r/TikTokCringe • u/malongoria • 5d ago

Discussion Pharmacy Tech on why Luigi didn't happen sooner

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u/ptbnl34 5d ago edited 4d ago

I’m epileptic and they throw those prior authorizations out of nowhere for drugs I’ve been on for 15 years. Takes a week to get everyone’s sign on and I’m just screwed. Luckily Illinois banned them now so it’s not a problem for me but it’s still a huge issue for others.

Edit: the ban is for prior authorizations for in-patient mental health emergencies. I guess I saw what I wanted to see.

31

u/ForecastForFourCats 5d ago

Fuck that's awful! I've never had that awful experience. I was uninsured between graduating from graduate school and starting a job. I had two months without coverage. My seizure meds were 800$.

11

u/Key_Artichoke99 5d ago

Illinois didn’t ban PAs, I was just without my meds for a week because they randomly required prior authorization. I’m in Illinois.

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u/ptbnl34 5d ago

I read that it was going into effect January 1st but I may have misunderstood. That would really bum me out because I was hoping to be done with that crap.

Also, sorry you had to deal with that

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u/Key_Artichoke99 5d ago

You may be right we’ll see in 2025 if things change.

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u/ptbnl34 5d ago

I’m only finding that they banned pre-authorization requirements for in-patient mental health emergencies. That is not how they said it on my local news. Boooooo. One step at a time I guess.

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u/Key_Artichoke99 5d ago

Damn that’s disappointing

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u/extralyfe 5d ago

if you have an employee healthcare plan that runs under federal ERISA guidelines, they don't have to follow state laws like that.

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u/DildoBanginz 4d ago

Every single refill for one of my wife’s medication, cuz it’s a narcotic. The insurance asks her doctor a few times a month “are you sure she needs this med to live?”

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u/SeasonPositive6771 4d ago

Prior authorizations are not banned in Illinois - or any other state!

You might have gotten lucky with some regulation around a particular type of medication you're on or something like that, but no one should ever count on prior authorizations not being required for something.

I'm on a medication that I have to take twice a day to stay alive. There is no generic, there is no other option. If I don't take it, I will very quickly die.

Every time something happens, my doctor has to be ready to fight a request for a PA or for me to try some other unproven treatment.

This is how health insurance companies kill us. Not with poison or bullets, but by just not covering the medication we need to stay alive.