Hand delivered application on December 3rd for a 3rd time renewal. Had to change doctors, but the MS is still the same original condition. Was told it had to go to the Medical Director for approval due to the change in doctors. Card arrived in today's mail. I am hoping the producers will sound off about this at their next meeting with DOH. This is ridiculous. The LACUA states clearly "30 days". It does NOT say 30 "business" days. We, the patients, pay the fees the producers submit for their annual renewal by purchasing the medicine from the LNPP. My calculations comes to .... (4 x $30K) + (19 x 20K) = $500,000. How can DOH do anything except run an efficient program with that kind of money??? This is BS that it took 2 months!