Copaxone and medicare

Common Questions and Answers about Copaxone and medicare

copaxone

Avatar m tn I am signing up for Medicare and discovered my contribution on Copaxone will be approximately $5000 a year. On my old insurance my payment was $600 a year. Living on a fixed income I won't be able to continue Copaxone if I don't find help, shared solutions doesn't help with people on Medicare. Anyone have this problem?
1460567 tn?1285780960 Does anyone out there use Copaxone and have Medicare Part D. If so what is your co-pay?? I need to chose soon and need some ideas as to which option would be best in Part D.
1876457 tn?1322405589 Can anyone explain the way Medicare works with part d coverage for copaxone? The term catastrophic coverage has raised my eyebrow a smidge. I'm awaiting a call back from shared solutions and their "medicare" expert team. If im understanding the sales lady right, she informed me I would be responsible for the first $4700 approx.?
Avatar f tn All this is complicated and full of bureaucracy, of course, but there is very good info on line. Find the Medicare site and read up on Medicare in general, then on Part D. Everyone will need this info eventually, or every American will, I should say.
1876457 tn?1322405589 I was curious if anyone has received help from any agencies covering it fully and/or mostly? Ive contacted Medicare, my prescription plan, teva, and my doctors office. I just received a basic health plan card from my state but again....not covered under the current formulary. Am I dreaming that im going to be able to obtain this medication at under $100.00 per month???
572651 tn?1530999357 Lu, Yes that is exactly right. I saw my bill from the pharmacy go up and up for copaxone as well over the last 2 years. Lots of money. On a good note, I had almost 3 full boxes of Copaxone when I was told to stop. I found a place to donate to, and I feel SO happy about that. It was just a sin to throw out, when so so many people cant afford these drugs.
Avatar f tn s marketing is expensive as is the whole Share Solutions organization which is to get and keep as many MS patients on Copaxone and to find out about problems with the drug before the FDA does. In ten years DMDs will be in pill form and more expensive so the price of the injectables will seem like a bargain to the insurance companies.
645390 tn?1338555377 2 MS nurses lead it, and there was a MS advocate, who is a social worker that also brings information. It has been going strong for 12+ years, really good group. They also had muffins, candy and bottles of water, need I say more LOL. Anyway, they told us that Betaseron, the company that makes it, I cant remember the name, will be doing away with co-pays. They will accept what the insurance gives, and will not expect any more from the patient.
645390 tn?1338555377 I will start on MediCare on 8/01/12...and cannot find a Prescription D provider to cover the Copaxone. I have been on Copaxone since 1998, and do not want to deviate from it. Because it works!!! So, when I call all the pharmacies...Walgreen's wants $103,000+ per month. Yes, that is right...with no insurance. When I had BC/BS provided by my employer, my deductible was $40/mo. Now, no insurance, I had to get the grant for one year.
Avatar f tn Since MediCAID is a state funded assistance program (unlike MediCARE which is a federal program), what they do and don't pay for may vary from state to state and sometimes even from county to county. For the best information, I'd suggest you contact your local Social Services Office that you applied for the Medicaid through - they should be able to tell you if the medication is covered, or at the very least, be able to tell you who to contact to find out. Best of luck.
Avatar m tn I use to be on my parents insurance and didn't really think that my MS was all that bad and then I started thinking more and more and it's bothering me know that I cannot get my copaxone for the MS. I have a little girl that cries cause well I am going through some issues that I didn't go through before and I just don't know what to do.
Avatar f tn call its support program 877-408-4974 see what they say but i do have medicare and aarp that could be why -but let us know-they are a huge company-im sure there are places that help- i was on copaxone and a fund for chronic dieases helped!
Avatar f tn If you have to have a high power motorized wheelchair it might cost $24,000 and medicare covers $2-3,000. Then there is the van not covered by insurance, rehabing the house, ramps and such. Extra nursing care. The list goes on. Medicaid will pay for the medications but not wheelchairs and such. Besides few people qualify for medicaid anymore. It is a real shame. Many MS activists are working state to state have a cap on these medications.
969286 tn?1253760391 The first phase is where I pay a copay for my meds, generally $10 for generics and $30 for brand name. My Medicare plan picks up the rest. This goes on until the combined, total cost to me and my insurer reaches about $2500. The thing to note is that this point is the "combined" cost to both (ie. the total cost of the med). "Special meds" require a 30% copay. More about this later. At about $2500 one reaches the "donut hole". Then the rules change.
181575 tn?1250198786 The system, often called Tier 4, began in earnest with Medicare drug plans and spread rapidly. It is now incorporated into 86 percent of those plans. Some have even higher co-payments for certain drugs, a Tier 5. Now Tier 4 is also showing up in insurance that people buy on their own or acquire through employers, said Dan Mendelson of Avalere Health, a research organization in Washington. It is the fastest-growing segment in private insurance, Mr. Mendelson said.
Avatar n tn Now I am disabled and depending on friends and love ones. I have no way of getting the Copaxone until I am approved for Medicaid and Disability. I wish someone would have been able to tell me what to expect when I first received the news. I wish all of you Better Health and Love and Support.
2288403 tn?1339564728 m going thru my second round of IV steroids. I am supposed to start Copaxone tomorrow and am nervous about the side effects and if I should start it while going thru Steroid treatments. Any advice would be much appreciated!
Avatar m tn call the companies, I found that many offer financial assistance. Biogen and Copaxone do for Tysabri and I think the new oral pill does. Don't know which medications you refer to or if they are MS meds, but do contact the companies. It's worth a try, my first 2 years of Tysabri were free if I needed them.
Avatar f tn If you have Medicare and Medicaid, you will usually get your drugs covered by the Medicare prescription drug benefit (Part D) and the Extra Help program. Extra Help is the federal program that pays for most of the costs of Medicare drug coverage if you meet the eligibility requirements. In some limited cases, Medicaid may cover drugs that Medicare does not cover. As long as you have Medicare Part D your drugs will be covered. Call Medicare if you have questions.
5987625 tn?1377887866 Does anyone know about any financial assistance programs? I'm in Arizona. My neurologist wants me to take Tecfidera and just found out that I'm not eligible to get the $10 copay because I'm on MEDICARE. Been on SS disability since 1992 and have take four of the injectables for MS. Had to stop all of them because of side effects.
Avatar f tn Hi and welcome, As far as i'm aware IV solumedrol and Copaxone are often being done together, i've never personally heard of specific interaction problems, usually the choices you get is to stay on Copaxone and do the IV Steroid (with or without oral taper) or stay on Copaxone and skip the Steroids if it's not a major relapse.
Avatar f tn Hi, I to am on Copaxone and have been for 4 months as well, and I can't say that I have gained weight... sorry, but I too watch calories all the time so have not noticed to much difference. Hope you can get to the bottom of it ...