Susan's Place Transgender Resources

Community Conversation => Transsexual talk => Female to male transsexual talk (FTM) => Topic started by: campenella on December 27, 2014, 01:36:50 AM

Title: Fear of something tangible that I can't control
Post by: campenella on December 27, 2014, 01:36:50 AM
So right now I'm in horrible bind! My insurance recently gave me an exception for getting my T covered and I'm fighting with them to change it over to male still.

I have only a 1 week supply of T left and my backup pharmacy has screwed me out of getting my prescription! My normal pharmacy is on backorder and I went to a place thats closer, but they only gave me a 1ml bottle instead of a 10ml bottle, and then they decided that they would forget to order my other 9ml that my insurance paid for. Insurance wanted to pay for 3mls and pharmacy told me that they'd ordered nothing at all even though they talked to me and my doctors office.

They waited until my refills ran out with my insurance and then tried to order a new 10ml bottle while my doctors office was putting in the new order for the one they screwed up. They have the bottle but my insurance won't pay for it!  Now my insurance has canceled my prior authorization that I had only 15 days because they don't have 'needed information'. My doctor isn't in for another week and I'm legit panicking. I can't pick up the bottle the pharmacy has already in stock because they ordered the name brand.  They have been jerking me around all month while my supply has dwindled and I'm worried about what will happen.

My family is worried about my mental health because I'm already horribly dysphoric and have been having a tough time this year with suicidal thoughts. There is only 1 trans related doctor in my area that my medicaid doesn't pay for and I can't afford. My mother worries about me committing suicide and I have been engaging in my skin picking/trichtillomania lately. What can I do? Suicide hotlines are only a stopgap and they will only help me for a day or so. There is a big chance that something bad will happen to my script and I won't be able to get it. I've sent a message to my doc last week, but it's marked as unread. He's busy but I don't know what else I can do. I just sent another message to the office.

I don't want to end up in a ward. I'd like some tangible advise please and thank you.

Also please note that I am reading everything even if I can't reply. My mental energy is extremely low and I'm in an anxious state of mind.
Title: Re: Fear of something tangible that I can't control
Post by: CursedFireDean on December 27, 2014, 08:35:04 AM
How long have you been on T? When I had to go a week without thanks to the pharmacy being a jerk, I reminded myself over and over again that one week won't make any changes reverse or anything like that. But I know that especially early on T that doesn't help, and if your mental state gets very anxious without T, reminding yourself like that doesn't help. But if this will help you in any way, then try to remind yourself.

Can't you argue with the pharmacy? Explain to them that the 10ml has already been paid for, so you expect to get it. They can't just take money, even if it's insurance's money instead of yours. If the goods are paid for then you need to receive them. This pharmacy sounds like a load of complete ->-bleeped-<-s, I hope you can avoid them for the rest of your life.
Since you're on injections, honestly, I would just pay for it out of pocket if you can. Find coupons, scrape together enough. Of course, since the holidays just passed, that's harder to do than normal. But even if it takes borrowing money from family, it will at least get your mental state much more at rest. If your family is worried about you, I'm sure they will help as best they can, so maybe you can scrape the money together as a group. An awesome site, goodrx, might be able to get you a discount too, but sadly at the present moment, they don't have nearly as many discounts as normal. But it is a great resource http://www.goodrx.com/testosterone-cypionate/price#/?distance=4&filter-location=&coords=&label=Depo-Testosterone&form=vial&strength=10ml+of+200mg%2Fml&quantity=1.0&qty-custom=10&language=&store-chain= (http://www.goodrx.com/testosterone-cypionate/price#/?distance=4&filter-location=&coords=&label=Depo-Testosterone&form=vial&strength=10ml+of+200mg%2Fml&quantity=1.0&qty-custom=10&language=&store-chain=) (That link is to brand name testosterone cypionate in MY area so you can get an idea, if you're using the other injections and to change to your area, just go up to the search bar.)

I would also CALL your doctor. Messages are easier to ignore or forget to reply, or even get lost. But if you call them, they're going to talk to you. Even if you have to keep calling. Force your doctor to acknowledge that you are in a desperate situation.

Stay strong, man.
Title: Re: Fear of something tangible that I can't control
Post by: campenella on December 27, 2014, 11:54:15 AM
Quote from: CursedFireDean on December 27, 2014, 08:35:04 AM
How long have you been on T? When I had to go a week without thanks to the pharmacy being a jerk, I reminded myself over and over again that one week won't make any changes reverse or anything like that. But I know that especially early on T that doesn't help, and if your mental state gets very anxious without T, reminding yourself like that doesn't help. But if this will help you in any way, then try to remind yourself.

Can't you argue with the pharmacy? Explain to them that the 10ml has already been paid for, so you expect to get it. They can't just take money, even if it's insurance's money instead of yours. If the goods are paid for then you need to receive them. This pharmacy sounds like a load of complete ->-bleeped-<-s, I hope you can avoid them for the rest of your life.
Since you're on injections, honestly, I would just pay for it out of pocket if you can. Find coupons, scrape together enough. Of course, since the holidays just passed, that's harder to do than normal. But even if it takes borrowing money from family, it will at least get your mental state much more at rest. If your family is worried about you, I'm sure they will help as best they can, so maybe you can scrape the money together as a group. An awesome site, goodrx, might be able to get you a discount too, but sadly at the present moment, they don't have nearly as many discounts as normal. But it is a great resource http://www.goodrx.com/testosterone-cypionate/price#/?distance=4&filter-location=&coords=&label=Depo-Testosterone&form=vial&strength=10ml+of+200mg%2Fml&quantity=1.0&qty-custom=10&language=&store-chain= (http://www.goodrx.com/testosterone-cypionate/price#/?distance=4&filter-location=&coords=&label=Depo-Testosterone&form=vial&strength=10ml+of+200mg%2Fml&quantity=1.0&qty-custom=10&language=&store-chain=) (That link is to brand name testosterone cypionate in MY area so you can get an idea, if you're using the other injections and to change to your area, just go up to the search bar.)

I would also CALL your doctor. Messages are easier to ignore or forget to reply, or even get lost. But if you call them, they're going to talk to you. Even if you have to keep calling. Force your doctor to acknowledge that you are in a desperate situation.

Stay strong, man.

I'm one year on T and my predicament is that the ten ml isn't payed for, my old script was and so my pharmacy soaked that up and then they've ordered a new batch. Me and my family are poor and I can only pay for the generic stuff. Good rx's coupon doesn't take off much more than I need. I can probably ask them to give me a 1ml bottle, but that's a waste of my money honestly. My doctors office has heard from me multiple times as well as my insurance. My doctors office is livid, but are doing their best to help me right now. They are a small place that can't do everything. 1 week won't matter, but my worry is that my 10ml just won't get paid for and I'll be supremely out of luck since I'd have to have them order another bottle and they've been screwing me over. I've already changed pharmacies and can't do it again without my doctor's approval. He's extremely busy and I'd just be putting myself into a further pickle trying to change where I pick up my T again. I can't tell myself to just waste the money my family needs in order to survive also.
Title: Re: Fear of something tangible that I can't control
Post by: CursedFireDean on December 27, 2014, 03:56:55 PM
The advice I'm about to give depends on your dosage, so make your own judgement here based on your dose how feasible this option is- For me a 1ml vial will last a few weeks, so if it were me, I'd get a 1ml vial. Even though it's more money in the long run if you get lots of 1ml instead of 10, maybe it'll tide me over until insurance could get sorted out. So if a 1ml vial has the possibility of lasting you until insurance can get sorted out, I'd say try to get one. It'll be less money than a 10 out of pocket for you. Even if it's a waste of money compared to a 10, at least you'll have SOMETHING, you know? It works as a temporary solution. But if the 1ml only lasts you a very short period of time, then that may not be the best use of your time or money.

"they decided that they would forget to order my other 9ml that my insurance paid for" I'm a little confused here. Are you saying insurance WOULD HAVE paid for the other 9 AT THE TIME, but won't now? Or are you saying that insurance actually did pay for the 9 that never got to you?

Is there a reason your doctor won't let you switch pharmacies?
Title: Re: Fear of something tangible that I can't control
Post by: campenella on December 27, 2014, 11:01:00 PM
Quote from: CursedFireDean on December 27, 2014, 03:56:55 PM
The advice I'm about to give depends on your dosage, so make your own judgement here based on your dose how feasible this option is- For me a 1ml vial will last a few weeks, so if it were me, I'd get a 1ml vial. Even though it's more money in the long run if you get lots of 1ml instead of 10, maybe it'll tide me over until insurance could get sorted out. So if a 1ml vial has the possibility of lasting you until insurance can get sorted out, I'd say try to get one. It'll be less money than a 10 out of pocket for you. Even if it's a waste of money compared to a 10, at least you'll have SOMETHING, you know? It works as a temporary solution. But if the 1ml only lasts you a very short period of time, then that may not be the best use of your time or money.

"they decided that they would forget to order my other 9ml that my insurance paid for" I'm a little confused here. Are you saying insurance WOULD HAVE paid for the other 9 AT THE TIME, but won't now? Or are you saying that insurance actually did pay for the 9 that never got to you?

Is there a reason your doctor won't let you switch pharmacies?

Yeah unfortunately 1ml lasts me about 2 weeks so In the long run it costs me more and then having to order more is a gamble. My insurance paid for 10 ml and the pharmacy gave me a 1ml. They custom order it so I asked for the 10ml and they gave me 1ml "So that I'd have some" but I didn't ask for that and they didn't ask me either. I didn't even know because I get it in a box so I didn't think about it until I opened the box. I told them to call me with anything they did, but so many times have they messed things up more for me.  So my pharmacy screwed me over. My insurance is now all snafu'd up about my prior authorization and what they're going to pay for.

I can't change right now, because I already changed pharmacies when my regular pharmacy ran out. You can only change it once here because it's a controlled substance.  My doctor will let me change, but he's extremely busy and I'm worried about the timing and what my insurance will do. I MAY be able to see if another chain of this pharmacy will pick up the order, but not many of the chains have the actual pharmacy that can order.