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@gardenlady1116

I have Medicare and my medications are very expensive. After I go thru the basic $4800 then I go into the donut hole". I pay 20% 50 the cost, the manufacturer pays half of that. My 3 month supply of Creon, 36,000 three four times a day has a cost of $14,000. This year I made it into the "catastrophic range" and paid a 5% copay. The olaparib (Lynparza) is $15,000 monthly so the monthly copay was $800. Fortunately, I just started in September2023. In 2024 the 5% co-pay will go away so I will just have to make it thru the donut hole. Both medications have manufacturer programs for free medication by I do not qualify for either manufacturer programs. Some insurers may require use of a mail order pharmacy to cover the cost. Insurance companies vary widely in their coverages so it is important to know your own insurance benefits.

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Replies to "I have Medicare and my medications are very expensive. After I go thru the basic $4800..."

gardenlady,
Do you have an out of pocket max for your drugs, for medicare?
I will be on medicare in another year. I'm just wondering how much per year I will then have to pay for Zenpep. I take Zenpep instead of Creon.
Zenpep is also very expensive.