I am totally disabled and on Medicaid. My physician prescribes Percocet for pain control of colitis. He issues me a prescription for a 30-day supply every 30 days. On February 25, 2013, I submitted my prescription for Percocet to the above referenced Walgreens Pharmacy. The date on the label shows the prescription was filled on February 25, 2013. Their website shows the prescription was not filled until February 26, 2013.
On March 25, 2013, I submitted a prescription for Percocet to the same pharmacy. The representative stated that the prescription could not be filled until April 1, 2013, because I had not picked up the previous prescription for Percocet until March 1, 2013. In response, I stated, "You are going by the pickup date of March 1, 2013, versus the dispensing date of February 25, 2013." The representative responded, "Yes."
Questioning Walgreens' use of the pickup date, on the morning of March 26, 2013, I called Medicaid and spoke to a representative by the name of Dawn. She ran a trial claim for a prescription of Percocet, and she said that it was accepted and approved. I explained to Dawn that Walgreens was using the pickup date versus the dispensing date. She stated to call Walgreens Pharmacy and asked when the prescription for Percocet could be filled. Immediately I called the same Walgreens Pharmacy. I asked the representative by the name of Maryann when my prescription for Percocet could be filled. She pulled up my profile and stated it could not be filled until April 1, 2013, because I had not picked up the previous prescription for Percocet until March 1, 2013. I questioned her about using the pickup date. She stated that it was the law to use the pickup date, and she could do nothing about it.
In response, I told her it was not the law because I had just spoken to Medicaid, and they ran a trial claim for the Percocet using March 26, 2013, as the date of dispensing, and it was accepted and approved. I told her it was Walgreens Pharmacy policy to use the pickup date and not the law. Today, March 29, 2013, I submitted the same prescription for Percocet at a Walmart Pharmacy. They filled the prescription, and Medicaid accepted and approved it on their computer system. This clearly substantiated that Walgreens Pharmacy has created their own policy to use the pickup date versus the dispensing date. It is Walgreens Pharmacy's dirty little tactic to delay filling prescriptions.
As I am disabled, I am not always able to pick up my prescriptions on the same day I drop off the prescription at a pharmacy. I do not drive, and I have a caregiver drive me to the pharmacy. Furthermore, I schedule my appointments with my primary physician based on the dispensing date of Percocet and not the pickup date. The bottom line: A person could run out of his prescription because Walgreens Pharmacy is using the pickup date versus the dispensing date for Percocet.
Furthermore, Medicaid uses the dispensing date and not the pickup date for billing. The pharmacy is required to use the dispensing date and not the billing date in submitting a claim for reimbursement of the cost of the prescription. Therefore, I question the legality of Walgreens using the pickup date and falsely telling a customer the prescription cannot be filled based in the pickup date instead of the billing date.
Monetary Loss: $50.