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    • 31 seconds ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 45 seconds ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 minute ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 36 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 48 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 hour ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 hour, 1 minute ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 2 hours, 16 minutes ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 7 minutes ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 4 hours, 13 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 4 hours, 13 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 14 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 16 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
    • 4 hours, 24 minutes ago
      Samantha Robinson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 4 hours, 30 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Normally, no time spent but I changed insulins so I wanted to verify everything with my insurance company before asking my endocrinologist to write a new script.
    • 4 hours, 31 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 33 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 49 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I expect that we’ve all had that feeling about how stupid payers can be when it comes to T1D.
    • 4 hours, 49 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Seriously depends on when you ask. The past 3 months have only been an hour or two, but if you'd asked this same question last September it would've been over 8 as I dealt with the annual "Yes I need a Dexcom and Omnipod again" red tape with my insurance/providers/doctor's office. I am counting the time on hold as well, but still - pretty ridiculous that insurance thinks Type 1 is going to magically go away just because it's been a year. I wish!
    • 4 hours, 50 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 4 hours, 50 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 50 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 4 hours, 51 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 51 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 5 hours, 9 minutes ago
      William Bennett likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
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    On average, how satisfied are you with the general customer service provided by T1D supply companies?

    Home > LC Polls > On average, how satisfied are you with the general customer service provided by T1D supply companies?
    Previous

    Do you have extra insulin in addition to what you received in your most recent prescription re-fill? If so, how long would that additional insulin last you if needed?

    Next

    If you wear a CGM, how do you get your supplies?

    Sarah Howard

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    26 Comments

    1. Bob Durstenfeld

      I am satisfied with the manufacturers (Dexcom. Tandem, etc.) but not so much with the contract suppliers.

      2 years ago Log in to Reply
    2. lis be

      I signed up for a supplier a few years ago that I no longer use, they switched to a robocall method of confirming prescription renewals that would call me 5 times a day from different area codes. It was near impossible to talk to a real person to get removed from the stalker-like robocall service!

      2 years ago Log in to Reply
    3. Nevin Bowman

      I work in customer service, and my experience has been better with diabetic supply companies than general run-of-the-mill companies. Most people are more than willing to resolve whatever the hold-up is. If there is a problem, it is almost always with insurance companies that the supply companies are powerless to do anything about.

      2 years ago Log in to Reply
    4. Jana Wardian

      Recently, I’ve had customer service representatives resolve issues with insurance by setting up a 3-way call on the spot to discuss and resolve the issue. I love this! Previously, it was like a game of hot potato as the blaming never seemed to end and I was stuck.

      2 years ago Log in to Reply
    5. David Smith

      My biggest challenge was presented when I shifted from a health plan with my employer to Medicare. Medicare requires regular certifications from my Endocrinologist that I still have diabetes and that I’m using the insulin pump and CGM supplies I order, and Medicare is extremely strict about the specific wording of the documentation they require. My prior insurer did not require a similar process. Medicare’s requirements are unreasonable, especially given the senior population they serve. Getting your T1D supplies shouldn’t be more difficult as you get older, and especially not for artificial, bureaucratic reasons!

      2 years ago Log in to Reply
    6. Amanda Barras

      Don’t even get me started. I was always able to order directly through pump manufacturer before but new insurance only allows third party dme vendor for supplies now. Supply order went ok with existing pump. But, now that I’m out of warranty and ordering a new pump they have had that order since Jan 13th and have still not submitted to insurance or shipped! I’m critically low on current pump supplies because I thought it silly to reorder supplies for current pump if I would have new pump in a few weeks to a month. Now we are sitting 2 months later with nothing and having a huge problem! I hate that I’m stuck with these guys because my insurance dictates it!

      2 years ago Log in to Reply
    7. Greg Felton

      I answered very dissatisfied, but in fact I find the persons answering calls at the supplier to be knowledgeable and helpful. I am dissatisfied with the company’s website and inability to do their job. I should not have to call customer service multiple times.

      2 years ago Log in to Reply
    8. Sherolyn Newell

      I answered other. I have always been very impressed with Omnipod. The people are great and you are hardly ever on hold waiting for someone to answer. I started on Dexcom right about the time G6 came out. I think it was the new product causing extra calls, but I would be on hold for 15 to 30 minutes every time I called. I tried the “call you back when it’s your turn once”. When it called me back, it said my wait time was 20 minutes, so I didn’t do that again. Consequently, I hated having to call Dexcom. It is not nearly so bad now.

      2 years ago Log in to Reply
    9. Gene Maggard

      I answered that I’m very satisfied only because I very seldom have to be in contact with anyone at my third-party supplier. Since they are in a competitive situation with other third-parties (unlike Medtronic or other manufacturers) they keep on top of things and take care of contacting my endo to ensure they have the correct Medicare-approved backup to what I need. When supplies need to be ordered I get a text message, then I mostly do everything on the website which works well for me.

      2 years ago Log in to Reply
    10. Kristine Warmecke

      When I switched to Medicare and had to switch DME supplier’s Byram was the only choice at the time. I had all my supply information in front of me when I called to place my first order, so I was feeling good. That lasted only 24 hours and went downhill from there. All of last year was a fight to get the correct pump supplies that ended with a Tandem rep. calling them and being hung up the same as I was, when they tried to explain that VariSoft sets are not discontinued & they needed to provide me with them. Much better costumer service being back with EdgePark. I haven’t had to refuse sites because I am down to one box and have no idea when my DME company will get me the correct ones.

      2 years ago Log in to Reply
    11. Mike S

      Really should be a way to differentiate between suppliers. OmniPod is always super responsive and never fails to answer quickly, send a new pod for a failed one, or help me navigate insurance. Dexcom technical support is great, but billing and ordering are a mess with long wait times and no willingness to understand move paperwork to solve insurance issues. Fortunately/unfortunately I will know have to go through a supplier for my Dexcom supplies. (Solara?) Fingers crossed they are better at jumping through the insurance hoops than Dexcom was.

      2 years ago Log in to Reply
    12. Steve Rumble

      I receive my supplies through my HMO, Kaiser Mid Atlantic, and they have always been responsive and timely.

      2 years ago Log in to Reply
    13. John Henninger

      You forgot the option of “Satisfied” which is different than “Indifferent” as you had in the middle of your options. It is also better than “Somewhat Satisfied” and not as bad as “Somewhat Dissatisfied.” My answer is “Satisfied” and please make note of that.

      2 years ago Log in to Reply
    14. Sasha Wooldridge

      I’m a die-hard Edgepark fan. They always take care of my problem or can answer my question with minimal effort on my part. Usually just one phone call. They’ve even saved me with a complimentary box of supplies here and there when my doctor’s office wasn’t responding to the paperwork they needed. They can’t do it all the time, but they will if you’re really in a bind. If I’m playing ring-around-the-rosey with medical crap, I always saved them as my last call if I can, because at least I’ll end the craziness with a positive experience.

      2 years ago Log in to Reply
    15. Mick Martin

      I’ve only ever dealth with Medtronic/MiniMed since I’ve been using a pump in 1999 and can say that I’ve received nothing but courtesy and professionalism when I’ve had dealings with any of their representatives. So far, I’ve appreciated the advice and service that I’ve received from them. The one thing that I personally feel lets them down is that I can’t order my Guardian 3 Sensors through their eShop. This is PROBABLY due to the fact that I don’t have to pay for my diabetes-related supplies as it’s covered by our NHS (National Health Service) so they need to make sure that supplies are going to be paid for by my local hospital. A shame really as I can order anything else from their eShop without question.

      2 years ago Log in to Reply
    16. Annie Maley

      I recently was switched from having Medicare as my primary. My husband’s new contractor has more than 100 employees so it dropped Medicare into secondary. GEHA as primary. I found when Medtronic was dealing with Medicare there were a lot of what seemed like redundant documentation that they needed, including visits to doc every 3 months, which I don’t need medically speaking. Now with the primary insurance change it’s been a nightmare with Medtronic getting my supply order out in a timely manner. Even though they put it in a priority/expedite status, I’m going to run out of infusion sets before I get the supply order. They already sent me 2 infusion sets as an emergency supply, but I had to pay $12.50 to have them overnight ship it. So frustrating. I know that with new insurance that they have to get authorization for all supplies from the new insurance. I just wish they had a better method of expediting this process for people who rely on life giving/saving medical supplies. It sucks! Done with my rant. šŸ™‚

      2 years ago Log in to Reply
    17. Michelle Shampine Smith

      Disgusted. Edgepark gives us an issue every three months for the past 4 years for my son’s supplies. It is board line medical neglect and indifference.

      2 years ago Log in to Reply
    18. Eileen Heveron

      Everything was great for me when I was able to get supplies directly from the manufacturer (Tandem and Dexcom). Then I turned 65 and went on Medicare plus Scan. Although getting my new pump and CGM when the old one expired was horrendous (months on end, many many people involved, a nightmare), getting pump supplies isn’t too bad with the supplier. But because of the Medicare regs for the CGM, it IS another nightmare. They only allow a 30 day supply of sensors, but 7 months have 31 days!!! By the time you add in holidays and whatever, you end up without supplies. I have for the past two months and was notified of my next shipment which will mean I am out of supplies for 3 to 5 days with shipping date. Of course I can finger prick but I use Control IQ with my Tandem pump and I am under MUCH better control with it. Finger pricks six times a day doesn’t cut it for my management, hence going to Control IQ. I am a T1 diabetic for 59 years and am thrilled with the technology. But Medicare needs to do the math and allow 90 day supplies and Dexcom needs to keep pushing for a longer lasting sensor. Something’s got to give.

      2 years ago Log in to Reply
    19. Shelley Fenn

      I use Solara for DME through my husband’s insurance. I have been extremely unhappy with their customer service. In the past 2 years they have shorted me a box of Dexcom G6 sensors and denied it when I realized it. They also sent a Dexcom reorder to the wrong address and when I didn’t realize it right away, they pushed out the prescription one month because it took them 2 weeks to log the return ; I lost a month of supply. They blame all the errors on my insurance, but it’s been their fault. They NEVER return your call though sometimes you are forced to leave a message after waiting on hold. They do not take thorough notes. They will send you to a ā€œsupervisorā€ though it isn’t one. The list goes on and on. I will be so happy when I can get my supplies at a pharmacy.

      2 years ago Log in to Reply
    20. Cheryl Seibert

      I use EdgePark and answered “Very Satisfied”. Their website has a couple of minor challenges, but their customer service representatives are very responsive and friendly. Most of the challenges are insurance requirements like not being able to order even 3 days before the 90 days are up from the last order. I’ve received all my supplies very quickly since switching to a Tandem pump and using EdgePark.

      2 years ago Log in to Reply
    21. Robby Doyle

      Same issues with Medicare as has already been noted. Downright stupidity on the part of my Bose who implemented this program… or, was it intentional?! Follow the money…

      2 years ago Log in to Reply
    22. Jennifer Yeomans

      Ditto E.H’s comments. When I turned 65 and went on a Medicare plan refilling Dexcom supplies became a nightmare. They only allow a 30 day supply of sensors. With shipping and reordering regulations I am often out of supplies for 3 to 5 days. I use a Tandem pump with Control IQ and when I am out of supplies my diabetes management suffers. This could be REMEDIED with a 90 day supply of sensors. Medicare needs to allow a 90 day supply. I’ve had T1D for 50 years and I expect a CGM will continue to be apart of my management. Hey Medicare are you listening to us?

      2 years ago Log in to Reply
    23. Rose Ryder

      Dexcom is a dismal, irritating experience (follow a script, patronizing almost). Understand they outsourced the ordering to another company; hopefully it’ll be better.

      2 years ago Log in to Reply
    24. Bonatay

      I chose “other”. Up until last October I had a supplier for my cartridges and infusion sets different from my supplier for CGM supplies. I put in a supply request for refill. I never received them. Didn’t get a call that there was an issue. I would call and the call would drop after holding for 15 or 20 minutes. Would leave a callback # and never received a call. I was done with them and went to my CGM supplier for everything. It took 3 months of MDI before I started receiving all my supplies from 1 supplier. Now I receive call and email and text when it is time for reorders. So far so good with new supplier. The customer service was excellent in helping me getting started with doctors office coordination. I’m ticked pink so far with DMS.

      2 years ago Log in to Reply
    25. Luke Smith

      I feel like Dexcom has good products but everyone that works there seems to follow like a guideline I wish they were more a little more genuine and concerned for the customer

      2 years ago Log in to Reply
    26. T1D5/1971

      I’ve had very good experiences with CCS under Humana Medicare Advantage. They are now my source for both pump and CGM supplies. Other suppliers have not been great – Edgepark, Byram, etc. Dexcom was my CGM supplier last year – and that was a constant pain. I frequently had to get sensors through alternative means. Having been with Dexcom since 2006, I was sad to see their attitude towards customers descend to such a terrible state. I was happy to hear that they have given up the process of being a direct supplier, but I am still eagerly awaiting the Tandem/Libre combo, as I can no longer recommend Dexcom as a company. If my life matters so little to you…

      2 years ago Log in to Reply

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