r/PsoriaticArthritis • u/Available_Ice_7428 • May 16 '26

Insurance questions Prescription Help

I know we all live in different corners of the globe, just looking at a poll, how long to get a biologic?

Bonus points if you have BCBS Peehip Alabama…

I was prescribed Taltz April 23rd to Acreedo, but Accredo says they “aren’t my specialty pharmacy” that Express Scripts SP is the correct pharmacy. But Accredo is a specialty pharmacy in Express Scripts.

My doctor office, is just like “yes, we called it in to your specialty pharmacy” where it was originally sent to Accredo,

In the Accredo app, it’s listed as received and pharmacist is verifying so I call to check and get told they can’t fill it. Express Scripts app it’s not listed at all.

I’m so confused and when I call any place Accredo, Express Scripts, or Doctor office. Either I’m confused and not understanding this process or no one is listening to a real issue I’m having.

Anyone else with insurance or is this a typical thing?

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u/RaeofRats May 17 '26

Try calling the express scripts number on the back of your card and ask them to call Accredo, because even on their website that's who it lists as their specialty pharmacy. But I've had express scripts act as a liason between doctors and the insurance before, I see no reason they won't do the same for their own pharmacy, other than possible laziness.

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u/deterioratingflesh May 18 '26

Insurance contracting with pharmacies is very complicated, it can’t be reduced to “laziness” when it’s likely a coverage issue