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Medicare Plan D for someone with NTMs

MAC & Bronchiectasis | Last Active: Oct 29 3:36pm | Replies (14)

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Profile picture for kathyjjb @kathyjjb

@sherrig I went back and double checked, sure enough Healthspring had $2100 annual cost for Nuzyra. Humana listed $234,000-yikes. Good to know. Thank you! Brinsupri didn't come up.

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Replies to "@sherrig I went back and double checked, sure enough Healthspring had $2100 annual cost for Nuzyra...."

@kathyjjb Keep in mind that Medicare caps your out-of-pocket costs for Plan D. What is more important is what is included in their Formulary (list of covered drugs). Any "uncovered (unlisted) medication requires an appeal. We have found that the PBM Plan provider (Pharmacy Benefit Manager) is more important in success than the Plan - BCBS and CVS have been easier for us to deal with than United Health - we are in Minnesota.