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covered under Medicare Part D????

by HugWil on Mon Nov 28, 2011 8:35 pm

My mother is supposed to start taking this drug? Is is covered under Medicare Part D? What percentage?

HugWil

Re: The cost of Revlimid - what do you pay?

by Ricardo on Mon Nov 28, 2011 8:52 pm

Revlimid should be covered by your mother's Part D plan.

The amount of her copay will depend on which plan she has. She should call customer service at her plan and find out from them what her copay will be.

Your mother also may want to contact Celgene, the company that markets Revlimid, in case she needs help finding out if her plan covers Revlimid or if she needs help getting approved to have her plan pay for it. This website, http://www.celgenepatientsupport.com/, may help.

Ricardo

Re: The cost of Revlimid - what do you pay?

by HugWil on Mon Nov 28, 2011 9:06 pm

Thanks for the information.

HugWil

Re: The cost of Revlimid - what do you pay?

by jmsdcs on Thu Dec 08, 2011 5:21 pm

My husband was diagnosed with myeloma in January and as he had no Medicare part D drug coverage we applied to Celgene and he was given Revlimid free for a year. He underwent an Autologous Stem Cell transplant in October and the doctors are now recommending maintenance therapy with a daily dose of Revlimid. However we have been contacted by Celgene, the drug company that makes Revlimid, to say that as my husband can apply for Medicare part D coverage for next year they will no longer provide him with the free supply, so we are now facing the astronomical cost of this drug. And even with Medicare part D it is still far more than we can afford. I find it totally incomprehensible that anyone can ask nearly $400 for one dose of a drug and get away with it. But the true obscenity is that this drug is being used to fight cancer and Celgene is taking advantage of a vulnerable group of people who have no choice in the drugs they have to take to stay alive.

jmsdcs

Re: The cost of Revlimid - what do you pay?

by Anonymous on Tue Feb 14, 2012 2:11 am

does anyone have medicare drug plan? I want to know if someone knows the copay on this drug through medicare

Anonymous

Re: The cost of Revlimid - what do you pay?

by Lpagelady on Tue Feb 14, 2012 4:16 pm

My husband was diagnosed with Stage 3 light chain multiple myeloma in 4/2010. He was given Velcade/Malphalan/Prednisone for 9 cycles which ended in Sept 2011. Within 3 months he has gotten very sick again. He is too old for a SCT. So now the doctor is putting him on Revlimid. My husband has Anthem Advantage instead of Medicare. Anthem had been very good so far paying for everything, and normal co-pays for prescriptions.

But the Bioplus Specialty Pharmacy called today to inform my husband that his co-pay for Revlimid through Anthem will be $2800. Which I think will be for each month? I find this incredible. How DO cancer patients afford this? We are getting help from the Leukemia and Lymphoma Society for up to $10,000. But that will be burned up in pretty quickly at this rate.

I know my husband won't agree to this treatment if we have to stay paying the entire amount. I don't know what we'll do then.

Lpagelady

Re: The cost of Revlimid - what do you pay?

by torimooney on Thu Feb 16, 2012 12:21 am

Can someone clarify things for me? Does Medicare cover the cost of these drugs? is there a specific drug coverage option under medicare D that would cover the cost of these 'novel' agents used in treatment for multiple myeloma?

torimooney
Name: tori
Who do you know with myeloma?: myself
When were you/they diagnosed?: apr 2012
Age at diagnosis: 64

Re: The cost of Revlimid - what do you pay?

by chemoune on Thu Feb 16, 2012 11:26 am

:D I paid about 120 dollars co-pay for 21 days supply the cost is about 8,000 dollars by Aetna insurance

chemoune

Re: The cost of Revlimid - what do you pay?

by reframingham on Thu Feb 16, 2012 1:56 pm

I am myeloma patient. Since 2000. I was recently told i was going on the Revlimid/dex. therapy. My insurance (Humana) sez Revlimid is tier 5 (33%) which would be ( $4141.74 for mailorder 84 day supply).. Mind you this is what i would pay!!! Unbeleivable. I get no help since i am being punished for having saved for retirement. Can anyone tell me if in Mass. there is a health plan that has a more reasonale copay/coinsurance. Even my doctor at Dana Farber is outraged at this price!
Thank you

reframingham

Re: The cost of Revlimid - what do you pay?

by Mark on Thu Feb 16, 2012 3:58 pm

reframingham,

Congratulations on 12 years of battling this disease.

I am surprised the Doctors at Dana-Farber would not be able to give you a good explanation as to why the cost of Revlimid is so high. Dr.'s Richardson, Anderson, Ghobrial, and Raje all serve as paid Celgene Board Members and Dr. Munshi is a Celgene Consultant and Dr. Treon recieved Honoraria from Celgene. Have you asked any of them, especially the Board Members, if they could look into potentially getting the price lowered? Dana Farber obviously has a very close relationship with Celgene.

The state I live in has passed the Oral Chemotherapy Access Bill. I am not sure if Mass. has yet. Maybe that could help as well.

Mark

Mark

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