I just learned that MRI results required before filling a prescription for Humira was not sent to Irish’ insurance company, Pacific Source.
I was misinformed. This lapse apparently occurred twice, once with the original prescription request and again when the denial was appealed. I am attempting to identify how the prescribing and information systems broke down.
I apologize to Pacific Source and their pharmacy benefits manager, Caremark, for publishing inaccurate information.
While I still believe that an Oregon doctor should sign any denial by an insurance company of prescribed benefits, the current episode was not the result of a profit motive, nor the fault of Pacific Source or Caremark.
~ Erik Dolson