My insurance will not pay for my prescription because it requires prior authorization. What does this mean?

A prior authorization is an extra step that some insurance companies require before they decide if they want to pay for your medicine. Your doctor must contact your insurance company, request the drug and receive approval for the drug. In most cases this usually takes 48 to 72 hours to resolve. Sometimes the prior authorization is denied and your insurance will not pay for your drug. In this case, you may still pay out of pocket for your medicine. If you know that your medicine has required prior authorization in the past, please give us at least two days notice before you will need your medicine so we may do our best to facilitate this process.

How do I know if my prescription has refills?

Refill information is located at the left bottom corner of your prescription label. Please be sure to read the entire refill information as you may have refills but they may be expired. For example the label may read, “may refill 3x until 2/19/13” which means you have 3 refills but the refills are no longer valid after 2/19/13. If you have any doubts about your refills remaining, you can always call and we will be happy to check for you.

What is my copay for this drug with my insurance?

Prescription copays are set by your insurance company, not the pharmacy. At the time a prescription is processed, your insurance company sends us the copay you are responsible for paying. If there is a question about your copay, it will need to be answered by an insurance company representative which can be reached at the customer service number usually located on the back of your insurance card.

How do I dispose of my old medications?

Expired drug drop offs are usually sponsored twice a year in the spring and fall by an organization in the community. Please check the local newspaper for dates and times. In addition we sell a medication disposal system called Medsaway at our pharmacy. Please see a pharmacy associate for details.

I was told my prescription is too soon to fill. What does this mean?

For non-controlled prescriptions:

Your insurance requires pharmacies to submit the number of days a prescription is expected to last based on the directions your doctor has written on the prescription. Most insurance companies require that 75%-85% of the days must lapse before they will pay for your prescription again. For example, a 30 day supply will typically be paid for after 23 to 25 days have passed.

For controlled prescriptions:

It is our store policy that we will not fill a controlled prescription early without permission from your doctor. We will fill it 2 days prior to the complete prescription being used or the date your doctor has specified we can fill the prescription if it is a later date.

Why do my pills look different from my last refill of the same medication?

Sometimes we must switch manufacturers on medications based on their availability from our wholesaler. Each manufacturer creates their own color and imprint for the medication. We do our best to notify you of a change in the appearance of your medicine with a green sticker on your bottle indicating a change was made. Please call us if you are concerned and we can verify that you have received the correct medicine.

What immunizations does your pharmacy offer?

Our pharmacy currently offers two vaccinations. Our certified pharmacist immunizer can determine if it is appropriate for you to receive vaccinations in a retail pharmacy location.

  1. Influenza Vaccine: The CDC recommends receiving an annual influenza vaccine for most people. We offer the flu vaccine to patients 14 years of age and older and recommend receiving the influenza vaccine Mid-September to December unless otherwise directed by your physician.
  1. Zostavax Vaccine: The CDC recommends the “shingles” vaccine for most adults who are 50 years of age or older. This vaccine requires a prescription from your doctor.

What type of ID is required to pick up a prescription for a controlled substance?

North Carolina law now requires a photo identification from the person who is picking up a prescription for a Class II or Class III controlled substance. Valid forms of identification include: a valid driver’s license, military ID, passport or a NC DMV issued identification card.

My doctor said that my prescription may have to be compounded or specially made. What does this mean?

Some strengths or dosage forms for medicines may not be commercially available. At The Medicine Shoppe, we are able to specially compound these products for you. Sometimes these types of products are not covered by your insurance and must be paid for out of pocket. Please allow at least 24 hours for a compounded prescription to be prepared for you and we will be happy to call you when your product is ready for pickup.

I have a coupon for my prescription, Will you accept it?

We accept most manufacturer coupons. However, coupons have restrictions on their usage and this can usually be found in the fine print on the coupon. Typically any prescriptions for patients covered by Medicaid, Medicare or similar state or federal programs are excluded from using coupons.

I have a prescription from the doctor that I do not need. Will you keep it for me?

Absolutely! We can keep your prescriptions on file until you need them. When you are ready to use the new prescription, kindly remind us that we have it on file so that we can ensure it is ready for you in a timely manner.

I have trouble remembering to take my medications. Can you get me organized?

Yes! We can package your medications in blister pack cards at no charge so you can visually see if your medication has been taken that day. Additionally, we have pill organizers available for purchase over the counter.