The Reason Why Some Of Us Are Medicated:

, , , , , , | Healthy | October 24, 2018

(I work as a customer service representative. Our company manages prescription plans for a government-run insurance primarily for seniors. We also function as a mail-order pharmacy. This call takes place while I’m still in training during my first week taking calls.)

Me: “This is [My Name]; how can I help you?”

Customer: “Yeah. My husband needs to start taking [drug]. I want to know if his plan will cover it.”

Me: “I can certainly check that for you, ma’am. May I have some information?”

(After I verify her husband’s account information, I look up the medication.)

Me: “Okay. Your husband’s insurance will cover that for an approximate cost of [total].”

Customer: “Well, that seems like too much, but he needs it. Can you send it to him, please?”

Me: “Let me see.”

(I check, and we do not have a prescription for it, nor has another pharmacy filed a claim.)

Me: “I’m sorry, ma’am. We will need your husband’s doctor to send us a new prescription before we can fill it.”

Customer: “Oh. Well, his doctor won’t write it. You have to stop drinking for six months, and my husband likes to have a beer or two every night, so the doctor won’t write one.”

Me: “I’m sorry. But without a prescription, we cannot send a medication.”

Customer: *getting angry* “But I told you that his doctor won’t write the prescription! Can’t you just send it if we pay full price?”

Me: “Again, ma’am, I’m sorry, but we must have a prescription before we can send the medication.”

Customer: “Well, why can’t you just send it?!”

Me: *rubbing my temples at this point* “Ma’am, that would be illegal.”

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