← Return to Cost of Camzyos on Medicare Drug Plan

Discussion
Comment receiving replies
@joycehocm

Hi - My research shows that Medicare does not cover Camzyos under any of the "Plan Ds" since it is a Tier 5 formulary drug. This means that you only have your supplemental plan, if you have one, and Bristol Myers to help you with costs until this changes. Except for the folks in Canada, it seems like this is coming in somewhere between $17,000 and $25,000 - ish per year! During open season, we tried to get our supplemental insurance to tell us which of their plans would cover some of Camzyos which they would not do until we had a prescription and were working on pre-authorization - it was infuriating - so we were unable to choose what could have been the best supplemental plan to help us. This was United Healthcare. I hope others here will answer you - I don't completely know if I am correct or how much this varies from person to person.

Jump to this post


Replies to "Hi - My research shows that Medicare does not cover Camzyos under any of the "Plan..."

I have UHC Advantage PPO which supplements Medicare, and might need Camzyos in the near future, once I find out I have HOCM which is treated by Camzyos or NHCM (nonobstructive) which is not treated by Camzyos (nor any other drug--yet). So are you saying that if I have HOCM and need Mavacamten (Camzyos) I am facing a bill of about $2000 a month since I don't qualify for the Bristol Myers $$ (cut off of $34,000 max annual income?). No way can I afford $2000 a month or even $500 a month! If so what other health insurance plans (for retirees) WILL cover Camzyos 100%? I wonder if I can drive over the border into Canada and buy Camzyos there (I live in WI part of the year)? Maybe between Canadian lower prices for Camzyos and if they take my UHC, I might be better off than dealing with USA absurdities?