Keep in mind that these formularies change yearly. In other words, a medicine that’s preferred in December may be tossed aside in January when a new drug underbids them. This adds to the adventure. We have an office pool every December when we offer prizes for guessing the new medication changes. We use this changeover as an opportunity to increase staff morale.
Next time you're in your doctor's office, ask what a 'prior auth' is.
In my practice, I might see 15 or 20 folks each week who want me to put their GERD fires out. They have different insurance plans with different formularies and different restrictions. The chance that I prescribe the preferred medicine to each of them on the first try is much lower than winning the lottery. If fact, if I were to achieve this pharmaceutical tour de force, I think I am entitled to instant wealth. Perhaps, the pharmaceutical companies would pool their resources an sponsor a contest for gastroenterologists. What a slick marketing campaign!
Prescribe Heartburn Medicines Correctly for a Week and Win a Million Dollars!
They have nothing to fear. While physicians may accept the challenge with enthusiasm, they will never succeed. They would do better buying a lottery ticket.