保险公司填写的蒙加罗剂量有误

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斯蒂迪亚

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沃尔格林药房给我配的是10毫克的旧剂量,而不是我现在的12.5毫克。

我尝试退货,但因为药盒装在沃尔格林的密封袋里,我回家后才发现。

现在我有三盒(每盒四支)10毫克的蒙加罗注射笔,不知道该怎么办。

非常感谢

您的任何建议!
 
stedia said:
我尝试退货,但由于盒子装在密封的沃尔格林袋子里,直到回家后我才注意到。
这两条有什么关系?把它们退回去。

包装盒里附带的说明书上写的剂量是多少?医生开的处方(大概是电子版的)上写的剂量又是多少?
 
indolent said:
What does one statement have to do with the other? Return them.

What dosage is on the documentation that came with the boxes? What dosage is on the Rx that your doctor submitted (presumably electronically)?
To clarify I used to be on the 10mg dosage then my doctor recently changed the dosage to 12mg.

Walgreens pharmacy app sends emails to you when your prescriptions are due for refill. When I got the email it sent me a reminder to fill my 10mg because I had 1 more refill of 10mg left.

So I selected to fill the refill not paying attention to the fact that my 12mg didn’t have anymore refills and had to contact my doctor for a refill.

So Walgreens system isn’t smart enough to stop sending reminders to fill refills if you have a higher dosage of the same medication on File.

So when I got notified that the prescription was ready for pick up I failed to read the prescription dosage email and also failed to ask the pharmacy what dosage I was picking up. Walgreens has a rule that no master if you pick up the medication and leave the store they don’t take the medication back if you accept and leave the store.
 
There are videos on youtube showing how to disassemble the pens and move them to vials, and you could then use an insulin syringe to measure out your 12.5mg dosage.

You'd still run out a little early, but at that point perhaps your doctor can get you the 12.5mg refill ahead of schedule.
 
hexagonal said:
There are videos on youtube showing how to disassemble the pens and move them to vials, and you could then use an insulin syringe to

hexagonal said:
measure out your 12.5mg dosage.

You'd still run out a little early, but at that point perhaps your doctor can get you the 12.5mg refill ahead of schedule.
Thanks
 
stedia said:
To clarify I used to be on the 10mg dosage then my doctor recently changed the dosage to 12mg.

Walgreens pharmacy app sends emails to you when your prescriptions are due for refill. When I got the email it sent me a reminder to fill my 10mg because I had 1 more refill of 10mg left.

So I selected to fill the refill not paying attention to the fact that my 12mg didn’t have anymore refills and had to contact my doctor for a refill.

So Walgreens system isn’t smart enough to stop sending reminders to fill refills if you have a higher dosage of the same medication on File.

So when I got notified that the prescription was ready for pick up I failed to read the prescription dosage email and also failed to ask the pharmacy what dosage I was picking up. Walgreens has a rule that no master if you pick up the medication and leave the store they don’t take the medication back if you accept and leave the store.
I'd discuss this with your doctor. Perhaps he can send an Rx to a compounding pharmacy (I think they can still legally fill tirzepatide until the judge rules on injunction, but don't delay) for the 2mg weekly topoff. I bought my tirz 3-month supply from Southend Pharmacy, with a prescription submitted by telehealth provider Brellohealth

You'll have to draw the liquid from a vial into a syringe, but they give good directions and it's pretty easy if you pay careful attention.
 
raw_oyster_eater said:
or just do 5 day intervals.

you don't have to make a science project out of this. breaking open the pens will most probably result in the loss of product or ruination due to glass breakage etc.
Actually, if you follow the directions, the pens are easy to safely disassemble and then manually inject into an empty vial. Takes about 2 minutes.

I was playing with one after I emptied it and the spring in the pen is super powerful. It will shoot the integrated syringe (or the plunger) like 30' across the room.
 
my instructions say do not attempt to disassemble if i remember correctly. and i thought i read on here people trying to do it wasted the product.
 
raw_oyster_eater said:
my instructions say do not attempt to disassemble if i remember correctly. and i thought i read on here people trying to do it wasted the product.
If you accidentally set off the plunger it'll waste it, but the videos explain how to avoid it. Not hard to do.
 
12/7 = 1.71mg

1.71 x 6 = 10.26 (dose every 6 days)

10.26 is closer to the 10 in your pen than a draw on any reconstituted vial you'll get from a vendor with their over/under fills. One of mine just tested nearly 30% overfill!

With 6 day dosing you're only 4 days shy at the end of the box. Definitely in a refill window.
 
raw_oyster_eater said:
would it be possible to reload it with something?
You kind of destroy the top of the pen when you disassemble it. Also, the dose is contained in something similar to a insulin cartridge with a needle on it. I'm not sure how you would refill it plus it would have Tirz residue remaining.
 
Teamaker said:
FYI: You don't even have to take apart the pen, you can inject straight into a sterile vial. I have done it several times.
I have only had to take a pen apart twice and I saw the videos to inject it into a vial. i didn't want to risk missing the shot and having my Tirz run down the side of the vial. Plus, i really wanted to see how the injection mechanism of the pen works.
 
Goreandglitter said:
I’d just do another month of 10……. Rather than trying to do weird shit.

Fill 12.5 the next time I’m really not seeing the issue here
It's another THREE months of 10
 
Will your insurance let you fill the 12.5 since it was the pharmacy's mistake? Might be worth calling and asking. Worst case, they say no. Best case, you have three months of just-in-case backup.
 
I am guessing that if @stedia is on this forum, they know about the easy availability and affordability of grey Tirz. Therefore, I might venture to also presume that picking up a monthly branded prescription from Walgreens implies they are getting it cheaper than a lot of people do? I know there are people purchasing grey kits of Tirz who also keep their insured Mounjaro Rx active, to build up their supply of stock.

All I'm saying is, this is not as concerning a problem – the 10mg versus 12.5mg – as it might be were we on Reddit right now and some poor soul who has no clue that there are other options out there is stuck taking a lower dose for a month. Or, if the original poster had been taking 12.5 but was now forced to take 10mg. They haven't even jumped up yet to the higher dose....
 
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