Guest guest Posted April 21, 2005 Report Share Posted April 21, 2005 Marina, Enbrel has co-pay assistance program. Please call and ask for application. There are also other agencies out there that do co-pay assistance. I know the one that I got for humira helps with month co-pays of $50 or more on a single drug. I know my co-pay for tier 3 drugs is $50 a month and $125 for 3 months. Considering that if I am on prednisone I also need prevacid or nexium which are also tier 3 drugs...that $100 a month for just the two drugs and another $10 for the prednisone. If I do mail order it would be $250 for the two tier 3 drugs and an additional $25 for the prednisone... Toni In a message dated 4/21/05 5:17:40 P.M. Central Daylight Time, writes: Date: Thu, 21 Apr 2005 22:12:18 -0000 From: " marina_troi " <marina_troi@...> Subject: Re: RESEARCH - Evidence mounting in support of opioids for chronic pain Funny you should post this now. My last rheumy appointment was just a few weeks ago and he said he wants to treat my pain with narcotics. He has given my Vicodin to take as needed, but I am still having to take steroids periodically inspite of the DMARDS I am on. He said he would rather risk me going on narcotics daily than to be on steroids at all!! i understand the reasons, given the effects of long term steroid use, but because of my work, I can't/won't go on narcotic therapy. I will probably have to give it up soon and do what he wants. How is this for a kick in the butt...My insurance company sent me a letter to inform me that the Enbrel I have been on will be bumped up tier level so I will have a much higher co-pay. Their alternative recommendation???....Methotrexate. Duh?!?! I wrote them a nasty little letter telling them that if they took the time to see that I was on Enbrel, then they should have noticed I was on methotrexate as well. Those morons....I talked with the pharmacist at the insurance company and he said that there was no appeal process for this and that was their final decision. I told him that MTX alone doesn't work for me and the Enbrel does. So, I told him that I guess I will have to go back on Remicade every 4 weeks like before. I only pay an office visit co-pay with that, but it is much more expensive. I get 1300mg a shot and we were about to bump that up, too. Idiots!! Then the suggested onther meds, for which I told them I can't take because Enbrel was the only latex free product. The letter said they were happy to have me as a customer. Yeah, right!! I think this customer would like a refund!! Sorry about the bit**ing. Marina in Ohio Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 21, 2005 Report Share Posted April 21, 2005 Marina, Enbrel has co-pay assistance program. Please call and ask for application. There are also other agencies out there that do co-pay assistance. I know the one that I got for humira helps with month co-pays of $50 or more on a single drug. I know my co-pay for tier 3 drugs is $50 a month and $125 for 3 months. Considering that if I am on prednisone I also need prevacid or nexium which are also tier 3 drugs...that $100 a month for just the two drugs and another $10 for the prednisone. If I do mail order it would be $250 for the two tier 3 drugs and an additional $25 for the prednisone... Toni In a message dated 4/21/05 5:17:40 P.M. Central Daylight Time, writes: Date: Thu, 21 Apr 2005 22:12:18 -0000 From: " marina_troi " <marina_troi@...> Subject: Re: RESEARCH - Evidence mounting in support of opioids for chronic pain Funny you should post this now. My last rheumy appointment was just a few weeks ago and he said he wants to treat my pain with narcotics. He has given my Vicodin to take as needed, but I am still having to take steroids periodically inspite of the DMARDS I am on. He said he would rather risk me going on narcotics daily than to be on steroids at all!! i understand the reasons, given the effects of long term steroid use, but because of my work, I can't/won't go on narcotic therapy. I will probably have to give it up soon and do what he wants. How is this for a kick in the butt...My insurance company sent me a letter to inform me that the Enbrel I have been on will be bumped up tier level so I will have a much higher co-pay. Their alternative recommendation???....Methotrexate. Duh?!?! I wrote them a nasty little letter telling them that if they took the time to see that I was on Enbrel, then they should have noticed I was on methotrexate as well. Those morons....I talked with the pharmacist at the insurance company and he said that there was no appeal process for this and that was their final decision. I told him that MTX alone doesn't work for me and the Enbrel does. So, I told him that I guess I will have to go back on Remicade every 4 weeks like before. I only pay an office visit co-pay with that, but it is much more expensive. I get 1300mg a shot and we were about to bump that up, too. Idiots!! Then the suggested onther meds, for which I told them I can't take because Enbrel was the only latex free product. The letter said they were happy to have me as a customer. Yeah, right!! I think this customer would like a refund!! Sorry about the bit**ing. Marina in Ohio Quote Link to comment Share on other sites More sharing options...
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