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richardfrancine avatar

Therapy-resistant migraines

Headache & Migraine | Last Active: Jul 11, 2025 | Replies (43)

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Profile picture for sanderson23 @sanderson23

Are you on Medicare? Part D (prescription) plans usually cover one CGRP med and I’ve been able to get others on Medicare with a Prior Authorization. It’s definitely more work for your doctor, but I have found that is one of the items I used to measure a good doctor by, whether they’re willing to do some of the annoying paperwork that I need done. It’s okay to ask them to help you get meds not in your formulary. They also might have samples you can try while you’re waiting to hear from your insurance. Good luck, let us know how it goes!

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Replies to "Are you on Medicare? Part D (prescription) plans usually cover one CGRP med and I’ve been..."

Yes, my doc filled out forms for Emgality. I received a whole years supply for free but it didn't help at all. I have an upcoming appointment next week, I'll see if anything new on the market that I can afford or get help with.

Nurtec was about $500 for a month's supply with Aetna. Once I hit $2,000, then all other drugs are free. Nurtec hasn't changed my daily migraines and I have two more pills to put under my tongue. Then CVS tells me the next month's supply will be close to $450. Why should I buy it?