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Wednesday, 3 May 2023

[New post] 美國醫藥昂貴

Site logo image A Lin posted: " 哀,台灣是醫療人員被健保壓榨,放大核刪美國是病人被藥廠, 醫療保險公司, 和醫療院所丟來丟去我今年工作從養老院換到一個診所, 面對的病人大部分都是不會講英文的移民(以越南裔居多)HbA1C動不動都是8-9前幾個禮拜醫生要我聯絡一個糖化血色素11的不會說英文的越南裔病人問他從1月改開糖尿病的口服藥Farxiga(Dapagliflozin)服藥的狀況結果病人說他從來都沒吃因為他到costco藥局領藥的時候藥局跟他說他的保險不cover我把病人的狀況跟醫生報告 醫生說那改成同類型的Jardiance " Third Way

美國醫藥昂貴

A Lin

May 3

哀,台灣是醫療人員被健保壓榨,放大核刪
美國是病人被藥廠, 醫療保險公司, 和醫療院所丟來丟去

我今年工作從養老院換到一個診所, 面對的病人大部分都是不會講英文的移民
(以越南裔居多)
HbA1C動不動都是8-9

前幾個禮拜醫生要我聯絡一個糖化血色素11的不會說英文的越南裔病人
問他從1月改開糖尿病的口服藥Farxiga(Dapagliflozin)服藥的狀況

結果病人說他從來都沒吃
因為他到costco藥局領藥的時候
藥局跟他說他的保險不cover

我把病人的狀況跟醫生報告

醫生說那改成同類型的Jardiance (Empagliflozin)
病人說他要等藥局通知他可以準備領藥才要過去
不然保險公司可能又會拒絕

結果我打到costco藥局
他們說保險公司要求醫生要寫prior authorization form
解釋為什麼一定要開這種藥 (原價一個月500多美金)
如果我沒有多走一步打電話給藥局
病人大概又因為保險的關係,沒有辦法拿藥

(前陣子病人需要打抗生素penicillin G,
結果原價一支600美金,保險只給付400多美金,病人得自付100多美金)

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