VAC Prescription Drug Audits

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Re: VAC Prescription Drug Audits

Post by teentitan on Sat 28 Jan 2017, 19:17

Nope same prescription's, doctor for the last 7 years.

I'm just wondering if VAC is thinking of adding a 20% or flat fee for all prescriptions sometime in the future. Because Blue Cross doesn't care how much they pay as they have a pretty good contract with VAC/GOC
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Re: VAC Prescription Drug Audits

Post by pinger on Sat 28 Jan 2017, 20:28

Forgo the 20% or flat fee future Teen. I'd burn hell in half smartly if I even received a first audit pdq
let alone three.

It would peev me off like doing my taxes 3 times over.
What does this 3 time audit look like ? Legit ?
Some kind of fracked up Blue Cross validation crap ?

Because we sure don't need that kind of static.
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Re: VAC Prescription Drug Audits

Post by Willie on Sat 28 Jan 2017, 21:10

Agreed pinger, we don't need that stress being a candidate of an audit. What does an audit entail Teentitan? Do you have to do anything or is it done by Blue Cross or DVA?

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Re: VAC Prescription Drug Audits

Post by teentitan on Sat 28 Jan 2017, 23:50

Basically you get a letter with a stamped self-return envelope.

The letter states what drug they are looking at prescribed to me with the DIN and pharmacy that dispensed it.

They want to know:
The date filled
Name of the person receiving the drug
Quantity of the filled prescription
Cost paid by VAC

It's a Yes No answer to each question.

There's a comment section and date you filled the form and signature.

I never know the price because I don't keep the prescription cost only my drug history, Shoppers Drug Mart gives you a history of your prescribed drugs.

I don't mind doing an audit, it's all part of the administration. But 3 in one year?

Either they are leary of me or suspect the drug store is ripping them off.
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Re: VAC Prescription Drug Audits

Post by Willie on Sun 29 Jan 2017, 09:48

Sorry you are going through this Teentitan. If I get audited I would not know the price of the prescription either and I would hope Costco pharmacy could give me a history of prescribed drugs.

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Re: VAC Prescription Drug Audits

Post by bigrex on Sun 29 Jan 2017, 10:01

I'm wondering if this has anything to do with the new MM limitations. One of the main things that came out was the fact that VAC was spending more on other pharmaceuticals, so now I'm wondering if VAC has got it in their collective brain, that they are paying too much for even that.So it wouldn't surprise me if at some point in the future, VAC changes the rules to limit their liability for drug costs.
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Re: VAC Prescription Drug Audits

Post by pinger on Sun 29 Jan 2017, 10:38

Interesting.
But aside from the little drug history chit you get at Shoppers Drug Mart for every prescription, I got them to run a FULL print out of everything to help a new specialist of mine.
Very detailed, prescribing doctor, price splits, dosage, etc. etc.
I just asked, not knowing that they could do that.
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Re: VAC Prescription Drug Audits

Post by Willie on Sun 29 Jan 2017, 10:43

That's really good to know that pharmacy can do that pinger, thank you. Take care.

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Re: VAC Prescription Drug Audits

Post by teentitan on Sun 29 Jan 2017, 10:57

I don't know if it has any ties to the MM Rex but I do wonder if there is going to be a change to our drug plan? I can see a surcharge coming.

I know there is a dollar limit on drugs that have a generic brand. I found this rule on my cymbalta prescription. If the doctor does not write "no sub" on the prescription VAC only pays the generic price.
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