Post # 1
Hi. I need to vent so bad!!!
So a couple of months ago I got a letter from my health insurance company. The letter said that there was a ‘new, generic form of the nuvaring (my current birth control) on the market and if I didn’t switch to the generic form of the prescription I would eventually pay more out of pocket. Fine. No big deal. The letter said I had two months to switch and I talked to my pharmacy and they said they would probably have the generic nuvaring in stock by then. Sweet!!
Fast forward two months, went to my pharmacy to pick up my prescription and it was double the normal price. I told the pharmacist I needed the generic nuvaring and he double checked my order – he said there is no such thing as a generic nuvaring. Shut the front door!!!
Sure enough, I did my own googling and my insurance company is going to get an earful tomorrow. It’s my responsibility to switch to the generic drug in order to pay less out of pocket, but the flipping drug doesn’t even exist?!?! Words cannot express how livid I am at this very moment. Argh!! [Insert pissed off face here.]
Post # 3
Is that grounds for false advertising? lol
Wow, that is shady! maybe the letter was a mistake/fail, and a bunch of people got them?
Post # 4
Holy canolli! I’d be pissed the frack off to! At least you don’t have my insurance. They won’t cover bc at all unless you are damn near dying! It took 4 yes, 4 months to get them to approve my bcp! Ours in catholic based but still, women, such as myself take it for other reasons other than pregnancy prevention. Things that do not beling in a uterus…the goverment, politics and insurance companies. Our vaginas, we should do what we want! I hope you get it straightened out.
Post # 5
I know birth control is a touchy subject and there are so many other issues surrounding it that discussions can get pretty heated. For instance, the government regulates birth control (which has other important medical uses for endometriosis, acne, etc) but does nothing to regulate Viagra. Hmm?? I guess not surprising since the majority of lawmakers are men. 😉
My issue tonight is with the cost. Until this year, I did use birth control for other medical reasons. And I would be happy to pay what I believe is a fair price (what it was before). If the price were to go up, my insurance company should have notified me. Telling me to switch to a generic form that doesn’t exist is total crap. I feel like that has to be some kind of crime. Fraud? I hope I can keep my cool with the insurance company in the morning…
Post # 6
@jilliebean: Without meaning to threadjack, what do you mean by the government regulating BC? Is it not readily available in the US? It’s ‘free’ in UK (subsidised by government/paid for by taxes) to reduce unwanted pregnancies as well as other reasons you mention and pretty much anyone can get it. Even girls under the age of 16 (age of consent) can get it. When I first went to get it at 17 (for both BC and to help relieve my periods) I said I realised I was young and my doctor flippently told me that he’d had a 12 year old in earlier that week and it wasn’t a big deal.
Your insurers sound like they deserve your earful, I’m privately insured (since I don’t need to have insurance in the UK) and they’re useless!
Post # 7
That is insane! I hope everything is straightened out soon. Why did the pharamacy tell you that they would have the generic Nuva Ring if it doesn’t exist?
Post # 8
@ladyartichoke: No, it is not as available as it is in the UK. You need a prescription for any type of hormonal BC, and in most cases, under the age of consent you need a guardian involved. (That’s not a legal thing I don’t think, though, it’s just that most OBGYNs I know of require it. There are women’s health clinics where it’s a bit easier I believe.) And the general rule about any healthcare in the US is that NOTHING is free.
Post # 9
Oh how I envy anyone who lives where there is free healthcare, meds, etc! It sounds so simple! 🙂
Here, you need a prescription for birth control from either your doctor or your ObGyn. Then the insurance company (mine is through work) usually pays for most of it. My friends have told me there are cheaper options (pill, shot, etc) available for birth control, but the nuvaring seriously works for me. I am terrible at taking pills. Plus it is low hormone which makes my mom worry less, haha.
What’s the point of having multiple options for birth control if only certain ones are going to be made affordable to everyone? The price difference may not seem like a lot to some, but I feel like this whole thing is outrageous. It’s a one time use prescription. And there IS NO generic option. If there were, I would be happy to take use it! I feel like I’m about to storm some castles (and by castles I mean insurance company phone lines)!!
Post # 10
@trugem: I think the pharmacist was just originally reassuring me that if there was a generic nuvaring being sold soon, they would get it. I don’t think she meant to lie to me. The insurance company was technically lying when they said there was a generic in the first place.
Post # 11
The Nuvaring patent doesn’t expire until April 2018, and that’s the earliest that a generic would be available, so that doesn’t make sense that your insurance company would have sent you that letter. I used to work in pharmacy, and my dad is the head of the pharmacy benefits department for a major health insurance company (which is why I understand this process to begin with); the only thing that I can think of is that maybe they meant that the Nuvaring was being moved to a different tier in your prescription benefit plan, and you had 2 months to change birth control or you would have to pay the higher price? The wording of their letters can be misleading sometimes. This happened before with one of my son’s medications with BCBS in the past.
According to my dad, what happens is the insurance companies have contracts with certain drug manufacturers, and if those contracts expire or they can no longer get discounts or good deals on the medications from that manufacturer, or if something similar comes out (I’m not familiar with birth controls to know if there is a similar option to Nuvaring as I don’t have to take BC myself) from a company they have a contract or better price with, then they will often try to get you to switch medications so it costs them less money, or bump your copays up to a higher copay tier to cover the extra cost. This may have been what happened. There may be nothing you can do (for example, there is no alternate to Nuvaring or they will want you to switch to something you don’t want to take, like an oral BC pill) or it may be a case where you can get an authorization through them by having your doctor write a letter stating you cannot take alternate forms of BC, but it depends on the company and why they are doing it (and it is rare to get a tier price lowered due to authorization alone :(.) I hope you are able to get some answers from them when you call, and I’m sorry you are going through this. Insurance companies can be such a pain in the a$$ sometimes. I, for one, am tired of my premiums going up huge amounts every year 🙁
Post # 12
I just switched BC pills for that reason. YAZ was no longer in the “new” stage, so it was about to double in price, but the generic made me feel … off. So I switched to Beyaz (Yaz + vitamin B) so basically the same damn thing, but since it’s still “new” its cheaper. I’m sure in 4 years I’ll have to switch to Ceyaz or something stupid thats still the same fricken thing.
Post # 13
Erisinchaos: wow! That is some really great information there! Thank you very much for posting that! You just gave me a totally different perspective on this and I’m sure there are other bees whom you have helped as well!
Paiger8: lol, ceyaz!