VAC Prescription Drug Audits

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VAC Prescription Drug Audits

Post by Teentitan on Wed 25 Jan 2017, 13:53

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...
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Re: VAC Prescription Drug Audits

Post by Trooper on Wed 25 Jan 2017, 14:28

Teen,

I've never received an audit/survey for my meds that are paid for by DVA.
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Re: VAC Prescription Drug Audits

Post by Bruce72 on Wed 25 Jan 2017, 14:37

I've never received one either. Never even heard of it until now.

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Re: VAC Prescription Drug Audits

Post by 6608 on Wed 25 Jan 2017, 14:40

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
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Re: VAC Prescription Drug Audits

Post by pinger on Thu 26 Jan 2017, 16:05

Nope. Never heard of one either...scratch
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Re: VAC Prescription Drug Audits

Post by Vet1234 on Thu 26 Jan 2017, 16:06

I get 1 every year.
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Re: VAC Prescription Drug Audits

Post by Supremedebater on Thu 26 Jan 2017, 22:02

Weird....wonder if this has to do with blue cross shutting down claims and denials

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Re: VAC Prescription Drug Audits

Post by Willie on Thu 26 Jan 2017, 22:41

Is this an audit of the prescription drugs we are prescribed? Or an audit of our blue cross submitted medical appointments?

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Re: VAC Prescription Drug Audits

Post by Teentitan on Fri 27 Jan 2017, 11:35

Prescription drugs we are prescribed Willie.

Medical appointments are paid for by the Province to the practitioner.
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Re: VAC Prescription Drug Audits

Post by Willie on Fri 27 Jan 2017, 20:37

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.

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Re: VAC Prescription Drug Audits

Post by tiger660 on Sat 28 Jan 2017, 06:30

I was released in 2006 and it is the first time that I hear of this. I have a list of prescription drugs.

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Re: VAC Prescription Drug Audits

Post by BinRat on Sat 28 Jan 2017, 06:46

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.

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Re: VAC Prescription Drug Audits

Post by Willie on Sat 28 Jan 2017, 10:42

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.

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Re: VAC Prescription Drug Audits

Post by Teentitan on Sat 28 Jan 2017, 13:04

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.
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Re: VAC Prescription Drug Audits

Post by pinger on Sat 28 Jan 2017, 16:07

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 !!!
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