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From what I understand, they are getting it from pharmacy benefit managers. Basically all insurance companies use one. If you pay cash, you better go to a small one that isn't your regular pharmacy.
A Question Regarding Script Checks.
- Thread starter Jerard
- Start date
From what I understand, they are getting it from pharmacy benefit managers. Basically all insurance companies use one. If you pay cash, you better go to a small one that isn't your regular pharmacy.
- 634
You are always correct, my friend.
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That's not what my wife says.
- Thread starter
- #14
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Alrighty now. Since the Rx company does the reporting then all ins companies get that info at the same time. Got it.....thanks, all.
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A Forethought rep told me there are 2 separate "pharmacy data bases". I think they are intelliscript and optimum something or other.
Anyway he said basically all prescriptions are logged in one of the two or most of the time both. Not sure how they are logged but they are. I suspect this is also used to stop drug users from getting multiple rx for the same condition from multiple drs.
The Forethought guy said they stayed using both vendors so they knew nothing was slipping by. The VA I believe is not reporting to either of these.
- 19,673
They don't seem to be all that accurate and VA doesn't report at all. That's the reason that RNA has always given for having agents list the meds on the application because they don't get everything from a script check.
Then you have some where an Rx pops up and the person swears they have never taken it.
Recently had isorbide come up on an FBL application. THey guy didn't tell me about beforehand. He told the interviewer that he did not take it, never had taken it and doesn't know what it is.
Guy still swears he knows nothing about it.
Then you have some where an Rx pops up and the person swears they have never taken it.
Recently had isorbide come up on an FBL application. THey guy didn't tell me about beforehand. He told the interviewer that he did not take it, never had taken it and doesn't know what it is.
Guy still swears he knows nothing about it.
They don't seem to be all that accurate and VA doesn't report at all. That's the reason that RNA has always given for having agents list the meds on the application because they don't get everything from a script check.
Then you have some where an Rx pops up and the person swears they have never taken it.
Recently had isorbide come up on an FBL application. THey guy didn't tell me about beforehand. He told the interviewer that he did not take it, never had taken it and doesn't know what it is.
Guy still swears he knows nothing about it.
What was the disposition of the case? Declined, rated?
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They declined it as soon as isorbide came up.
- 15,041
As I recall, pharmacy benefits have all been outsourced. The card may say Humana or BCBS or whatever, but really Express Scripts, Medco or someone else is handling it behind the scenes.
