[HALLIEBETH87]

I'm shocked!! My current insurance (which runs out dec 31) and is known for limited drug coverage actually covered rexulti! I'll be picking it up tomorrow and then gone January fighting for silver scripts to cover it! Here's to hoping!

I think it's helped me. Lately has been rough but I didn't crash as hard as usual and it didn't last as long.

I'm optimistic!

[Mountainbard]

That's great news! Things are looking up.

[HALLIEBETH87]

Originally Posted by Mountainbard

That's great news! Things are looking up.

Yep! Just hoping I can stay on it! I'll have a month of meds while waiting for PA

[BeyondtheRainbow]

That's wonderful! I think I had silverscripts my first year of Medicare and they weren't bad. I never tried for a PA from them but never had trouble with all the other meds and they covered all my generics. I stumbled into a really good plan the next year that has my drugs mostly free and if not free they were $3 this year (more next of course). I never even went near my deductible; I'm not sure I paid a dollar toward it while on Silverscripts my asthma medication was pretty expensive. But this plan did have certain weird meds it didn't cover that silverscripts would have: valium and hydroxyzine come to mind. Medicare drug plans are very odd. I remember having a patient who told me "I don't know how to take my meds now because I knew that I took the red one and the blue one in the morning, a green one at noon and the rest at night but since I hit the donut hole and had to change to generic other meds I can't figure it out" and that terrified me because I am sure that happens for a lot of people. This year I didn't hit the donut hole which was nice. I'm hoping the plan stays as good the 2nd year. Clozaril will be expensive because I'll have to pay the co-pay 4 times a month for 6 months so I'm hoping it is free or that everything else stays really cheap.

[HALLIEBETH87]

Originally Posted by BeyondtheRainbow

That's wonderful! I think I had silverscripts my first year of Medicare and they weren't bad. I never tried for a PA from them but never had trouble with all the other meds and they covered all my generics. I stumbled into a really good plan the next year that has my drugs mostly free and if not free they were $3 this year (more next of course). I never even went near my deductible; I'm not sure I paid a dollar toward it while on Silverscripts my asthma medication was pretty expensive. But this plan did have certain weird meds it didn't cover that silverscripts would have: valium and hydroxyzine come to mind. Medicare drug plans are very odd. I remember having a patient who told me "I don't know how to take my meds now because I knew that I took the red one and the blue one in the morning, a green one at noon and the rest at night but since I hit the donut hole and had to change to generic other meds I can't figure it out" and that terrified me because I am sure that happens for a lot of people. This year I didn't hit the donut hole which was nice. I'm hoping the plan stays as good the 2nd year. Clozaril will be expensive because I'll have to pay the co-pay 4 times a month for 6 months so I'm hoping it is free or that everything else stays really cheap.

I also got extra help for meds so they're not supposed to be more than $6 a piece. Well see

[BeyondtheRainbow]

That's really good. I was just beyond getting that so I have co-pays but get my expensive meds through patient assistance since I can't pay 25% of my check for one med, much less 25% of my check for 3 meds each. They offer this drug assistance program that is just a discount program to anyone with any type of medicaid here but I've found a lot of online programs are much better than this supposed to be really wonderful Medicaid thing. I wish I had the assistance; that would let me have more options than I do now. Well, up to 2 more options so not that many (and one I tried and it didn't work so re-trying would really just be overkill; the other is Rexulti) but still, I hate not being able to get whatever med I need despite having insurance and paying for it. OH well. Better than no insurance at all. I did that for 18 months and it was hard.

[HALLIEBETH87]

Ive been without insurance too and its not good. I was very thankful to have Medicaid. im on medicare now though. im lucky to have rexulti. with my current insurance...they cover hardly naything. ive had a hard hard time getting drugs with them.