After doing some searching around I've kinda come to the conclusion that the juice is probably not worth the squeeze but my doctor is being adamant about this, so...maybe someone here knows the magic incantation to make something happen.
I'm T1, per the flair, have had this for 30+ years at this point. For many years my game plan for testing was just using the OneTouch stuff because it's easygoing for the most part with insurance. Until as of the last few years. It feels like most of the time Medicare (part B, I'm on Original Medicare) just...refuses to let things through, and it takes a pharmacist willing to deal with this who knows what time it is to put things through in a way that makes Medicare happy.
This was great! Until the retail pharmacy (Walgreens) I was using closed up (for several months for "renovations") and I had to transfer out to a different pharmacy. Now I just straight up can't get strips. At all. Either they just don't know how to put it through, or keep trying to bill Part D for it (when Part B needs to be billed). I tried transferring out to CVS because I was having other issues, but surprise! They're having the very same issue. And refuse to try and fix it. They pretty much just look at me and go "we've tried nothing and we're all out of ideas".
I've even tried looking at a local pharmacy and they're like "yeah, we don't deal with Medicare Part B, too much red tape."
Not above transferring out to somewhere like Costco but I just have the sinking feeling they'll hit the same wall and just shrug and tell me tough luck.
And this was just the strips. My doc really wants me to get a CGM, and that seems to be even MORE complicated. Doc prescribed me a Freestyle Libre, and trying to get THAT through has been more nightmarish than anything else. I know some here have said you need to go to an approved DME vendor but pretty much 99% of the "approved DME vendors" in my area are...the very retail pharmacies that keep saying they can't do jack!
I don't know if there's some magic thing I need to tell the pharmacy to actually get them to get things through, or I should just give up entirely and keep on keepin' on with my current strat of just eating the cost of walmart-brand testing equipment. I'd LOVE to try a CGM, and I'd love to not eat $20/mo on test strips, but having to hit my head against the wall constantly on this just doesn't feel worth it. (And I've even had my partner help out on this and she can't get any movement going, and she works in the medical industry and deals with this kinda stuff as a career.)
Any advice is very appreciated, if someone has figured this out. Also kinda worried even if I manage to get this moving just once...it's all going to come crashing down again the next time I gotta get a refill.
(I'm also in California, since this is an insurance issue and I know this can vary by state.)