Accredo Health Group
Reviews and Complaints

Despite working months in advance to make sure I had my medication on time and having multiple phone conversations about needed medication, and multiple calls from my doctor who provided the prescription at least three times and despite pre authorization, Accredo staff provided misinformation to my insurance company and delayed my medication. They told me I had a high co pay and provided me incorrect phone numbers for co pay assistance. Told me to keep calling an incorrect number. They would put me on hold then hang up. Once I found assistance for my co pay, they accepted it and then told my insurance company I did not have pre authorization nor a doctor order (when they did) and then both would just send me back and forth to talk to the other. It wasn't until I demanded that both companies get on the same call with me that the lies and misinformation that lasted for three months stopped and suddenly I was able to get an order for my medication. We shall see I will call tomorrow for a tracking number but this company is in the habit of not telling the truth and misinforming their consumers. I still don't have my medication and I have a condition where missing a dose is dangerous. They are not in the business to help and serve. Very sad.

My insurance company changed to a new specialty pharmacy, Accredo, in January 2022 and I have not received good service at all. I called Accredo to find out why my medicine didn't arrive and they told me they needed a Prior Authorization (PA) from my insurance company. I was never notified of this in advance. I have spent the last 5 days (March 28 - April 1, 2022) and multiple hours with Accredo, my insurance company, and my doctor's office. My Dr. office sent the PA to my insurance company but Accredo kept saying they didn't receive it. I get a different person from Accredo every time and have to tell my story over and over. Accredo told me at one point that my medicine was no longer covered by my Insurance which is a lie because they have been paying my medicine for the last 4 years. Today, Accredo finally admitted they got my PA but it would take 2 -3 business days to process and they aren't open on weekends. Today is Friday, April 1, 2022, which means by the time they process, fill my medicine, and ship it I will get it next Friday, April 8, 2022. I have been out of medicine for 4 days now and by the time it arrives I will have been out 11 days. This is unacceptable and something should be done about delays in medicine.

I have been waiting for a medicine for my knee since [protected], it has been in the Acredo possession since that day. It has been delayed due to an approval needed by myself. The issue is Acredo has not communicated this to either myself or my physician. No letter, email. Text, or phone calls, or voicemails indicating they require my approval.

I have been suffering in serious pain waiting for this medicine. Clearly Acredo has little concern for the patient or the condition they may suffer from.

I’ve called 6 times as well as had my physician reach out so I can begin my treatment. All copay information has been provided and there is simply no reason for the negligence. Each time I call I am told that my order has been marked as “urgent” and someone will contact me in 24-48 hours. Only to have to call back again and go through this process for weeks in a row now. My doctor prescribed this medication January 19. I called March 2, March 18, March 24, March 25 and once again today.

This company should be put out of business. I have been receiving my medicine late. It is same prescription same doctor same dosage. Nothing new. Why can't they just deliver it every two weeks? It is priced as free for me and my insurance but they send a huge bill and put holds on my account and withhold my medicine. I have good insurance and the Save More Plan and nothing changes! Just send the meds! I think it is criminal and intend to file with BBB as well. Perhaps a class action suit is warranted as I read all the complaints on this board. I called the week of March 14,2022 to attempt to get my refill to take meds March 27, 2022 but after 6 phone calls averaging 50 minutes each I cant get it until March 29,2022. Unacceptable service. Ohio State Teachers Retirement System needs to find another company to do business with. We deserve better.

I called five times on 3-24 about a Humeria order that was sent there months ago. Twice I was told I needed a preauthorization, and three times was yelled at to stop calling because I was not in their system. On 3-25 I called again. The person I talked to was able to straighten things out. The order had been incorrectly put into the system.

Accredo Health Group -

I'm calling for two weeks consistently. Each time, a rep. put on hold to review and said everything is fine. The next call, another said the prescription went to another account and they are fixing it. Nothing happened, another call, they said medication set for delivery by March 15, nothing arrived. Called again, they said they need another document from the doctor's office.

Why everyone working at Accredo provided different and false information to the client. Now my daughter left without medication.

If Accredo told me two weeks ago what they need, I don't mind to contact the doctor office, which supposes to be their job to do business. Not one single person has given me the correct information !

Provided wrong information, lied to clients is not the practical way of conducting business. I've used them for the past many years and never had this problem.

It seems they are solely distributor for some medication or deals with specific insurance, so they can dictate what they want to say/do.

Unfortunately, because I need the medication/insurance, I have no choice but to deal with them at this point. Need to explore another way and make people aware of this business.

Calling for two weeks consistently. Getting wrong information, lied to, and left on hold forever. I'm not without mediation and still no one there actually cars. If I could sue them for gross incompetence. Not one single person has given me the correct information. I've used them in the past and never had this problem. Unfortunately, because I need the medication, I have no choice but to deal with them.

Medication for psoriatic arthritis timely ordered, now trying to schedule 3rd delivery. No acknowledgement of prior interaction including joint call with BCBS asserting claim approved. Always a finger pointing at insurance provider. In fact I orchestrated call with BCBS and Accredo and insurance status was approved on the 4th. Both times Accredo simply dropped the ball. It is one of those really nice horribly sluggish machines that fails to perform.

I called Accredo to see how I go about getting a specialty pharmacy prescription filled. The person I got on the phone huffed, clearly annoyed, after I asked my question.

I could barely hear her because there were kids screaming and yelling very close to her which is really all I could hear. She wouldn't talk louder and the kids wouldn't stop screaming.

Unprofessional, not helpful, useless.

For some reason my healthcare insurance sent me to this absolute joke of a business. I am now approaching 2 months out from my appointment with no treatment in sight, numerous useless and annoying/interrupting phone calls and yet not a single soul to offer resolution. I will now involve my labor organization, an attorney and the Center for Medicare Service who will investigate their practices. No patient should ever have to go through what this group does to people.

Two months and they still do have anything right.

I am a rare disease patient and rely on sub-q infusions. I have been trained by a medical professional in home administration. On multiple occasions over the years, no less, to ensure that I am up-to-date on technique. I have done it for years. It requires equipment in addition to the medication itself (needle sets, tubing, syringes, needle spikes, and pump) I had no issues until my insurance changed and Accredo became my specialty pharmacy service.

Just going to list the issues:

- Rxing doctor had to send rx three times

- Rxing doctor had to send PA three times

- My insurance information was provided multiple times by myself, my doctor’s office manager, and my co-pay assistance case manager. It was never properly entered, even when they sent my my first (and only) shipment of medication.

- Copay assistance ID was provided multiple times by myself, copay assistance case manager, and doctor’s office manager. It was never entered.

- I was given three different copay amounts: $100, $150, $300. I was assured, after correcting them, that it would be $150.

- I was assured it would be billed to my MEDICAL benefit. It was not.

- I, the patient, had to explain what “delivery method” meant to the rep AND filling pharmacist (how the medication is given, either via pump or gravity, not how it gets delivered to my home.)

- I received one shipment. With an invoice for $200. When I called to clear it up, they had incorrectly billed it to my pharmacy benefit, not applied copay assistance, and then told me they did not have a contract with my insurance and they were not the preferred specialty pharmacy under my plan.

- Nothing was entered properly by the billing associate assigned to my account upon intake, save for my name and address. When I reference her name, no one knows who she is.

- Billing asked me why I wanted billed to medical, was rude, and told me I didn’t know what I was talking about when I explained the difference between self-administered drugs (think Humira or other self-injected biologics) vs subcutaneous infusion via pump of human immunogammaglobulin. Fwiw, I’ve been both a previous recipient of IVIG and current SCIG patient for going on 6 years, work in healthcare, have a degree in physiology, and do peer advocacy for patients that share my diagnosis, explaining to them the ins and outs of IVIG, SCIG, and the potential use of self-injected biologics if they have a comorbid autoimmune condition. But Greg From Accounting says I don’t know what I’m talking about.

- Sent me on a wild goose chase to FIVE DIFFERENT SPECIALTY PHARMACIES, telling me each time that each one was the correct one under my plan. “When we run a test claim, that’s who comes up.” They weren’t correct.

- Has continually sent me back to my insurance (Anthem BCBS) and PBM (ExpressScripts) who in turn verify my benefits and…you guessed it, send me right back to Accredo.

I’m currently playing the waiting game with them, where I was told on 3/4 that it would be billed to my medical benefit, but that the switch would take 7-10 business days. I have one dose left on-hand. As a patient with a primary immune deficiency. During a pandemic. I’m taking that with a grain of salt and am sure I will get a whole new set of reasons why it can’t be correctly billed including my copay assistance, with the correct insurance and personal information, as well as PA and the rx itself. It should be $150 copay, and billed to my medical benefit.

In late February 2022, I called accredo to set up a request for the cancer treatment drug, tagrisso. I expressed the desire for co- pay assist and was assured that I would not be charged any co-pay amount.

On March 3rd. I was online looking at my personal checking account and saw that I was charged the full co-pay amount of $4,681,17. When I complained they told me that I agreed to pay this. I am waiting for a resolution at this time, a full day after the withdrawal. I was using auto pay with Express scripts with the automatic withdrawal allowance of not more than $500 per transaction, yet they managed to rob me of $4.681.17, considerably more than $500. And somehow my auto pay was turned off in the app. I have been using auto pay for many years.

Something nefarious has happened and someone should accept responsibility, but they won't, and this is why I am filing this complaint.

3/4/22 @9:35 am Honestly everytime I call Accredo there is alway a problem. for sure they are very rude and I always have to be right, they want to shut you up. Please hear the conversations.

I was informed on Friday, Feb 25,2022 by Bons Secure Cancer Institute/Outpatient Infusion Center that Accredo wanted to send Renflexis to Bons Secour which is not allowed. I was told that I have to go to a free standing infusion center and there are no free standing infusion center in the network. My insurance provider told me a gap waiver would have to be approved. Getting my infusion every eight weeks is crucial because if I go pass eight weeks my body will become resistant against the infusion. Since 2003, I have taken Remicade I fusions every eights weeks that has saved my life. Without Remicade, every three years my body would become immune to medications to treat Crohn’s and I would be hospitalized with a long recovery back to being healthy. In February 2021 my gastroenterologist medical assistant informed me Accredo would not allow Remicade for my infusions that I would have to take the generic Renflexis. My body does not tolerate all generic drugs, each person with Crohn’s.is different and there is no cookie cutter treatment that will work the same for every patient. Renflexis does not work for me, I am fatigued and do not have the energy that Remicade provides. Since I started Remicade in 2003 every colonoscopy shows I am remission. Accredo appears to not care about maintaining overall health but instead being greedy and using a cookie cutter formula. I am upset, stressed and panicking because I will not be getting my infusion in the eight week timeframe. Stress can cause a flare up but it’s difficult because am afraid of being ill and being hospitalized. If proper medication and care is not followed for Crohn’s it can lead to colon cancer. I think it is irresponsible and egregious that Accredo is making decisions that does not promote maintaining a healthy regiment.

Accredo Specialty Pharmacy does everything possible to prevent patients from filling specialty medication. Accredo harasses patients by over-charging for prescriptions, not filling prescriptions, providing inconsistent and misleading information regarding prescriptions, making false promises and gaslighting patients.

No person willingly does business with Accredo. Accredo has a single star rating with the BBB. Accredo exists solely because patients are required to business with them.This alone should be a ceime.

Accredo should be shut down- should have been shut down years ago.

I receive pulmozyme from the specialty pharmacy every thirty days to be used in a nebulizer at home as treatment for cystic fibrosis. Medicare is my primary insurance and I have secondary insurance that together covers 100% of the extremely expensive drug. Medicare requires this special drug to be covered under medicare b as a medical supply. Although they have received accurate information from medicare and verification from my supplemental insurance carrier that it will be covered under medicare b, they continue to instead send the claim as a part d drug. Then it is denied payment and bills me for the full amount. This has been going on for almost 2 years now, the bill at one time was over $40,000. After my appeal to medicare that was approved most of the balance of medicare's portion was paid, however they have not correctly refiled these claims to the correct secondary insurer although I have continously tried to get the matter corrected. They still are sending me monthly bills for a balance of $7,194.00 which is full ycovered by my secondary insurance. When I try to talk to accredo about this they put me on hold or say they are working to resolve the problem. Now 7 months later I am still getting billed for this amount and I just received a notice that they are turning it over to a collecion agency. I do not owe this amount and I need this pulmozyme to survive. I am 84 years old and it is very distressing that I cannot get them to make the necessary correction to their mistake.

I want thee charges taken off my account and the claim sent to the correct source for payment. I need someone to help me clear up this matter,

I receive Botox injections every 3 months for chronic migraine. Accredo ships the botox medication to my physician's office. Accredo has failed to bill my Medicaid secondary health insurance for co-pays for 3 dates of service in 2021 and 1 date of service in 2022. I have had to cover the cost of the co-pay myself. So far, I have had to pay $315 out of my own pocket and I just received another $105 bill for January 2022. I have called Accredo's billing department repeatedly. People in the billing department repeatedly send requests to the "clearance team" and "Medicaid team" so that Medicaid will be billed and I will be reiumbursed. A Medicaid representative called Accredo explaining that prior authorization requirements will be waived since my primary health insurance has paid over 60% of the cost of the medication. Another escalation request was issued by Accredo in late January of this year and I was supposed to be reiumbursed within 2 weeks. Medicaid has still not been billed.