Posted on 11/14/2023 1:34:59 PM PST by TNoldman
I am taking Prescribed Eliquis 5 mg Blood Thinner. With my UHC Advantage Plan I can get a 90 day supply(180 pills) for $95. The Drug cost is shown a $1780. My "Donut Hole" account is charged almost $1700. I can't believe UHC is paying Pfizer $1700. UHC must get a big discount??
After about $4800. in the "Donut Hole" account I must pay 25% of the full cost - about $450.
I am able to buy Eliquis(apixaban) via a Certified Canadian Pharmacy from India for $95. (120) pills. My Doctor has approved and they results are the same.
Medicare or Medicare participants are getting ripped!
Can anyone explain or suggest a solution.
My Humana agent talked to us about this. Talk to your agent and if she/he’s like mine, they’ll work with you and the doctor or else set you up with a Canadian co... to get the med at a savings.
This could work
Change doctors——find one with a prescription plan.
Pharmacy raised a $40 presc/on to over $1000.
New doctor has his own presc/on plan......same one now costs 90 cents.
Get rid of the donut hole.
It was a dumb idea to start with.
Holy cow.
I don’t takes any medication that is not available as a generic.
Why are you not on a generic blood thinner?
I must tell you the Canadian pharmacy is excellent. You have chosen well.
Which Canadian pharmacy?
What is the donut hole referring to?
This is why I am taking the State Employees Supplement. It’s expensive but keeps you on “work” medical insurance.
Medicare is expensive.
Sorry Smarty. That post was meant for Tnoldman.
I was on Xarelto and when I fell into the donut hold my doctor gave me enough samples to make it through to the end of the year. This fall no more samples and he has put me on eliquis. I have samples enough to get me to January but who knows after that. With Medicare I was paying 38.00 a month co pay. Its a huge rip off.
When you’re in the donut hole, you have a much larger copay.
To get a drug certified for sale in the US the manufacturer must agree to supply a certain amount to price controlled economies like India and Canada. In exchange they get to charge Medicare or US insurance companies whatever they want. The reason drugs like common heart medications are in short supply in places like Canada is that the pharmacies that get them in Canada can resell them at a higher price to Americans than they are allowed to charge in Canada. Thus, they all get sold on the Internet leaving Canadians wanting. When you get those drugs, yes, it’s a great deal when compared to the artificially supported US price, but it means the country you get them from will run out quickly.
This happens to any price-controlled commodity. You’d think governments would know this, but they do it anyway because...politics.
Re: https://www.verywellhealth.com/understanding-the-medicare-part-d-donut-hole-1738872
Most/all “health” “insurance” is a scam of price and availability manipulation and lack of transparency.
I’d seriously have your PCP look at a generic. Most have been around for years and have proven to be safe and effective.
Fl8r
When I see an ad for a new drug, the required warnings of potential side effects (while they show people smiling) takes up at least half the commercial time.
That’s why I don’t take any drug that hasn’t been on the market long enough for the patent to run out. That and the fact that under my plan generics are free and most of the new meds are either not covered or the deductible is more than my monthly premium.
Yes, larger and I could not afford 418.00 a month versus 38.00 before I hit the donut hole. Thats why I asked for samples to carry me to January.
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