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Why is my prescription taking so long to fill?

I was prescribed Oracea, and my doctor gave me a card that looks like a credit card with numbers on it and it says no patient pays more than $25. My doctor also said don't pay more then that. The pharmacy says they are waiting for authorization from Insurance, and they faxed my doctor to let them know they need authorization, I gave them the prescription what can be the hold up? I did ask the pharmacy how much it cost, they said $350. I said know why I will wait. But what makes me wonder whats going on is my doctor said I shouldn't pay more than $25. Any help would be great.

Update:

The doctor chose oracea because of its lower 40mg. the other ones are higher, also because of the side effects, my age and the factor that I am on other medication.

4 Answers

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  • 1 decade ago
    Favorite Answer

    Likely, they're either:

    1) waiting for the drug company to approve your $25 card OR

    2) they're billing your insurance for the bulk of the cost of the Rx and waiting on them

  • Anonymous
    1 decade ago

    http://www.accessdata.fda.gov/drugsatfda_docs/labe...

    Oracea is a special dosage form of doxycycline with 30 mg as immediate release and 10 mg as delayed release. The 40 mg daily dose is lower than the usual adult dose used for infections.

    But the drug naturally is slowly eliminated so my impression is that the special formulation is just an excuse to make a non generic substituted product so they can get away with charging high prices. Your insurance company likely won't want to pay that much, the pharmacy does not want to get stuck with a potential loss that big.

    As you can see from the price listing (link below) for doxycycline there is a wide variation in prices. If it were me I would just get a cheap 50 mg tablet or capsule of the standard generic doxycycline.

    http://www.merck.com/mmpe/lexicomp/doxycycline.htm...

    Also look at the other Merck Manual link:

    http://www.merck.com/mmpe/sec10/ch111/ch111d.html

    Keep in mind that the Merck Manual reflects standard medical practice, but it also is published by a drug company.

    Sometimes salmon, cheap if from a can, can help skin conditions. Its healthy anyway. Try baking it with plenty of parsley with a little lemon juice and garlic. It could not hurt.

    Source(s): retired pharmacist.
  • Lea
    Lv 7
    1 decade ago

    Oracea is dumb drug. It should have never been approved. It is extended release doxycycline. You can take regular doxycycline once a day for acne.

    Your insurance company requires prior authorization for Oracea. There is no benefit of Oracea over regular doxycycline hyclate. Your physician has to tell why you can use regular cheap doxycycline. $350 will pay for more than a year's supply of regular doxycycline. One month's supply of regular doxycycline will be less than $15.

    You should call your physician's office to see if they have submitted the paperwork. If it has been submitted, you can call your insurance company and check on its status. You could also ask your physician if he/she could change the prescription to regular doxycycline. Your insurance company will defiantly cover that drug.

    Source(s): pharmacy student
  • silky1
    Lv 7
    1 decade ago

    Since you have the no more than $25 card they are waiting for an approval. This is a tedious process and sometimes can take several days.

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