My daughter started on Omnipod last winter.
1) Our insurance, United Health Care + Medco Pharmacy considers Freestyle strips as a Level 3 drug. Level 3 drugs are $70/mo copay while level 1 (eg. one touch ultra) are $10/mo, but they need too much blood for my daughters liking and her sensitive skin.
2) Abbott Labs has a co-pay assistance program (called Promise) which reimburses upto $50/mo of copay, but United Health Care / Medco do not have the billing system in place to work with Abbott Labs. Ironically, all the major retail pharmacies can work with Abbott labs.
3) UHC/Medco cover these strips ONLY through their mail order . So our copay is $210/3-mo for test strips alone. And they will not let us fill this prescription at Retail pharmacies even for the same $70/mo copay which would have allowed us to get Abbott labs to cover $50 of the copay.
At my last call to UHC I told them that Freestyle strips are integrated with the Omnipod and asked them why they would not let us buy them at Retail phramacy for the same $70/mo copay. She advised me to appeal this to try becoming eligible to buy them at a Retail Pharmacy.
Has anyone experienced something similar and appealed it successfully? Can you please share how you did it and what worked/did not work?