Warfarin Prescription and Anticoagulation Service

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If I have a failed test, or a situation where I have to test more than once a week, they'll CHARGE me for the extra strips -- and it won't be cheap.
I have needed extra INR strips several times for dental surgery and my cardiac ablation. My Coagulation clinic and test service provider sent me extra strips when I requested them; I did not pay an additional fee. I'm sure Medicare paid for the extra strips, but I hit my Medicare part B deductible last winter, so there was no additional charge to me for the extra test strips. I simply used my phone app to request a refill of test strips, and they didn't ask any questions.

If anyone is on Medicare (over age 65 in the USA), I encourage you to consider using a clinic. After I hit my Medicare part B deductible, I pay $0.00 for the Coagulation clinic, $0.00 for test strips, and $0.00 for the meter. But I also acknowledge I am a sample of 1. If you are not on traditional Medicare, then you need to talk with your insurance company to understand the costs.

There probably are efficiency improvements that can be made in the handling of Coagulation clinics. If anyone has a contact at DOGE with Elon Musk or Vivek Ramaswamy, give them your suggestions!
 
Hey @Timmay

does this assist your situation (not the age bit, but the general clinic bits

Not really. And not yet. First, I’m not on Medicare. I have private insurance like most “younger people” in the states. Also, I’m not using an anticoagulation clinic yet. But, ask me the same question in 3 months and I might have a different answer. Not sure if anyone here will refill my Warfarin prescription again without sending me to an anticoagulation clinic to ensure they have their ass covered legally. And this is so stupid because I can literally prove that I can do a better job. But that’s just not how things work here.
 
My (now former - I have to find a new one) PCP had no issues with prescribing Warfarin - with refills. I proved to him that I CAN self-test and self-manage my anticoagulation, and he prescribed it for me. Here in California, there's a database of medications - if you're in California (and maybe the rest of the country), your new PCP may see that you've been taking warfarin for a while, and haven't killed yourself yet.
 
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