The copay is how much!??
 

The tests are in, done, and over with a script stating...patient has MS. I am waiting for Shared Solutions and ACS Pharmacy to work out the copay for the Copaxone.
I darn near fainted when he said the copay was 4500.00 a month.

I only paid like 30 bucks at most previously. ACS said they give grants for people with limited incomes and it might take about three weeks...so that's good.


I went to check out the knees, had depo-medrol injections in each knee Tuesday...the right feels better, the left is still painful...but hey...I can hobble without gritting my teeth.lol
I hope this works so I don't have to go into a knee surgery, I'm too young to have knee replacement.

I can't imagine it being $4500 unless that is per year, not per month. Most of the numbers I have seen for Copaxone have the total cost at around $2500 per month. So charging you a copay of $4500 would be a $2K markup and you paying 100%.

$4500 per year would be $375 per month, which would be 15% of $2500, which isn't an unusually high percentage for a high cost drug like Copaxone under some plans.

When I was taking copaxone, the least I ever paid was $30, and I think the most was $60. (it started out at $30, and then yo-yo-ed from $50 to $60 back to $50 over the course of a year)

I quit stabbing myself with it last year when I felt that it wasnt helping me at all. (my neuro told me that he didnt think any of the injectibles worked, which for some strange reason ruined my faith in the drug, and I didnt have all that much faith in it to begin with)

I liked Copaxone just fine...and thought it was working fine...but the MRI told a different story. Now I am on Rebif and I HATE it! I feel way worse now on Rebif than I did at any point during my 3 years on Copaxone.

Shared Solutions and my ins. company whittled it down to $150/3 mo. supply...keep fighting...that's way too much!

Copaxone cost about $2.5k per MONTH to $3k per month depending on the insurance company contract with shared solutions.

If you are being charged more than that...its a misunderstanding. They must have meant per year, not per month. That would make your copay $375 per month.

Please check with Shared Solutions for help. Partnership for prescription assistance, and loads of other places for help.

its not a bad med to take.

Glad to know that you have a solid MS DX..:)

I think Mr Copaxone saw you coming.:eek::rolleyes::mad:

I hope your wittle knees feel better soon. :hug:

Outright its $2400/month. It was awesome the 2 1/2-3 yrs it worked on me.

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.:eek: 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

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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