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-   -   The copay is how much!?? (https://www.neurotalk.org/multiple-sclerosis/124335-copay.html)

Momma's Kids 06-12-2010 08:38 PM

This is the explanation of the 'donut hole'.

This is the standard Part D drug prescription plan for 2010 required by Medicare.

•If you join a Medicare prescription drug plan, you may have to pay up to the first $310 of your drug costs. This is known as the deductible.
•During the initial coverage phase, your drug plan pays 75% of the covered prescription drug costs after your deductible is met, and you pay 25% until the total drug costs (including your deductible) reach $2,830.
•Once you reach $2,830 in total drug costs, you will be in the donut hole and you must pay the full cost of prescription drugs until your total out-of-pocket cost reaches $4,550. This annual out-of-pocket spending amount includes your yearly deductible and copay amounts.
•When you spend more than $4,550 out-of-pocket, the coverage gap ends and your drug plan pays most of the costs of your covered drugs for the remainder oNetwork pharmacy

Mail-order pharmacy*
90-day supply
Quantity: 3

Total medication costs: $9515.99
$4703.49
$52.26/day $4798.30
$53.31/day $475.80
$5.28/day

Retail pharmacy**
30-day supply
Quantity: 1
This drug is COVERED.
Click here for details.
Total medication costs: $3173.47
$42.57/day $3173.47
$105.78/day $158.67
$5.28/day


Unfortunately, I can't pay the average 2400.00 it would cost regardless. There are grants available which is the next step. I might not have a roof over my head within the next few months, but I will be able to take a shot everyday.lol Sometimes you have to look at the humor in a situation to really realize if you're standing on land on in water. lol:D


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