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@rstel7272 Wow your part D is expensive. I just got my part D Annual Notice of Change from Humana and my monthly premium is going from $4.70 to $18.30. 2027 Deductible is $700. Of course, with Brinsupri, I will have to pay the $2400 out of pocket right off the bat in January.
As I am reading through this Annual Notice of Change (complicated) I am having anxiety about whether or not Brinsupri will be covered in 2027. Or must they cover any drug as long as my out of pocket has been paid?
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@ursala7
everyone should look into the assistance fund (TAF) for help with The co-pays for Brinsupri. You can find it on the Internet easily and they have easy forms to complete for anyone who has bronchiectasis and needs help with this drug. Even though my insurance approved this drug there would have been an out-of-pocket for me at the beginning of the year and because of the assistance fund I pay no out-of-pocket and I get this drug totally free.
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@ursala7 What the plan covers depends on the Part D Formulary for your plan. And if a medication is not on the formulary, it does not count towards your annual out-of-pocket maximum.
I would suggest that you contact your insurer and ask for a link to the 2027 drug formulary, then look up any medications you are taking.