This is what $700 of pills looks like,
and it is just a 30 day supply
of a medication I am on, likely for life.
In December, under my old insurance plan that
was generous, I paid $30 for the same 30 days supply.
Our company was too good to us and was going
to get fined for treating its employees to a Cadillac
Health Care plan, one that we could afford.
So they had to change the plan.
Now we have our prescriptions tied to the deductible.
Before it was a straight discount.
Now I have to meet $1,400 (individual) deductible before
I get a discount on my medication and there is no generic.
The manufacturer won their case to prevent generics
until something like 2025, or at least a long time.
The alternatives are just as expensive or require preauthorization.
Once I reach my deductible, and if I choose to mail order
a 90 day supply at a time, it will be $125. I can manage that.
So what do I do about the $700 prescriptions?
I looked up my medicine on line as advised by my
pharmacy benefit provider. The manufacturer has a discount card for
everyone that chooses to sign up for it. It is not income based
but you cannot be on medicare, medicaid or other state or
federal medical plan. They may have another program for that
but the discount card is for people with insurance.
If you have no insurance and are not on a plan I think
there is yet another discount for you.
They will give me $500 off each monthly refill for 3 times.
Then they will reimburse me for a portion of my mail order
prescriptions- the pharmacy benefit mail order service does
not accept the discount card, which is fine.
I just have to copy and mail in all my receipts
and fill out some type of claim form.
Hopefully they process refunds quickly.
That being said, the plan is not good but manageable
with the drug benefit card. I suppose they don't just lower the
price since some insurance will pay much more for the
fill and/or they are making more money when people don't know
about this card. I wonder how much the medicine is in other
countries? I"ll bet it is less.
So, if you have an expensive prescription and no generic alternatives,
look your medicine up on line to see if there is a plan for you too.
I also took advantage of the $4 prescriptions that retail
pharmacies have. I went off insurance for my Pepcid (generic),
thyroid med and iron pills for 30 ($4) or 90 ($10) days.
I wouldn't even give them my insurance card so they don't file it.
It was going to cost $30 under my plan for one of the prescriptions
where it was $10 to go with the store plan. They generally have
a list of $4 or Free medications on their website. I actually got an
antibiotic free about a month ago.
These days you have to shop around for the best deal!