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Starting Arikayce - nervous

MAC & Bronchiectasis | Last Active: Apr 15 10:36pm | Replies (120)

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@kathyjjb

Hi Laurel,
I may be wrong. I went on the Humana (Medicare advantage) website again and Arikayce was on there. What was confusing is there were 2 prices that was listed, 1 was about $15,700 and another was about $15,500. What I didn't see was a footnote that it could be covered and would require doctor submitting a request, and they would decide. So maybe I'll be okay? I have another appointment with ID doctor this week and I will ask her what she thinks. What else did you take besides Arikayce? I hear there's a study showing that Rifampin isn't needed with Arikayce? I have M. Abscesses, so treatment may vary. Amakacin is definitely needed for my bug. It has a fairly high susceptibility rating.
Thank you for the information,
Kathy

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Replies to "Hi Laurel, I may be wrong. I went on the Humana (Medicare advantage) website again and..."

Hi, Kathy! Well, in my portal it's a lot less (these are the yearly amounts based on the different pharmacies I have in in there):
Arikayce 590mg/8.4ml suspension
$1,649.95
$1,885.00
$1,894.80
$1,636.66
$1,737.80

BUT, wait and see how it all shakes out. Again, it's possible even if it's not covered you can get an exception. My situation was I had been on the Azithromycin, Ethambutol and Rifampin for like 14 months (converted, flipped back positive and languished). We dropped the Rifampin and added the Arikayce. I had asked my ID if we could because of them both potentially affecting hearing, and she agreed.

Good luck and let us know how it goes!