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Author Topic: Prescription Refills - United Healthcare vs Coventry  (Read 649 times)

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Offline BKKKevin

  • Member
  • Posts: 77
Prescription Refills - United Healthcare vs Coventry
« on: September 22, 2015, 06:51:07 AM »
I will be moving back to the US next year and it looks like my ACA options in Iowa will be United Healthcare and Coventry. I take Complera which is a standard Tier 2 drug with a modest copay that should be covered by Gileads copay card...

My potential problem is that I will be traveling thruout the US for most of the year and worry about filling my prescription out of state?

Do either offer 90 day refills?

I believe United Healthcare requires HIV meds to be dispensed thru their mail order dispensary ?... What mailing method do they use.. FedEx?... Can I have the meds sent to any address or picked up at a FedEx location?

Can a prescription setup at Walgreens be refilled at any Walgreens in any State?

Can anyone with experience with either of these insurance carriers give there advise?


Offline AusShep

  • Member
  • Posts: 473
Re: Prescription Refills - United Healthcare vs Coventry
« Reply #1 on: September 22, 2015, 05:14:30 PM »
UHC uses OptumRx specialty pharmacy for HIV meds.  You can opt out of using them though.  They ship FedEx next day, sometimes second day to anywhere, (signature required in some cases I think).  It's easy to fill over the phone (don't use the website, it's ground/5 day shipping), and they allow you to fill early and build up a surplus, so it may work to use your home location if you make it back often enough.  They do work with copay cards.  I don't think they do 90 day fills from the specialty pharmacy, but I could be wrong.

I believe an Rx can be transferred to another pharmacy only once, but in the case of changing your pickup location within the same chain to another State on each refill, that may be ok, but I'd verify with Walgreens or CVS.

Offline a2z

  • Member
  • Posts: 207
Re: Prescription Refills - United Healthcare vs Coventry
« Reply #2 on: January 14, 2016, 01:44:44 AM »
Based on my experience, they only do 30 day refills.  In fact, I think they specifically enforce this so they aren't out an extra $6K for 2 months if someone dies/changes medicines.
Dates are blood draw dates:
3/12/15: CD4 941, 36.4%, VL UD
9/4/14: CD4 948, 37.9%, VL 150
5/23/14: CD4 895 --.-% VL UD - Truvada/Isentress
09/21/09: CD4 898 27.0% VL 120 - back on track, same meds.High level enzymes, but less so
06/15/09: CD4 478 21.8% VL 1150 - high liver enzymes... looks like I may not be resistant
05/22/09: Fixed insurance, resumed medicine
04/17/09: Ran out of medicine, could not resolve insurance problems
04/01/09: CD4 773 28% VL 120 - high liver enzymes
12/01/08: CD4 514 23% VL 630
10/17/08 started Reyataz, Norvir and Truvada. -- possibly minor neuropathy, but otherwise okay.
9/10/08: CD4 345 17%, VL > 78K
8/18/08: CD4 312 18%, VL > 60K (considering meds)
12/19/07: CD4 550 28% VL > 100K (no meds yet)
Diagnosed 10/23/07

Offline BKKKevin

  • Member
  • Posts: 77
Re: Prescription Refills - United Healthcare vs Coventry
« Reply #3 on: January 14, 2016, 09:01:34 AM »
I will Start with UHC in March... I have decided to opt out of their OptumRx mail order program and just fill my Perscription thru Walgreens

Offline AusShep

  • Member
  • Posts: 473
Re: Prescription Refills - United Healthcare vs Coventry
« Reply #4 on: January 14, 2016, 01:11:15 PM »
I will Start with UHC in March... I have decided to opt out of their OptumRx mail order program and just fill my Perscription thru Walgreens

I'm back on UHC this year.  Still using mail order for the time being.   

There have been some other posts saying UHC kept rejecting their local fills saying they hadn't opted out, so make sure to make a note of your opt out confirmation number so the pharmacist can note that in an appeal.  Not sure if it's still happening or not, but best to be prepared...


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