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Thursday, 08/27/2015 7:28:37 PM

Thursday, August 27, 2015 7:28:37 PM

Post# of 430271
Untying the Gordium Knot or is it"NOT"... :D), I was not able to reduce my co-pay and have to meet my deductible ($3000 annually) before I get my Vascepa script at a reduced price. $150 for 90 day script.

Finally after much painstaking deliberation with my Human Resources Dept. they've come up with the gotcha......

I have two words with different meanings pertaining to my Consumer Choice Health Plan (Obamacare) vs. POS (Pay out the spincter) or (Point of Service) the old higher premium plan run by United Healthcare, they are;

1) Preventive - to be defined at a later date.... and
2) Maintenance - as defined by Express Scripts; Medications generally taken on a long-term or maintenance basis for conditions such as high blood pressure or high cholesterol.... blah, blah....this is subject to change blah blah, blah blah....

1) The 2015 "Preventive" Drug List put out by UHC has Vascepa listed.
2) The 2015 Express Scripts "Maintenance" List has Vascepa, according to my HR rep Vascepa is not listed on Express Scripts "Preventive" Drug list.

The begs several questions;
1) Where is Express Scripts Preventive Drug List?
2) What is Express Scripts definition of a Preventive medication?
3) What is the relationship between UHC & Express Scripts? I know Express Scripts is a subsidiary of UHC, but apparently they are a separate enough entity to call their own shots. Essentially screw the consumer!!!!
4) Why isn't Vascepa a Preventive med on the Express Scripts? While it is a Preventive med on the United Health care list? Same Corporation right???? Not exactly......

I have every confidence this all changes when Reduce-It results hit the street.
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