otterbesewing | @otterbesewing : I greatly appreciated the information. I was flailing around and, with your information, I've more progress in the past two days than the previous weeks during my lunch hour. Thank you!

nbs | @nbs : Thank you so much for your two posts. For others who are in my boat, this is what I learned today: I was happy to read the United Healthcare Service Dept. was hepful to nbs, but it is not always helpful. I was on the phone for 2-1/4 hours, talked to 11 different people and then was told to call back on Friday to speak to a manager; the managers were all tied up today. I have a Part G with United, but I don't have Part D coverage yet; this may have been the problem. From a pharmacist I know, I learned that you can find (in theory, I haven't tried it; I think it's on the first screen under something like see plans/drug coverage) the cost of Camzyos under different insurers on Medicare.gov; that you have to be enrolled in Medicare Part D before any insurance company will tell you if they'll add Camzyos to their formulary and they'll cover it (I find this scandalous; It's like buying the promise of something only for that promise to be potentially be denied); once I have Part D coverage, I was told by my health care provider (UCSF) to call their specialty pharmacy on January 2 to provide my BIN/PCN (I believe); they'll send a prior authorization form to my cardiologist and they'll send the completed form to the insurance company. In addition, I just recently started on Camzyos and my prescription is being provided by Bristol Meyers until the end of the year; the person I spoke to at the UCSF specialty pharmacy said the drug company will provide the drug for the first month or two of 2025 until my plan kicks in. More than one person I spoke to today said Camzyos will fall under the $2000 max out of pocket ceiling for Medicare drug coverage; I hope they are informed. Finally, an insurance broker said that given that United covers Camzyos for someone on this forum, its likely/possible they'll cover it for others.

Again, thank you all for the information you've shared. It's helped me immensely.