Why is that?
As I stated in my original note. I belong to an HMO. Medicare rules require that a Dr., who is a sleep specialist and has "examined" me face to face, to do the prescribing. Once he writes the prescription, all other steps are automatically internal within the HMO's system. I never see the prescription.
An example: Three years ago I was on retreat at a monastery in Oregon. I had a severe asthma attack (compounded with a dose of bronchitis) and had to go to an emergency room, where I was treated and released. I was given a prescription for an anti-biotic.
I now had a problem. I could not take the prescription to my HMO in Washington, as the Dr.'s signature was invalid in WA.. So I went to the closest drugstore. Because I was under Medicare the druggist needed my medicare number to fill the prescription. But medicare would not pay because all medicines have to come to me through my HMO.
So the druggest told me to leave for a few minutes and that when I returned he would have another druggest wait on me and that I was to tell that person I had no insurance and was not covered by medicare.
The prescription was filled. Now if somehow that prescription was examined by an auditor, the drug store was in the clear. But need I describe where I stood?