I have listened as clients laughed and said about their challenges to be diagnosed, just to have their hopes dashed when they find themselves trapped in the ADHD medication maze. What is the ADHD medication maze? It is that complex cycle of trying to get ADHD medications refilled. Prescription medications not relayed to local pharmacies or faxes getting lost to online medication emailing systems. Suspicious looks from pharmacists when picking up medications medical spa industry. Refusals by insurance companies to pay for prescribed medications. Many dead ends, backtracking, twists and turns of getting a written prescription through the process and have it filled. The ADHD medication maze is a frustrating web where so many people with ADHD find themselves stuck not so sure which way to turn and unfortunately many give up and never get an opportunity to feel the possible benefits of ADHD medications.
Theoretically, filling medication prescription medications is said to be easy work. In reality, it rarely goes efficiently. Let me tell you about my own recent experience with trying to get my medications filled. I know many of you will relate.
I called to make an appointment and a month later got in to see my doctor who, following a 25-minute wait and a 10-minute appointment, prescribed me my medications. As i left the clinic, I was told a 14-day short-term prescription would be called to my local pharmacy and an email/fax would be delivered to Express Scripts, my mail-order pharmacy. Okey dokey.
Not so bad. Except (you saw this coming, didn’t you? ) a plan is only as good as its performance.
The following day my local pharmacy auto responder called (nice feature by the way) to let me know my short-term interim medications were ready to be picked up. I was pleasantly allayed and somewhat surprised it absolutely was that uncomplicated. Easy peazy, I thought. I will pick them up on my way to the airport and just to be sure, allow quarter-hour extra.
You see where this is going, right?
I arrived at the pharmacy with sufficient time, trying to have faith and confidence in the system… after all they had confirmed my prescription was ready for pick up, right? I waited with patience in line for the two people before me to grab their prescription medications and have a pharmacy consult… do dee do… don’t worry, sufficient time.
My turn. I arrived up, gave the pharmacologist my name and they turned around to reach for my prescription. The pharmacologist placed two bags on the counter, phoned me up… my cost was under $10 dollars… Yay! Woo Hoo… happy dance. I even scolded myself for doubting all would work out.
Wait a minute. I had three prescription medications. “Uh hello Mr. Pharmacy Man, I’m supposed to have three medications filled today… there are only two. inch
At this point I was still positive… wanting to trust in this “fill a pill system” and then I heard those fated words… “The doctor reordered three medications, but the XYZase is not covered by your insurance prior to the firstly next month. inch
And then, in a nanosecond, my stomach dropped, my heart quickened and I begun to see red. I was frustrated by the whole system. Frustrated because I trusted everyone to do their job. Angry with the realization that so many people get stuck in this medication maze with little support or map to find their way to avoid…
Side note: I’ll admit it… I have a real problem with the way medications are allocated in this country. It’s a crazy system, full of twists and turns we are expected to navigate in order to get prescription medications filled. It’s complicated by fiscally motivated insurance companies who decide what health care bills I receive and what I don’t. Last time I checked, insurance companies do not have a medical licence; they don’t have the training to decide whether I keep on a medication or not. My doctor with the advanced Michael. D. degree should be the one to decide clinically what is in the best interest of my health.
So how was I… also yes, standing at the pick-up counter at the pharmacy…
Mustering my daring and trying very hard not to be rude or obnoxious, I told the pharmacologist that “the insurance company did not get to decide my health care bills, my doctor did and I would pay for that prescription out of my own pocket if needed… thank you. inch Then, I was asked to step out of the line and told my prescription would be filled as soon as possible.