← Return to Cost of Camzyos on Medicare Drug Plan

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@joycehocm

Hi -I am new here. Can you tell me more about how much Bristol Myers patient assistance programs helps financially and about how the income qualification aspect works generally speaking - meaning income ranges and coverage potential. It is open season and I just cannot get enough information from my supplemental insurance plan about what they will cover on different plans. I understand that Medicare does not cover Camzyos in either traditional or plan Ds. I am in a bit of a panic here ( I am seeing the Hopkins cardiac REMS next week and I'd like to know what to expect and ask). The doctor I am seeing (his medical coordinator) has not called me back re: what to know beforehand. Do any of you know an average that people are paying once a supplemental plan does authorize the drug. Are they all vastly different? Or is there an average range. Not knowing any of the above is unnerving to say the least. But, I know, one step at a time...deep breath.

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Replies to "Hi -I am new here. Can you tell me more about how much Bristol Myers patient..."

My traditional Part D Medicare Rx covered 100% of my camzyos for 2024. My Part D is through UHC and I had to change pharmacies to Walgreens. On the back of my EOB summary highlighted under the Drug Payment stages states I am in the "Catastrophic Coverage : In this stage, the plan pays all the cost for your covered Part D drugs."

When I first started on Camzyos (1.5 years ago), My doctors office had to fill out a form to Medicare stating that there was no other drug available for my condition. Fortunately my cardiologist and the cardiology department is experienced with the Camzyos patient and the craziness we have to go through to get covered.

Hopkins should be experienced with this process at this point. I found this for you - it is the form Hopkins has for applying for Camzyos
https://www.hopkinsmedicine.org/-/media/johns-hopkins-health-plans/documents/usfhp/usfhp_camzyos_pa_form.pdf