It is hard to know even where to start but will give it a shot. I was looking to take an extra dose of important medication with me on vacation out of the country. They said they could do that if I got approval from my doctor, which I did. I initiated this action in the middle of February, thinking if I was going on vacation in April there would be sufficient time. The net of this is the request was rejected on three separate occasions even after following (very closely) their requirements. I left for vacation empty handed. Over this period I spend approximately 8 hours on the phone with them, including my insurance company. They are truly a terrible company to do business with. See if you can go somewhere else.