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Can pharmacies refuse to fill prescriptions for over the counter medicines? |
Our local pharmacy recently refused to fill a prescription for an over the counter allergy medicine. They told me that the Medicade insurance I have would not pay for it because it is over the counter. I am not sure they are allowed to do that- I have gotten over the counter meds at other pharmacies before. I would go to another but can't because it is a 45 minute drive to another one. Are they legally allowed to refuse to fill a prescription for an over the counter medicine because it is over the counter? i think medicare will not allow them to fill those over the counter prescriptions. they will probably fill the prescription if you want to pay for it out of pocket. i always see a sign at my pharmacy that says for medicare patients, the cheapest generic drug will be replaced instead of name brands, unless otherwise stated by your doctor. i think the pharmacy is in the right. Wrong, wrong, wrong. Medicaid routinely pays for certain OTC medications. Children's pain/fever relievers, cough and cold preps, certain vitamin supplements. The questions was about Medicaid, not Medicare. Each state has its own policies and drug formularies. Report It yes they can, it's an over the counter med, that means no prescription needed Have you tried to get this medication in the past? It's true that many insurance companies won't cover some over the counter products despite them being prescribed. Your best bet is to try and contact your insurance company to verify their policy on that specific medication. I doubt the pharmacy is trying to give you a hard time - they usually get paid about the same regardless of who pays for the medication. Are you sure they refused to fill it or did they refuse to fill it for free? There is a difference. Do you know for certain that the medicine is covered by Medicaid in your state. Not every OTC medicine is. Just because it is written on a prescription form does not mean it is covered by Medicaid. They have very strict rules regarding what is and what is not covered. |
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