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Repatha, side effects and what comes next?
Heart & Blood Health | Last Active: 5 days ago | Replies (80)Comment receiving replies
I plan to ask my doctor to prescribe Leqvio (inclisiran) and was interested to see comments about Medicare lack of coverage. According to the CMS.gov website showing drug pricing, (https://www.cms.gov/medicare/payment/part-b-drugs/asp-pricing-files) Part B (not Part D drug plans) does cover Leqvio, although I'm not sure if Advantage Plans might not put restrictions (such as requiring Repatha step therapy). So it appears that Medicare itself is not obstruction. I guess I'll find out of Traditional Medicare also requires step therapy prior to covering inclisiran. I'm curious if others on Medicare who take inclisiran have other experiences with this drug.
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Hmmmm. I got the Inclisiran prescription in summer of 2024. I had Medicare parts A and B and a Supplemental and AARP Medicare for meds, not an advantage plan. What Renown Medical in Reno told me is that Medicare would not cover Inclisiran UNTIL AFTER I had first tried Repatha. Note that this was not recent and that Renown, not Medicare told me what Medicare would pay,
BTW imo a person would be wise to consider whether Inclisiran is gene therapy and whether they think it might be making any permament changes to the body. I can’t figure out either how it stays in the intended place in the body or how it leaves the body when the patient wants to stop. I wonder what Mr. Kennedy thinks of siRNAs?