Health Boards
Wed-26-06-2019, 01:50 AM
Okay so I got the call today from the pharmacy. For anyone interested the way the co pay works in the US is that if you are approved you will pay as little as $5 each shipment and if you aren't approved you won't pay over $25. So it's very different from the way Stelara worked and Cosentyx. So far all of the three biologics for me have been handled differently in billing. It's a bit crazy!
They are going to ship and I've agreed to pay $25 for the first shipment so as not to wait. I'll have to call the Taltz people to see if I get approved for the $5 co pay. If I do then future shipments will only be $5, if not they will remain at $25. No, I have no clue as to why it's that way.
But at least it's affordable. (Stelara and Cosentyx were no cost to me) These rates have been approved for the next 36 months, not sure what happens after that but we'll see how it works and worry about that later.
I will hold off taking any pictures until the day of my first injection. The schedule will be 2 injections the first time (starter dose, each injection is 80mg) then 1 injection every two weeks for 3 months and the 1 injection every 4 weeks for maintenance.
They are going to ship and I've agreed to pay $25 for the first shipment so as not to wait. I'll have to call the Taltz people to see if I get approved for the $5 co pay. If I do then future shipments will only be $5, if not they will remain at $25. No, I have no clue as to why it's that way.
But at least it's affordable. (Stelara and Cosentyx were no cost to me) These rates have been approved for the next 36 months, not sure what happens after that but we'll see how it works and worry about that later. I will hold off taking any pictures until the day of my first injection. The schedule will be 2 injections the first time (starter dose, each injection is 80mg) then 1 injection every two weeks for 3 months and the 1 injection every 4 weeks for maintenance.