I have suffered with acne for years. After taking all the necessary steps required by insurance and medical offices such as the topical creams, and oral antibiotics, I was finally ready to start Accutane. I did the 2 visits that required blood work and negative pregnancy tests in order to enroll in the ipledge program and I was ready to start. The next day, I called to give my pharmacy information because after checking with my pharmacy, my prescription was not there. I called a second time that day because there was a problem with filling the prescription. My pharmacy faxed a pre-authorization form required by my insurance in order to obtain the prescription. I called Wednesday asking again about my prescription. I left a message. No response. I called my pharmacy on Thursday. They offered to re-fax the form. I called Friday and was told my doctor was out of the office. I reminded the person that I talked to that Monday is the last day that I can fill this prescription. I call Monday at 8:30 am, and I leave a message. I called at 11:21 am and was told to re-fax the form. At 11:58 am, I called and asked them if they had received the form. Was directed to leave a message, so I also left them a number that they could call to do the prior authorization over the phone. At 12:08 pm, I called my insurance company to ask for help, and they attempted to call them while I was on the line. My insurance company was directed to leave a message. I still have not heard anything! So I call at 2:06 pm and demand with 3 hours left in the business day that something be done and was able to speak to a person and give the phone number for prior authorization. I get a call back at 2:54 pm, she said that she obtained the pre-authorization, but it would take 7-10 days to process it. She said I could come back after 19 days to re-enter the program. I asked would I be subject to a copay and lab fees for this repeat test. She said that would be up to billing, which probably means yes. How many accutane prescriptions does a dermatology office write, and they are not able or do not know to fill out a pre-authorization form? AND how many times did my pharmacy, my insurance company, and I attempt to communicate this? This is unprofessional and unacceptable behavior. I do not recommend them. Everyone makes mistakes, but ignoring a patient's messages and inquiries about a prescription with an expiration date is rude and irresponsible. They have no ethical basis for conducting business.