72- CSAT Member
- Number of posts : 721
Location : Newfoundland
Registration date : 2014-03-13
Re: VAC Prescription Drug Audits
Teen, just did my third audit form in the past year, like yourself i have had maybe 2 previous requests before that in the last decade.
Cheers
Cheers
6608- CSAT Member
- Number of posts : 308
Location : NB
Registration date : 2012-06-23
Re: VAC Prescription Drug Audits
Nope. Never heard of one either...

pinger- CSAT Member
- Number of posts : 1242
Location : Facebook-less
Registration date : 2014-03-04
Re: VAC Prescription Drug Audits
I get 1 every year.
Vet1234- CSAT Member
- Number of posts : 565
Location : Ontario
Registration date : 2016-07-27
Re: VAC Prescription Drug Audits
Weird....wonder if this has to do with blue cross shutting down claims and denials
Supremedebater- CSAT Member
- Number of posts : 52
Location : Canada
Registration date : 2016-11-24
Re: VAC Prescription Drug Audits
Is this an audit of the prescription drugs we are prescribed? Or an audit of our blue cross submitted medical appointments?
Willie- CSAT Member
- Number of posts : 89
Location : Ont
Registration date : 2017-01-19
Re: VAC Prescription Drug Audits
Prescription drugs we are prescribed Willie.
Medical appointments are paid for by the Province to the practitioner.
Medical appointments are paid for by the Province to the practitioner.
Teentitan- CSAT Member
- Number of posts : 3312
Location : ontario
Registration date : 2008-09-19
Re: VAC Prescription Drug Audits
Thanks Teentitan, I meant to say medical appointment mileages paid by Blue Cross. I find it odd that they are auditing our prescription drugs since it has to be approved and prescribed by a physician so it makes no sense for an audit. It's not like we can get a prescription any other way.
Willie- CSAT Member
- Number of posts : 89
Location : Ont
Registration date : 2017-01-19
Re: VAC Prescription Drug Audits
I was released in 2006 and it is the first time that I hear of this. I have a list of prescription drugs.
tiger660- CSAT Member
- Number of posts : 51
Location : quebec
Registration date : 2012-09-09
Re: VAC Prescription Drug Audits
I've never heard of it, but then again I really haven't had any prescription drug cause my Ex Doctor wouldn't
prescribe anything stronger the T3's w/Codine.
The only thing I think it could be, again My Opinion or thought, was that it was found out / caught that someone
was doing a double dip in prescription drugs, from Multiple Doctors, So for Example he/she was getting Oxy
from Dr. A, and then Also see's Dr. B who then writes out another Prescription for More Oxy, which is also Billed
To BlueCross. So After find the this 1 occurrence they are now going through their files looking for people who
have been prescribed this Medication say "A" cause I dunno what one they are looking for, be it oxy, perc's or what
not.
Thats the only reason to me why some people are getting the Audit, and other aren't is because we aren't or haven't
been prescribe this medication "A" they are doing the Audit on.
OR
Due to a Freedom of Info request, Someone has asked, How much lower are the Costs for Medication "A" now that
a lot have Moved over to the MM treatment Plan.
prescribe anything stronger the T3's w/Codine.
The only thing I think it could be, again My Opinion or thought, was that it was found out / caught that someone
was doing a double dip in prescription drugs, from Multiple Doctors, So for Example he/she was getting Oxy
from Dr. A, and then Also see's Dr. B who then writes out another Prescription for More Oxy, which is also Billed
To BlueCross. So After find the this 1 occurrence they are now going through their files looking for people who
have been prescribed this Medication say "A" cause I dunno what one they are looking for, be it oxy, perc's or what
not.
Thats the only reason to me why some people are getting the Audit, and other aren't is because we aren't or haven't
been prescribe this medication "A" they are doing the Audit on.
OR
Due to a Freedom of Info request, Someone has asked, How much lower are the Costs for Medication "A" now that
a lot have Moved over to the MM treatment Plan.
BinRat- CSAT Member
- Number of posts : 257
Location : Komoka
Registration date : 2008-09-18
Re: VAC Prescription Drug Audits
I think you are on to something BinRat. It could be scenario 1 and/or scenario 2. I think we have to always expect the unexpected when it comes to our benefits.
Willie- CSAT Member
- Number of posts : 89
Location : Ont
Registration date : 2017-01-19
Re: VAC Prescription Drug Audits
Actually Binrat never been audited for any opiods. Heartburn, cymbalta and naropin.
If I remember correctly Blue Cross does these prescription audits as per VAC rules. I just find it odd that I have had 3 in one year.
Oh my doctor who prescribed these drugs has told me I'm her only veteran.
If I remember correctly Blue Cross does these prescription audits as per VAC rules. I just find it odd that I have had 3 in one year.
Oh my doctor who prescribed these drugs has told me I'm her only veteran.
Teentitan- CSAT Member
- Number of posts : 3312
Location : ontario
Registration date : 2008-09-19
Re: VAC Prescription Drug Audits
Here's a little 2 cents for your info teen because your 3 in one year audit is odd to me
That said, I never even had one... would pixx me off if I ever did.
But I've had prescriptions/claims blue cross/green shield etc etc VaC for 25 years, irregardless of what for, living aids to very heavy meds.
Same doctor for 25 years as well.
Did something change in your last year? That you may be overlooking that triggers 3 audits a year.
Frankly, I'd be scratching my head real quick about it !!!
That said, I never even had one... would pixx me off if I ever did.
But I've had prescriptions/claims blue cross/green shield etc etc VaC for 25 years, irregardless of what for, living aids to very heavy meds.
Same doctor for 25 years as well.
Did something change in your last year? That you may be overlooking that triggers 3 audits a year.
Frankly, I'd be scratching my head real quick about it !!!
pinger- CSAT Member
- Number of posts : 1242
Location : Facebook-less
Registration date : 2014-03-04
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