Health Boards
Tue-19-03-2019, 02:41 AM
I'm still waiting for everything to go through but thought I would share my process here in case someone finds it helpful.
So, right after the doctor prescribed Cosentyx, the first step was blood work. Since I had my yearly check up they were able to get most of what they needed from my primary doctor, however they still needed a couple of more tests. So got that done and the doctor prescribed Costenyx.
I am in the United States, and have commercial primary insurance (through my husband's work) which is also where our prescription insurance comes from.
I received a call at the end of last week from a specialty pharmacy (we'll just call them Pharmacy A) letting me know they were handling the prescription. Today they called to tell me that I needed to call Cosentyx and join their co-pay program. I thought uh oh we most likely will not qualify but I called them and they really didn't ask me too many questions, NOTHING about income. So they signed me up and also on a secondary credit type (no, not the kind you have to pay back but the kind that if my insurance plus the co pay doesn't pay it all then the credit one will pay the balance) So, I call back Pharmacy A to give them the information. A very short time later, our prescription insurance company called (we'll just call them PIC for short) and informs me that pharmacy A is not in their network so I have to use specialty pharmacy B. Also, PIC informs me I need to call "save on" and get an exemption. Say what? So I call pharmacy A to make sure they know and yes, they already knew and was preparing to send my information to pharmacy B. So I call Save on and tell them I was told to call and why. They explain that it is part of my insurance perk, basically my co pay is a bit over $1300 per 300 mg and that the Cosentyx co pay program will pay half and that the credit program pays the other half but that the save on ensures that if for some reason there is a problem then Save On will pay meaning my cost will never be over $0.00. I guess it's insurance for my insurance
But no matter, as long as they don't expect me to pay out that much!
So for all those thinking (like myself) that they would not be able to get assistance, always check to make sure because it seems you just never know!
I used some Taclonex over the weekend as my scalp was just bothering me too much. One application and a definite improvement, too bad it's a steroid ointment. I REALLY didn't want to use it as I used it prior to Stelara and cleared quite a bit which made it difficult to tell how much Stelara was helping right off. I also didn't want things to get worse but I'm hoping I don't have to continue with the Taclonex while waiting for Cosentyx (which should be soon now)
So things are on track it seems. I'll update when I get the call to set up my first round along with a picture for reference.
So, right after the doctor prescribed Cosentyx, the first step was blood work. Since I had my yearly check up they were able to get most of what they needed from my primary doctor, however they still needed a couple of more tests. So got that done and the doctor prescribed Costenyx.
I am in the United States, and have commercial primary insurance (through my husband's work) which is also where our prescription insurance comes from.
I received a call at the end of last week from a specialty pharmacy (we'll just call them Pharmacy A) letting me know they were handling the prescription. Today they called to tell me that I needed to call Cosentyx and join their co-pay program. I thought uh oh we most likely will not qualify but I called them and they really didn't ask me too many questions, NOTHING about income. So they signed me up and also on a secondary credit type (no, not the kind you have to pay back but the kind that if my insurance plus the co pay doesn't pay it all then the credit one will pay the balance) So, I call back Pharmacy A to give them the information. A very short time later, our prescription insurance company called (we'll just call them PIC for short) and informs me that pharmacy A is not in their network so I have to use specialty pharmacy B. Also, PIC informs me I need to call "save on" and get an exemption. Say what? So I call pharmacy A to make sure they know and yes, they already knew and was preparing to send my information to pharmacy B. So I call Save on and tell them I was told to call and why. They explain that it is part of my insurance perk, basically my co pay is a bit over $1300 per 300 mg and that the Cosentyx co pay program will pay half and that the credit program pays the other half but that the save on ensures that if for some reason there is a problem then Save On will pay meaning my cost will never be over $0.00. I guess it's insurance for my insurance
But no matter, as long as they don't expect me to pay out that much!So for all those thinking (like myself) that they would not be able to get assistance, always check to make sure because it seems you just never know!
I used some Taclonex over the weekend as my scalp was just bothering me too much. One application and a definite improvement, too bad it's a steroid ointment. I REALLY didn't want to use it as I used it prior to Stelara and cleared quite a bit which made it difficult to tell how much Stelara was helping right off. I also didn't want things to get worse but I'm hoping I don't have to continue with the Taclonex while waiting for Cosentyx (which should be soon now)
So things are on track it seems. I'll update when I get the call to set up my first round along with a picture for reference.
![[Image: mzdA1q9.jpg?1]](https://i.imgur.com/mzdA1q9.jpg?1)
