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@jdwelch2025 @mth13 @ricktweld
I appreciate all of your responses. One question: If you were on Medicare when you were prescribed the biologic, do you recall whether it was billed through your Part D prescription plan or through the medical part of Medicare?
Replies to "@jdwelch2025 @mth13 @ricktweld I appreciate all of your responses. One question: If you were on Medicare..."
It was part B medical of Medicare as was done through my rheumatologist’s infusion clinic.
@hopeful33250
For Medicare, typically drugs that are given in a clinic or doctor’s office are covered by Part B (chemotherapy, other infusions). Drugs that the patient administers at home are covered by Part D. Dupixent is delivered on ice to your home by whatever specialty pharmacy your Part D coverage plan uses, and must be kept refrigerated until use. Your doctor must get prior approval, and how much the patient pays depends on the Part D plan (for Original Medicare) or by the Medicare Advantage plan for patients using Medicare Advantage.
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@hopeful33250 I am on a medicare advantage plan, so I’m not sure. I pay the first $2100, then insurance pays the rest.