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Why Camzyos instead of surgery?

Hypertrophic Cardiomyopathy (HCM) | Last Active: 22 hours ago | Replies (44)

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@brumasterj

My insurance is United Healthcare and they consider Camzyos tier 3
I was really shocked last month Dec when they covered 100%
I think the meds is $9300 for 35 day supply
UHC will not do a 35 day they do a 30 day for me which cost $8800
That 30 days is really pushes it to the limit.
I had 1 pill left when my new prescription arrived.
You have to get your imaging done and consult with the doctor before they write a new prescription each month.
But from what i was told the camzyos has a long half life so if you miss a few days it still stays in your system!
Good luck with all your medical needs

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Replies to "My insurance is United Healthcare and they consider Camzyos tier 3 I was really shocked last..."

Wow - very helpful! We have United Healthcare as our supplemental policy as well -- with Medicare being primary. So maybe this will all work out. I am going to Hopkins so I do have a REMS team and can go back and forth as needed. Your response shows that it is possible to be on Camzyos.