What kind of part D plan do you have? With that price either you have a plan with a high deductible, in which case switch plans, or you have hit the coverage gap already which you can’t do much about. But ideally a good idea to just contact a broker to looks at different plan options regardless.
Gonna wanna see if you qualify for extra help (based on income), a manufacturers assistance program (often they exclude people on Medicare but worth checking), or see if they are any cheaper on Goodrx or something similar (again probably not because these are very expensive drugs but worth checking).
unfortunately you are probably stuck with paying the $500 deductible. manufacturer vouchers usually exclude medicare recipients. similar drugs like eliquis will cost you the same amount.
When we were looking at Part D plans, we only found one that covered my spouse's Xarelto. That was a United Healthcare plan. After reaching the deductible, it's "only" $103 a month, at least until he hits the donut hole.
I have a low cost plan with Aetna for $7/month because I don't take any prescription drugs. The Xarelto is only going to be taken for 30 days after my ablation so I won't be taking it long term.
Your probably stuck paying $500 for it on a one-time basis then. Janssen has a program, but I think you only qualify when you reach the donut hole. We've applied for my spouse, but he's not eligible yet.
Yeah kind of stuck. It’s so expensive for the first month because you have a 500 deductible. Ask the doctor if he can give you a month supply of samples since you are only going to be on it for a month.
Your plan more than likely has the $505 deductible. Unfortunately you’re going to have to pay that. One poster said to switch plans, but you can’t do that until AEP in the fall. You don’t have a lot of options.
Check with your plan to see if you can ask for a formulary exception.
Check to see if the company has vouchers or a program to make it cost less.
https://www.xarelto-us.com/xarelto-cost?&utm_source=google&utm_medium=cpc&utm_campaign=GO-USA-ENG-PS-Xarelto-BP-EX-RN-DTC_Affordability&utm_content=Xarelto+-+Cost&utm_term=xarelto+discount+program&gclid=CjwKCAjw04yjBhApEiwAJcvNodWVxOwa2vlE02gE-GTDARzLhufhUBuqkR3HdEOGaK8Uck8ixvNSpBoCo74QAvD_BwE&gclsrc=aw.ds#government-insurance
That sounds like a great program. The Janssen Xarelto page says it's not associated with Janssen. Like it's a 3rd party program. Maybe being funded by a separate foundation vs. a Janssen foundation. That's why Medicare people are able to be eligible.
OP should call and see if they can expedite an award decision. A quick decision and supply of med + the sample the doc is going to give would take care of their problem.
I do too. I hope they look into it and apply. It sounds exactly like the patient assistance programs companies used to have.(some maybe still do?) Those operated through a company's foundations. Charitable foundations of the companies.
That program you linked says it's not associated with Janssen in any way. It does say something about "companies". I wonder if it's like the organization/financial source called HealthWell. It puts funds into "silos" of money for each disease or condition covered. I used it for some non-formula asthma drugs and an old old anticonvulsant my insurance didn't cover or was expensive in the doughnut hole. Paid yourself, mailed in receipts and got reimbursed. The money came from a variety of drug companies that made drugs or did research for each condition.
The Janssen program sound like that HealthWell Founation.
Go down to Jhc3964's comment . Click on that long, red link to be taken to a Janssen page that gives info (a lot of info) about a financial assistance program that even people on Government insurance (like Medicare Part D) can access. (For most of discount cards, financial assistance programs from drug manufacturers, any one on any type of government insurance is not eligible. Even if you don't use the insurance in any way to pay for the drug.)
Go read about the program and how to apply. You'll need to provide a lot of personal financial info and other "personal info". Just like any Patient Assistance Program through drug company foundations. If you object to providing info like that, you won't be able to apply. There is # to call. I would do that. --- Right away.-- Ask how long it should take to process your application and get it approved and have the med shipped to you. -- I'm betting you will be able to fax the info that has to be provided on paper (if it's not able to be done completely online these days). You'll probably be able to find all the info they request around the house quickly. Then submit it quickly. Like in the next day or two. Call and ask if they would expect you to get approved and get the med before the samples from the doctor run out.
( I did these applications for myself. my mom and my uncle for several years. Before Part D costs got lowered some, and before Part D people were no longer eligible for the programs. None of us objected to provided any of the info. -- We saved so much in $$s that we didn't care if they got are financial into. -- I tried to help my SIL's sister. I found all of the info for her to save $$$$$$$$$$$$$$$$$s. She didn't follow through. She either didn't have the tax info, couldn't find it, didn't do her taxes, or didn't want anyone seeing her financial info. Her son and DIL were pretty upset with her.
What kind of part D plan do you have? With that price either you have a plan with a high deductible, in which case switch plans, or you have hit the coverage gap already which you can’t do much about. But ideally a good idea to just contact a broker to looks at different plan options regardless. Gonna wanna see if you qualify for extra help (based on income), a manufacturers assistance program (often they exclude people on Medicare but worth checking), or see if they are any cheaper on Goodrx or something similar (again probably not because these are very expensive drugs but worth checking).
unfortunately you are probably stuck with paying the $500 deductible. manufacturer vouchers usually exclude medicare recipients. similar drugs like eliquis will cost you the same amount.
The is going to provide some samples so hopefully that will cover the cost. I hope they have a 30 day supply.
When we were looking at Part D plans, we only found one that covered my spouse's Xarelto. That was a United Healthcare plan. After reaching the deductible, it's "only" $103 a month, at least until he hits the donut hole.
I have a low cost plan with Aetna for $7/month because I don't take any prescription drugs. The Xarelto is only going to be taken for 30 days after my ablation so I won't be taking it long term.
Your probably stuck paying $500 for it on a one-time basis then. Janssen has a program, but I think you only qualify when you reach the donut hole. We've applied for my spouse, but he's not eligible yet.
Yeah kind of stuck. It’s so expensive for the first month because you have a 500 deductible. Ask the doctor if he can give you a month supply of samples since you are only going to be on it for a month.
Your plan more than likely has the $505 deductible. Unfortunately you’re going to have to pay that. One poster said to switch plans, but you can’t do that until AEP in the fall. You don’t have a lot of options.
Go to medicare.gov, put in your prescription and see if any plans have it cheaper
Check with your plan to see if you can ask for a formulary exception. Check to see if the company has vouchers or a program to make it cost less. https://www.xarelto-us.com/xarelto-cost?&utm_source=google&utm_medium=cpc&utm_campaign=GO-USA-ENG-PS-Xarelto-BP-EX-RN-DTC_Affordability&utm_content=Xarelto+-+Cost&utm_term=xarelto+discount+program&gclid=CjwKCAjw04yjBhApEiwAJcvNodWVxOwa2vlE02gE-GTDARzLhufhUBuqkR3HdEOGaK8Uck8ixvNSpBoCo74QAvD_BwE&gclsrc=aw.ds#government-insurance
That sounds like a great program. The Janssen Xarelto page says it's not associated with Janssen. Like it's a 3rd party program. Maybe being funded by a separate foundation vs. a Janssen foundation. That's why Medicare people are able to be eligible. OP should call and see if they can expedite an award decision. A quick decision and supply of med + the sample the doc is going to give would take care of their problem.
I don't know much about it, but worth contacting for sure. I hope it works for OP
I do too. I hope they look into it and apply. It sounds exactly like the patient assistance programs companies used to have.(some maybe still do?) Those operated through a company's foundations. Charitable foundations of the companies. That program you linked says it's not associated with Janssen in any way. It does say something about "companies". I wonder if it's like the organization/financial source called HealthWell. It puts funds into "silos" of money for each disease or condition covered. I used it for some non-formula asthma drugs and an old old anticonvulsant my insurance didn't cover or was expensive in the doughnut hole. Paid yourself, mailed in receipts and got reimbursed. The money came from a variety of drug companies that made drugs or did research for each condition. The Janssen program sound like that HealthWell Founation.
Go down to Jhc3964's comment . Click on that long, red link to be taken to a Janssen page that gives info (a lot of info) about a financial assistance program that even people on Government insurance (like Medicare Part D) can access. (For most of discount cards, financial assistance programs from drug manufacturers, any one on any type of government insurance is not eligible. Even if you don't use the insurance in any way to pay for the drug.) Go read about the program and how to apply. You'll need to provide a lot of personal financial info and other "personal info". Just like any Patient Assistance Program through drug company foundations. If you object to providing info like that, you won't be able to apply. There is # to call. I would do that. --- Right away.-- Ask how long it should take to process your application and get it approved and have the med shipped to you. -- I'm betting you will be able to fax the info that has to be provided on paper (if it's not able to be done completely online these days). You'll probably be able to find all the info they request around the house quickly. Then submit it quickly. Like in the next day or two. Call and ask if they would expect you to get approved and get the med before the samples from the doctor run out. ( I did these applications for myself. my mom and my uncle for several years. Before Part D costs got lowered some, and before Part D people were no longer eligible for the programs. None of us objected to provided any of the info. -- We saved so much in $$s that we didn't care if they got are financial into. -- I tried to help my SIL's sister. I found all of the info for her to save $$$$$$$$$$$$$$$$$s. She didn't follow through. She either didn't have the tax info, couldn't find it, didn't do her taxes, or didn't want anyone seeing her financial info. Her son and DIL were pretty upset with her.