Medicare and Kevzara approval 2026

@susanlf too bad it didn’t work for you. I hope your WBC is back to normal & they found something to help your PMR. I go through a specialty pharmacy where my doctor is. Very interesting about CVS. Right now my issue is the insurance company. Thank you

@ropnrose my supplemental is & was AARP UHC. I switched to WellCare for my part D. You’re correct they don’t impact each other. I will keep fighting this battle tomorrow. Thank you

@susanlf
When my WBC tanked, we spaced my Kevzara shots to 3 wks and who came back and no problems with the Kevzara spacing.

Also, Kevzara has some financial offers on their website.

@marci516 Good luck. Keep us posted on your status with WellCare and if you're successful. It shouldn't have to be a battle. My rheumy wanted me to take Kevzara last year, but I had WellCare and knew it could be a fight to get it approved. I was having a flare of PMR/GCA and didn't need the stress. Fortunately, my rheumy put me on Actemra infusions, since I had a history of GCA. Didn't have to deal with WellCare, since my Medicare covered it.

@dadcue I took liptor from 2000 to 2004. My cholesterol had always ran about 220 to 240. total. my LDL was about 150. I tried diet worked hard played hard nothing ever fixed it. I developed what they said was crohns disease in 2004. My family Dr. said lets try to take away the lipitor. A week later my gut eased and my colon eased up. I had a colonoscopy and everything was gone. My cholesterol had reduced about 20% on lipitor. Once I developed the allergy I have tried everything that ends in a TIN. Immediate reaction. Fast forward to 2022 my cholesterol shot up on the prednisone. went from 230 to 300. I was at Mayo and my rhumy sent me to cardiology. I was 100% block in the left carotid and 70% in the right. I decided to get serious. He recommended Repatha. twice monthly injection and my cholesterol went from 310 to 140. my LDL went from 220 to 80. They wanted me under 70 on LDL so they put me on zetia. That only dropped my LDL to about 72. The problem it increased my PMR fatigue and I was light headed from it. I tried Nexletol but that had side effects. Latest they want me try is welchol. Meantime I had the right carotid cleaned and feel much better. Just had my brain, abdomen , and heart scanned with no blockages. Maybe I have a few more years. The also tested my LPa. That is 140.

@susanlf I am on WellCare too and I have to reach my $2100 cap this year then Kevzara is zero copay.

@laurelfagan that's promising. My doctor's office is fighting with WellCare today. I know once I pay for the first supply I will almost reach my $2100. Last year with UHC AARP I reached the $2000 immediately and all my meds were no cost for the rest of the year.

@marci516
Good. Me Rhumatologist had to send in an appeal as well.

My pre approval just came through after my change in insurance carrier. Good luck!