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@irenea8 There's a conversation on NTMinfo.org which might interest you. Brinsupri insurance coverage, especially this comment which came from an insurance person:
"This is only true if you have a plan that has Brinsupri as a covered drug on the plan formulary (list of their covered drugs). I have checked, Blue Cross, Humana, Cigna, UnitedHealthcare, Aetna and Wellcare. No one covers Brinsupri. If it is not on your plans formulary (list of their covered drugs) then you will continue to pay full price. You would have to have your doctor submit a request to your prescription drug plan to have Brinsupri added as an exception for you. The $2,100 drug maximum out of pocket only applies to drugs on the plan's formulary or added as an exception."
https://connect.ntminfo.org/discussion/brinsupri-formulary
Replies to "@irenea8 There's a conversation on NTMinfo.org which might interest you. Brinsupri insurance coverage, especially this comment..."
@scoop
Yep understood. My issue is needing a prescription drug plan (Part D) giving the best hope of approval. However one person on Mayo forum did have theirs approved as an exception but was not given the $2100 max. They were told much more. So I wonder about that part.
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@scoop That's quite a bit of research you did...regarding if Brinsupri was on the formulary lists. With you being on the drug you may have posted this elsewhere, however, .......what was the program you were able to use (Insurance Carrier Plan D) and how it all went for you?????
If it is elsewhere, your journey to start Brinsupri....what thread is it on or could you copy and paste it to this thread??
Hope it goes well for you this week, I remember reading you had a good start with it but felt you had a change...for a day or more. How's it going?
Barbara