← Return to 7% Saline Prescription and Medicare Part B payment quandry

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@gmamac

@sueinmn Does this also apply to antibiotics used in a nebulizer? I have been using Colistin (colistimethate sodium) for just over a year. It has been the only antibiotic that has kept me symptom free from pseudomonas. Previously I was on several different oral antibiotics, then on Tobramycin and Cayston both of which were nebulized. Insurance paid in full for Tobramycin. Cayston was not and very expensive. Eventually I asked to switch back to the free Tobramycin as Cayston was not helping my symptoms and it was breaking my bank account. So at that point I was prescribed Colistin. I recently changed my part D prescription coverage and now the Colistin is much more expensive even though I called the company before signing up with them and they told me a cost ($400 for a 90 day supply) that was a lot less expensive than what I had been paying so I changed. I had my prescription sent to a preferred pharmacy and they said it would be $400 per 30 day supply. If this medication is nebulized, shouldn’t it fall under what you are describing? I’m very frustrated as this is too expensive, but not sure what my next step should be. By the way I tried Good Rx and no help. (I have bronchiectasis, pseudomonas aeruginosa, and a history of MAC).
Any advice is welcome! Thank you.

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Replies to "@sueinmn Does this also apply to antibiotics used in a nebulizer? I have been using Colistin..."

These questions might be answered by the document I cited. I got a similar "nasty surprise" when one of my meds (a specialty inhaler) was removed from the regular formulary to the specialty pharmacy between 2021 & 2022.
Sorry, but it isn't something I am familiar with.
Sue