Why Camzyos instead of surgery?

Posted by joycehocm @joycehocm, Nov 12, 2024

I am just curious - once HOCM is diagnosed, why is Camzyos recommended instead of other treatments - like myectomy? (is that what once treated this? or ablation?). I am a complete novice here with a recent diagnosis - and mainly intermittent breathlessness. I have my first appointment at a COE on Friday. My local cardiologist said that I am a candidate for Camzyos and given the expense, I am curious about this. Also, can anyone tell me how they handle the expense? After help from a person's supplemental plan (if any) and from Bristol Myers, if approved, what do people end up paying for Camzyos?

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@johnwx

That must’ve been so frustrating for you.

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I understand where you are coming
After alot of back on CAMZYOS my Cardiologist will not
Commit to the drug or surgery
I will go to Mayo Clinic for their review

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@joycehocm

Hi again all - I had my first HOCM consult at Johns Hopkins on Friday. The very excellent doc said that the papillary muscle was the more enlarged part of the septum - anyone here had that particular comment? Also, he said it was important to rule out any amyloidosis of the heart before treating the HOCM. Amyloidosis is protein deposits in your heart or other organs with different origins than HOCM and has to be treated first. It is my understanding that it is a very dangerous cancer related to multiple myeloma. It sounded like being able to eliminate potential amyloidosis of the heart was a normal procedure before considering what treatment of HOCM is next (Camzyos? Septal Ablation? etc.). Those of you who are on Camzyos - do you remember if you had this part of the protocol first? It is scary to wonder about this while I wait to have the tests etc. etc. etc. Thanks!

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I was diagnosed with HCM
Because of the distance i live from Mayo 400+ miles it was suggested myectomy would be a better option.
They pit me on camzyos to get me to feeling better, 122mmHg gradient on stress test.
After 4 weeks on camzyos im riding my mountain bike 10+ miles 70% improvement on gradient!
Alcohol ablasion was not recommended because of my active life style! If i was in my 70’s it would be a great way to go!
Good luck with your decisions and treatment

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@johnwx

That must’ve been so frustrating for you.

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It has been a very frustrating period for sure
Im now 4 weeks into camzyos and riding my mountain bike 10+miles

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@brumasterj

It has been a very frustrating period for sure
Im now 4 weeks into camzyos and riding my mountain bike 10+miles

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You must feel amazing. Glad it’s working for you.

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@brumasterj

I was diagnosed with HCM
Because of the distance i live from Mayo 400+ miles it was suggested myectomy would be a better option.
They pit me on camzyos to get me to feeling better, 122mmHg gradient on stress test.
After 4 weeks on camzyos im riding my mountain bike 10+ miles 70% improvement on gradient!
Alcohol ablasion was not recommended because of my active life style! If i was in my 70’s it would be a great way to go!
Good luck with your decisions and treatment

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Please do not let distance be a factor in going to Mayo. People travel to there from all around the world, participants in this blog included. Rochester MN is a 2-3 day drive from home, was important to be there.

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@walkinggirl

Please do not let distance be a factor in going to Mayo. People travel to there from all around the world, participants in this blog included. Rochester MN is a 2-3 day drive from home, was important to be there.

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The myectomy will be performed at Rochester.
The dr and i talked about my lifestyle, 56 yr old active out doors person.
I feel the back and fourth to the mayo every month for the first few months then every qtr then twice a year for the rest of my life will be a burden, if I do myectomy no medication and no more visits for imaging.
Thanks for the encouragement

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For those of you who are doing so well on Camzyos - are you willing to share more about how you are paying for it? I know Bristol-Myers helps for people at certain income levels and supplemental insurance is probably paying some of it afer pre-authorizations - but I can't seem to uncover what the average out-of-pocket cost is typically. Any thoughts or information is welcome!

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@brumasterj

The myectomy will be performed at Rochester.
The dr and i talked about my lifestyle, 56 yr old active out doors person.
I feel the back and fourth to the mayo every month for the first few months then every qtr then twice a year for the rest of my life will be a burden, if I do myectomy no medication and no more visits for imaging.
Thanks for the encouragement

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I am so glad you will be going to Mayo, a COE! I was there 2.5 years ago at age 75 for the same surgery. Now, is it possible that you can find a HCM-HOCM cardiologist near you? Mine sent all test results ahead of time and the only time I was at Mayo was for preliminary tests and interviews and the surgery. I was home a week later back under my home cardiologist's care, never went back to Mayo for any follow ups. Another thing, please talk to your doctor about the possible different new adjustments that may be necessary post operation, I had two as well as blood pressure meds. Your active lifestyle will serve you well in recovery (mine did). Best wishes for a speedy and successful recovery.

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@joycehocm

For those of you who are doing so well on Camzyos - are you willing to share more about how you are paying for it? I know Bristol-Myers helps for people at certain income levels and supplemental insurance is probably paying some of it afer pre-authorizations - but I can't seem to uncover what the average out-of-pocket cost is typically. Any thoughts or information is welcome!

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I have had two prescriptions of Camzyos The first was zero out-of-pocket that was in December where I had met my maximum out-of-pocket on insurance and then the new refill in January cost me $10 camzyos or bristol myers gives you a co-pay card that helps offset some of those cost. I know the Mayo Clinic had told me if I did not like the cost to reach out to them and they would help me find other ways to offset that cost best of luck to you.

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@brumasterj

I have had two prescriptions of Camzyos The first was zero out-of-pocket that was in December where I had met my maximum out-of-pocket on insurance and then the new refill in January cost me $10 camzyos or bristol myers gives you a co-pay card that helps offset some of those cost. I know the Mayo Clinic had told me if I did not like the cost to reach out to them and they would help me find other ways to offset that cost best of luck to you.

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Thank you - that is very helpful. I'm surprised that the cap or "maximum out-of-pocket" applied since Camzyos isn't covered at all by medicare. I didn't realize that Tier 5 uncovered meds could be capped - oh well - easy to get confused. Your situation sounds great and is a relief to know that this can happen. I hope you continue to do well on the Camzyos.

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