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(LA Times)   In a shock to absolutely no one, CVS has been refilling your prescriptions without asking you and kindly billing your insurance company   (latimes.com) divider line 82
    More: Obvious, CVS, CVS Caremark, Medicare fraud, United States Department of Justice, prescription drugs, Mintz, insurance companies  
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3495 clicks; posted to Business » on 20 Oct 2012 at 4:21 AM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-10-19 10:23:47 PM
The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?
 
2012-10-19 10:46:51 PM
Target is doing the same. Gonna get the CEO a big assed bonus.
 
2012-10-19 10:49:23 PM

davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?


There is still money left in the brick and mortar Rx biz. But the smart money got out at least twelve years ago.
 
2012-10-19 11:20:49 PM
My company recently got rid of my previous insurer, Anthem Blue Cross... now my only option is Aetna. They run all of their prescription services through CVS/Caremark and it has been the biggest pain-in-the-ass dealing with them I have ever encountered. The company sucks and I hope it burns to the ground.
 
2012-10-19 11:24:45 PM
Of they'd just done this with commercial insurance they probably would have gotten away with it forever. They got greedy trying to pull this with Medicare. Medicare and Medicaid really hate it when anyone tries to rip them off.
 
2012-10-19 11:28:54 PM
Hahahahaha... I warned my district manager about this. He was too myopic and bonus-led to hear anything resembling a negative about bothering our customers for sh*t they neither needed nor wanted.

Yeah, gotta pump up those metrics... What is your Triple-S score?

What a bunch of f*cking idiots. Glad I left that sh*thole in the rear-view.
 
2012-10-19 11:29:20 PM
Well, there's a surprise.... encouraging people to sign up for a totally automated and unmonitored money sucking system?

/what could possibly go wrong?
 
2012-10-19 11:33:40 PM

Marcus Aurelius: Target is doing the same. Gonna get the CEO a big assed bonus.


Target is doing the same. Gonna get the CEO a big assed peener in his pooper, Bubba style.
 
2012-10-19 11:59:32 PM

shanrick: Marcus Aurelius: Target is doing the same. Gonna get the CEO a big assed bonus.

Target is doing the same. Gonna get the CEO a big assed peener in his pooper, Bubba style.

 

For some reason I think that's unlikely.
 
2012-10-20 12:23:08 AM
I use an Advair COPD inhaler twice daily. One inhaler has 120 doses which should last me 2 months.
Until I changed insurance companies, and they put the kibash on it, CVS was giving me 6 inhalers, or about 720 doses a month.

Each inhaler goes for about $160.

I tried donating all the unused ones to a free clinic, but they weren't allowed to accept them, so essentially, it was like flushing $800 a month down the toilet.

And everybody wonders why the cost of health care is so high.
 
2012-10-20 12:57:38 AM

Marcus Aurelius: davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?

There is still money left in the brick and mortar Rx biz. But the smart money got out at least twelve years ago.


Worrying about CVS is like worrying about T-Mobile. You're just wasting your time.
 
2012-10-20 12:59:22 AM

Marcus Aurelius: There is still money left in the brick and mortar Rx biz. But the smart money got out at least twelve years ago.


Unless you're willing to expand. Saw a Rite-Aid near here close, yet a new large Walgreens open up, so...meh.
 
2012-10-20 01:04:30 AM

davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?


They're expanding like crazy, I think due to the ago.g population needing more mess. They are as bad as Starbucks. There are two about a block and a half from each other with a Walgreens between them, and all were built in The last 3 years or so.
 
2012-10-20 01:15:56 AM

ShawnDoc: davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?

They're expanding like crazy, I think due to the ago.g population needing more mess. They are as bad as Starbucks. There are two about a block and a half from each other with a Walgreens between them, and all were built in The last 3 years or so.


Wow. I thought they could only follow Tim Horton's. If they've adapted to Walgreens and In-N-Out I have to change the models.
 
2012-10-20 01:41:31 AM

timujin: My company recently got rid of my previous insurer, Anthem Blue Cross... now my only option is Aetna. They run all of their prescription services through CVS/Caremark and it has been the biggest pain-in-the-ass dealing with them I have ever encountered. The company sucks and I hope it burns to the ground.


Seriously. I'm stuck with them too, and they play a lovely f**king game of "this is only covered if... " against "... we don't stock that". They box you into using only brand-name medications, which they have a huge co-pay on. Would you be mildly shocked to find out they're not only handing out kickbacks to pharmacists while taking kickbacks from the manufacturers?
 
2012-10-20 02:51:37 AM

MisterTweak: timujin: My company recently got rid of my previous insurer, Anthem Blue Cross... now my only option is Aetna. They run all of their prescription services through CVS/Caremark and it has been the biggest pain-in-the-ass dealing with them I have ever encountered. The company sucks and I hope it burns to the ground.

Seriously. I'm stuck with them too, and they play a lovely f**king game of "this is only covered if... " against "... we don't stock that". They box you into using only brand-name medications, which they have a huge co-pay on. Would you be mildly shocked to find out they're not only handing out kickbacks to pharmacists while taking kickbacks from the manufacturers?


Yeah, I just found out that they "can't find" my medication... "Oh, we've tried to order it, but no one has any"... Well, why can this other pharmacy get it? "Different suppliers"

ASSHOLES!
 
2012-10-20 04:47:00 AM
I supervise at CVS, so this is hardly news to me. No one likes "readyfill" but the big wigs. Although I think the article is misleading. Its not nearly as diabolic as they make it sound.

davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?


You don't know much then. IIRC CVS is the largest pharmacy chain in the world at the moment. Although that title might currently belong to Walgreens since it passes back and forth between CVS and Walgreens all the time. They have almost as many stores in the US as Walmart has world-wide.

They are hardly hurting and in absolutely no risk of going out of business in your lifetime.
 
2012-10-20 04:51:27 AM

CreamFilling: Of they'd just done this with commercial insurance they probably would have gotten away with it forever. They got greedy trying to pull this with Medicare. Medicare and Medicaid really hate it when anyone tries to rip them off.


And you have it exactly backwards. Medicare oversight is a joke. From time to time you will see a supposed new oversight plan announced with great fanfare. It will be quietly rolled back a few months after it's announced. Note the "It should be in place by 2014" language at the end of that article. It won't be.

Even the lowball figure for Medicare fraud...the bloodless term the bureaucrats will use is "improper payments" or some such thing...is over $40 billion a year at the federal level and another $20+ billion for the states.

Private sector insurance is in this game to make money, remember? Why the hell would they pay for anything they don't absolutely have to?

But at least when a claim is improperly denied, there's always a shot at an appeal to get it paid and square things away. If a claim is improperly paid, which Medicare/Medicaid does to the tune of all those billions, good luck getting the money back.

TommyymmoT: I tried donating all the unused ones to a free clinic, but they weren't allowed to accept them


Care to flesh that out a bit as to where that law applies and why? I've been wanting to unload my inhaler backlog and I'd hate to waste them if possible.
 
2012-10-20 04:53:05 AM
one more american company already enjoying big profits. not good enough. by promoting procedures that define a lack of personal morals and values big profits become bigger profits. way to go, greedy mcgreedsters.
 
2012-10-20 05:05:16 AM

Gulper Eel: And you have it exactly backwards. Medicare oversight is a joke. From time to time you will see a supposed new oversight plan announced with great fanfare.


I don't have it backwards. Medicare and Medicaid do really hate it when they get ripped off. They're just not particularly food at catching it or proving it. When they do, they nail you to the wall. They're the only ones with any real teeth, and they know it. That's why they constantly roll out new policies and examples examples out of those they do catch. They find it easier to intimidate you into not committing fraud than to prosecute those who do.

Gulper Eel: Private sector insurance is in this game to make money, remember? Why the hell would they pay for anything they don't absolutely have to?


Because they don't really care and will just increase your premium next year. Besides, 90% of the time your insurance company just manages it for your employer, who actually pays for these things.
 
2012-10-20 06:17:45 AM

davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?


CVS has been buying up some of the Rx around here. Walgreens was my first destination when I had to fill a prescription but my insurance had switched to ExpressScripts. At the time Walgreens did not work with them. I hear Walgreens finally came to terms with them but I think the foot dragging cost them big time.
 
2012-10-20 06:33:25 AM

CreamFilling: When they do, they nail you to the wall.


The government bureaucrat's version of going into an elaborate touchdown dance because now they're only trailing 70-9.
 
2012-10-20 07:15:07 AM

Gulper Eel: CreamFilling: When they do, they nail you to the wall.

The government bureaucrat's version of going into an elaborate touchdown dance because now they're only trailing 70-9.


Nah, it's more like they come back from a week long fishing trip with two sand trout and then sell them to you for $9500. Each. Don't you understand how expensive that trip was? No, you will buy them. You will, because they're the government and you don't have a choice or else they will shut you down. You're lucky they don't throw you in jail (and they still reserve the right to throw you in jail).
 
2012-10-20 07:19:03 AM

davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?


There's one on practically every corner in Indianapolis.
 
2012-10-20 07:40:27 AM
Oh yeah, I would definitely prefer my health insurance company keeps my hard earned money, sure.
 
2012-10-20 07:45:48 AM

bk3k:
They are hardly hurting and in absolutely no risk of going out of business in your lifetime.


No CVS is not hurting as a corporation. However they treat their employee's like crap. (aside from the pharmacists).
Everyone but the pharmacist and the store manager is part time. It's been that way for years. If an employee has been there
to long and has had to many raises they lower their hours till they quit. It's like a Walmart in a smaller box.
 
2012-10-20 07:53:19 AM
Extra inhalers? Fark, send them to me. I don't have insurance and I don't take kindly to having to spend "that kind" of money for a 30 day inhaler when it could (and usually does) go to other, more urgent, medicines or filling the heating oil tank. No, my asthma is not correctly managed, thank you again for the brow beating doctor, how about prescribing something less expensive? Oh, there are none? Well, in that case, my asthma will continue to be incorrectly managed.

fark health care costs and having to pick and choose between the baby's antibotic, the husband's anti-depressants, or an inhaler in a smoke filled cesspool where people are allowed to burn tires for heat with no repercussions to the problems they're causing their neighbors. fark health insurance being tied to the generosity of employers. fark farking Wal-Mart for all the times I've had to have doctor's resend prescriptions only to take time off, show up at the counter, and have them still say they never got the prescriptions, yet somehow when I did have insurance, the insurance company website showed these same lost prescriptions as filled or cancelled. I needed that lidocaine, you cheating Wal-Mart pharmacy farks.

Most of all, fark the system and everyone involved with making health insurance so damned profitable.
 
2012-10-20 08:21:32 AM
Woooo! A private healthcare system RULES!!!
 
2012-10-20 08:27:17 AM
Performance metrics are the enemy of quality customer service.
 
2012-10-20 08:30:48 AM

Marcus Aurelius: Target is doing the same. Gonna get the CEO a big assed bonus.


While screwing the pharmacists out of theirs.
 
2012-10-20 08:34:23 AM
We've got CVS and Rite Aid locally. I've been with Rite Aid for years.
Yeah, they are on opposite corners from one another.
 
2012-10-20 09:40:08 AM
Little known fact, CVS stands for Cunning Vile Swindlers.

Seriously, setting foot in one is like walking into a Bangkok brothel. You know you are gonna get screwed, you just don't know how and by whom or what.
 
2012-10-20 09:45:32 AM

CreamFilling: Because they don't really care and will just increase your premium next year.


You don't know shiat about this.

Private insurers are constantly doing audits on pharmacies, making sure EVERYTHING is as it should be or else they'll demand refunds.

timujin: Yeah, I just found out that they "can't find" my medication... "Oh, we've tried to order it, but no one has any"... Well, why can this other pharmacy get it? "Different suppliers"

ASSHOLES!


That's pretty normal at the moment. Corporate locks the individual pharmacies in to ONLY buying via the normal chain or maybe from one outside company (McKesson is a major pharmacy supplier). However, if those supply chains run dry you're now out of options. There's noplace else you can get the stuff.

It sucks, and the workers don't like it either; they hate having to call around and find someplace with the drug in stock. They'd rather be able to take care of you on the spot.
 
2012-10-20 09:53:45 AM

gadian: Extra inhalers? Fark, send them to me. I don't have insurance and I don't take kindly to having to spend "that kind" of money for a 30 day inhaler when it could (and usually does) go to other, more urgent, medicines or filling the heating oil tank. No, my asthma is not correctly managed, thank you again for the brow beating doctor, how about prescribing something less expensive? Oh, there are none? Well, in that case, my asthma will continue to be incorrectly managed.

fark health care costs and having to pick and choose between the baby's antibotic, the husband's anti-depressants, or an inhaler in a smoke filled cesspool where people are allowed to burn tires for heat with no repercussions to the problems they're causing their neighbors. fark health insurance being tied to the generosity of employers. fark farking Wal-Mart for all the times I've had to have doctor's resend prescriptions only to take time off, show up at the counter, and have them still say they never got the prescriptions, yet somehow when I did have insurance, the insurance company website showed these same lost prescriptions as filled or cancelled. I needed that lidocaine, you cheating Wal-Mart pharmacy farks.

Most of all, fark the system and everyone involved with making health insurance so damned profitable.


Costco has the best pricing hands down for prescriptions. You don't need a membership, just tell the door person you are there for pharmacy.

Check your local 211 for free medical care/ prescriptions. If you are told no, try back on a different shift - some people ate better at looking stuff up than others.

/cancer survivor that found it cost prohibitive *with* "good"insurance. Spent 18 months on the couch with a spreadsheet open constantly and two mounded laundry baskets full of meds.

/walgreens has its place for a surprise need at 3am on a Sunday ...
 
2012-10-20 10:01:34 AM

gadian: Extra inhalers? Fark, send them to me. I don't have insurance and I don't take kindly to having to spend "that kind" of money for a 30 day inhaler when it could (and usually does) go to other, more urgent, medicines or filling the heating oil tank. No, my asthma is not correctly managed, thank you again for the brow beating doctor, how about prescribing something less expensive? Oh, there are none? Well, in that case, my asthma will continue to be incorrectly managed.

fark health care costs and having to pick and choose between the baby's antibotic, the husband's anti-depressants, or an inhaler in a smoke filled cesspool where people are allowed to burn tires for heat with no repercussions to the problems they're causing their neighbors. fark health insurance being tied to the generosity of employers. fark farking Wal-Mart for all the times I've had to have doctor's resend prescriptions only to take time off, show up at the counter, and have them still say they never got the prescriptions, yet somehow when I did have insurance, the insurance company website showed these same lost prescriptions as filled or cancelled. I needed that lidocaine, you cheating Wal-Mart pharmacy farks.

Most of all, fark the system and everyone involved with making health insurance so damned profitable.


Oh. I've been back and forth to a CVS for a friend lately. Never really knew anything about them before, now hate them with a passion.

Out of 20 trips, maybe once does everything go as it should. This is with prior phone calls to insurer, (is it approved?) And calling the pharmacy prior to the drive down (is it in stock?) Aaargh!!!
 
2012-10-20 10:08:58 AM
I've had to ask my doctor to refuse to renew several of the many duplicate prescriptions cvs has been sending me. It's like Mickey Mouse and the damned dancing brooms (if meds were damned dancing brooms).
 
2012-10-20 10:36:49 AM
Non-story from a liberal rag of a newspaper. We all know that the real culprits are the Cadillac moms fleecing Medicaid and living high on the hog from government handouts.
As usual, the LA Times is out to smear big business in an obvious attempt to reelect the Userper in Chief and crush the free market with more federal regulation.
 
2012-10-20 10:47:31 AM
Sorry, I don't get the CVS hate, but maybe that's because the CVS stores near me are clean, have good services, and rarely have problems getting prescriptions. The walgreens in the area are vile and Target is too far away. And my town has the good sense to not invite Wal Mart.

/masshole
 
2012-10-20 11:39:03 AM

timujin: MisterTweak: timujin: My company recently got rid of my previous insurer, Anthem Blue Cross... now my only option is Aetna. They run all of their prescription services through CVS/Caremark and it has been the biggest pain-in-the-ass dealing with them I have ever encountered. The company sucks and I hope it burns to the ground.

Seriously. I'm stuck with them too, and they play a lovely f**king game of "this is only covered if... " against "... we don't stock that". They box you into using only brand-name medications, which they have a huge co-pay on. Would you be mildly shocked to find out they're not only handing out kickbacks to pharmacists while taking kickbacks from the manufacturers?

Yeah, I just found out that they "can't find" my medication... "Oh, we've tried to order it, but no one has any"... Well, why can this other pharmacy get it? "Different suppliers"

ASSHOLES!


We(pharmacists) hate this almost as much as you do. We'd rather just help the patient, make them happy, and let them be on our way. It does really pain us when stuff like this happens.
 
2012-10-20 11:50:42 AM
I liked Eckerd's before CVS gobbled them up. Used to run specials all the time that got me cheap Dr. Pepper, like a month's supply for $20.
 
2012-10-20 12:03:20 PM

Saberus Terras: I liked Eckerd's before CVS gobbled them up. Used to run specials all the time that got me cheap Dr. Pepper, like a month's supply for $20.


and now you're thinner cause you haven't been consuming HFCS and have been consuming water instead
 
2012-10-20 12:20:47 PM
CVS owns one of the biggest chains of pharmacies. They also own an prescription insurance company, CVS/Caremark. Wonder how long until they require everyone insured with Caremark to get their prescriptions filled at CVS.

Plant Rights Activist: davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?

CVS has been buying up some of the Rx around here. Walgreens was my first destination when I had to fill a prescription but my insurance had switched to ExpressScripts. At the time Walgreens did not work with them. I hear Walgreens finally came to terms with them but I think the foot dragging cost them big time.


You can use ExpressScripts with Walgreens. Last month Walgreens and ExpressScripts kissed and made up.
 
2012-10-20 12:26:51 PM
And this kind of fraud will continue to go on until someone gets hard time in prison. A fine for the company isn't any kind of deterrent, just the cost of doing business. As soon as a bigwig hits prison the attitude of "I can rip off the government" will cease. Should have nailed some of the Wall Street guys to the cross too.
 
2012-10-20 12:28:12 PM
I love the CVS near me. I'm uninsured and my generic scrip runs me a whopping $17 bucks a month. Not even worth the drive to WalMart or Costco to save $5 or so.
 
2012-10-20 12:29:29 PM

NewportBarGuy: Hahahahaha... I warned my district manager about this. He was too myopic and bonus-led to hear anything resembling a negative about bothering our customers for sh*t they neither needed nor wanted.

Yeah, gotta pump up those metrics... What is your Triple-S score?

What a bunch of f*cking idiots. Glad I left that sh*thole in the rear-view.


You and I could have a seriously hilarious talk over some beers sometime. I swore a few weeks ago if I ever heard the word "Triple-S" again, I'll farking burn the whole city down.
 
2012-10-20 12:30:24 PM

dugitman: davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?

There's one on practically every corner in Indianapolis.


They're the largest pharmacy in the United States, so that stands to reason. I've shocked there's somewhere that doesn't see one.
 
2012-10-20 12:30:35 PM
cvs --help
 
2012-10-20 12:37:31 PM

Gulper Eel: CreamFilling: Of they'd just done this with commercial insurance they probably would have gotten away with it forever. They got greedy trying to pull this with Medicare. Medicare and Medicaid really hate it when anyone tries to rip them off.

And you have it exactly backwards. Medicare oversight is a joke. From time to time you will see a supposed new oversight plan announced with great fanfare. It will be quietly rolled back a few months after it's announced. Note the "It should be in place by 2014" language at the end of that article. It won't be.

Even the lowball figure for Medicare fraud...the bloodless term the bureaucrats will use is "improper payments" or some such thing...is over $40 billion a year at the federal level and another $20+ billion for the states.

Private sector insurance is in this game to make money, remember? Why the hell would they pay for anything they don't absolutely have to?

But at least when a claim is improperly denied, there's always a shot at an appeal to get it paid and square things away. If a claim is improperly paid, which Medicare/Medicaid does to the tune of all those billions, good luck getting the money back.

TommyymmoT: I tried donating all the unused ones to a free clinic, but they weren't allowed to accept them

Care to flesh that out a bit as to where that law applies and why? I've been wanting to unload my inhaler backlog and I'd hate to waste them if possible.


They didn't expound on it. I don't know if it's an actual law, or just that clinic's policy.
 
2012-10-20 12:39:41 PM

FitzShivering: dugitman: davidphogan: The shock to me is that CVS is still in business. I haven't seen one of those in like, ten years maybe?

There's one on practically every corner in Indianapolis.

They're the largest pharmacy in the United States, so that stands to reason. I've shocked there's somewhere that doesn't see one.


I've never seen one in Wyoming. Hell, we don't even have a Walgreens in town, it's just WalMart and Safeway. And you're damned if your insurance won't carry either of those.

And fark Safeway, they always give me the wrong meds. 25mg will generally turn into 15 or 75 with them. And they never understand why I'm so pissed about the switch up.
 
2012-10-20 12:47:26 PM

akula: CreamFilling: Because they don't really care and will just increase your premium next year.

You don't know shiat about this.

Private insurers are constantly doing audits on pharmacies, making sure EVERYTHING is as it should be or else they'll demand refunds.


I know a more about this than you'd imagine, and you just proved my point. Private insurers will demand refunds, if they catch the pharmacy. In theory they can complain to the FDA or file a lawsuit, both of which take time, lawyers, and money. Medicaid and Medicare will demand refunds, impose huge fines, and seek jail time. Which group would you rather chance it with? Without physically going to the store they have no way of auditing to see which prescriptions were picked up. When you argue with your insurance company, they don't really care. They're arguing back on behalf of your employer and trying to be a good partner, but if they give in it doesn't bother them. They just make a note of it and pass on the bill. And the next year they'll raise premiums. No big deal. They're still getting their money.
 
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