I have Medicare D,this is a tier 4 drug, ever heard of the donut hole? Well, unfortunately I fall into that big ole hole big time. ACS has private donors that offer grants to pay for the med. and I can pay a copay or not, but then more money comes out of the amount of my grant. I'm waiting to hear the outcome of funding.

I called twice, just to double check the copay, ACS and my insurance told me the same. I almost can't comprehend a 4500.00 copay. I never paid more than 30.00 in the past, but then I had private insurance with my job.

I even went online to my insurance company...same amount...it is sinking it slowly.lol

I took it for five years until I lost my insurance. It worked well, but I have been taking a chance and fortunately only have one new lesion since I stopped almost three years ago.

Batman, Erin...sorry it didn't work for you, hopefully one day our miracle drug will come along.

Either pay cash and it should be $2400 or pay it towards d hole and that should fill it right? How much is D hole?

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