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Here is a Federal website where you can see if any doctor/hospital is getting any items from drug companies: [EXTERNAL LINK] - Home | Open Payments Data - CMS
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Here is a Federal website where you can see if any doctor/hospital is getting any items from drug companies: [EXTERNAL LINK] - Home | Open Payments Data - CMS
Nice resource. Turns out my doc has received $12 in payments. Im cancelling my membership immediately.
One additional option. If her current prescription plan (through her current health plan) is covering the drugs, make sure to get ALL drugs refilled just before Medicare kicks in. That way you have a 3 month buffer.
What are the 5 drugs not covered by anyone?
1. Steglatro isn't covered. Needs to talk to her Endo. [EXTERNAL LINK] - Steglatro Alternatives Compared - Drugs.com [EXTERNAL LINK] - Steglatro Medicare Coverage and Co-Pay Details - GoodRxSteglatro
Ubrelvy
Then these are covered by some plans but then the plan wont cover other basic drugs on her list
Humalog INJ
Lantus SOL
Beautiful answer and so eloquently put. It's this type of guidance that helped me so much when I was getting started.1. Steglatro isn't covered. Needs to talk to her Endo. [EXTERNAL LINK] - Steglatro Alternatives Compared - Drugs.com [EXTERNAL LINK] - Steglatro Medicare Coverage and Co-Pay Details - GoodRx
2. I've got Ubrelvy covered by Humana, Aetna, BCBSTX, Cigna in 75081. So you lost me on that one
3. Qulipta isnt covered. (Its also $1K+). Talk to the doc and why she is on 2 migraine meds?
4. Humalog and Novolog are the same thing, difference manufacturers. Most diabetics understand that they are interchangeable and will switch based on insurance.
5. Lantus Solostar goes with Toujeo. Same answer as #4. Have her talk to her Endo.
When you get these, Good RX is usually pretty accurate, especially if you cant find it on the Plan Finder. Check GoodRx for Medicare and if says not covered, you've got another source.
Prescription Hope is a great resource. Remind them of the $2K max coming in 2025. Make sure you are using multiple pharmacies to compare.