OneTouch Test Strips No Longer Covered

(damien) #1

CVS Caremark notified me that it no longer will cover OneTouch test strips–and that I must change to Accu-Check.

  1. What Accu-Check monitor do you like best and why?
  2. Anyone know what CVS Caremark dropped OneTouch–who was being too greedy, LifeScan (maker of OneTouch) or CVS?
    This change follows CVS dropping Lantus last year :frowning:

(Kristi) #2

You could try having your doctor write an appeal or a letter of medical necessity to the insurance company if you don’t want to switch! I’ve heard good things about the Verio though.

(Sherri) #3

you should know that in most cases if they accept the Appeal, you end up paying a higher price.

(Dennis J. Dacey, PwD) #4

@damien, the answer to your question is really quite simple, and it most probably was answered in the literature you received.
First off, “CareMart” is an health insurance company that has “teamed” with CVS for distribution of its formulary medications and supplies. Like all insurance companies “best” deals are made with manufacturers to provide best-pricing for its customers and for itself.

  • Does this process increase profit for the insurer? Probably.
  • Does it give subscribers [us] a more cost-effective path to good medication and supplies? In the majority of cases, Yes - although we may not always get brands of our choice. - AccuCheck in many cases has a higher accuracy rating than OneTouch - I currently use OneTouch Verio, my insurers “preferred”.

The real money-makers in this game are the “middlewomen” known as PBM - Pharmacy Benefit Managers.
You can always go the route of an appeal which at most will give you a one year extension, and as was said above, at possibly a higher out-of-pocket. When choosing an insurance company, it is highly advisable to check its formulary - and formularies can change, and often do at the beginning of a new policy year.
CVS did not drop Lantus; your insurer took Lantus off its preferred medications. I suspect that Lantus was replaced on the formulary with an equally effective background insulin.

(bsteingard) #5

I used the Accu-Chek Nano for about 2 years (was made to switch by my insurance) and hated it. My first two meters kept giving error messages. I went through several batteries and twice the number of strips I was prescribed in the first couple months. When I complained to Accu-Chek they tried to trouble shoot and then sent me a new meter and some replacement batteries and test strips. For some unknown reason the new meter worked better than the ones I got through the pharmacy, but I’m still glad I don’t have to use it anymore. (2 years after telling me to switch to either OneTouch or Accu-Chek from Precision they told me to switch to OneTouch from Accu-Chek. Go figure.)

That said, I am a fan of the Accu-Chek Fastclix lancet pen. Having 6 lancets in one really cuts down on the amount of stuff I need to carry around.

(Nancy) #6

hi @damien -

Have you tried taking your One Touch Rx to another pharmacy? I suspect you are locked into using Caremart/CVS as your mail order pharmacy, but I thought I’d ask anyway.

When I had had Caremark as my mail order pharmacy, I found out my health insurance covered all my dbx supplies under the durable medical equipment (DME) provision of my health insurance coverage.

Call the insurance company, ask them what’s covered by your DME provision (name the specific diabetic supplies you use) and ask for the DME suppliers they partner with (so they are considered “in network”). Make sure you get a 3rd party provider for diabetic supplies (most DME are oxygen tanks, walkers, hospital beds, and the like - those providers don’t offer dbx supplies).

The worst thing is you’ve spent a few hours making calls. The best is, well, you pay $0 out of pocket.

DME benefit rarely has the same restrictions as the pharmacy benefit and you’ll be free to get your One Touch supplies.

I’ve fought against moving to Accu-Check for years. My endo agrees with me that it’s sub-par compared to the One-Touch.

Best of luck - let me know if you have success!

To your good health -