Eliquis and AFIB

My last order of apixaban was from discountcanadadrugs.com,. 200 tablets for $46.02 plus $9.95 shipping. Referral coupon BER-LEO-540 for $20 off your first order.

@peggyle
Sorry for the long answer. All of this was important to me, so perhaps I am overdoing the info:
From the Canadian pharmacy, I paid $274.11 for brand name Eliquis and $643.65 for brand name Multaq for 168 tablets. I add the Multaq so that it is a bit clearer as to why buying in the States is also a better bargain with the now new pricing here.
The yearly cost of the Eliquis and Multaq was $3671.04. Add shipping of $10 per order, and then $10 for tracking, at a cost of $80, that brings the yearly cost to $3751.04. Divide by 12 months equals a monthly cost of roughly $85 per month for Eliquis, and add the $80/yearly for shipping and tracking.
In the States, I pay $228.58 for 90 Eliquis brand tablets (22 more). We could extrapolate that out, but extrapolating it out doesn’t factor in the bargain here with the new pricing for Medicare participants. I have attached the pic from Optum Rx. It says that at this point we have paid all but $787.95 of the yearly cost of both the Eliquis and Multaq. So by my next order (3/4 of the year through), I will only pay $162.01 for both meds. The last quarter will be shipped without a bill.
There is a cap now on most Medicare meds of $2100 per year. For the last payment of $162.01, roughly 25% is for Eliquis. That is roughly $40. All totaled, roughly, that is $725 per year, and divided by 12 months, that is roughly $60 a month.
Forgive my math if I have it wrong, I have at least given the pricing structure, so I hope all of this helps in making a decision.

87% of strokes are the Ischemic ones but anticoagulants increase the risk of having a hemorrhagic one.

@tyl411 Thanks! That manufacturer's coupon offers a great savings on Eliquis for those folks that have private insurance drug plans. I'd say that'd be mostly people who aren't yet Medicare age. I know people who are on Medicare Part D or other government-sponsored drug plans aren't eligible for this coupon due to laws passed in Congress years ago that prohibit the government from "bargaining" with pharmaceutical companies for better drug prices. I'd guess it's likely most folks for whom Eliquis is prescribed who would fall into the latter category.

That said, I've heard scuttlebutt that Eliquis prices are or will be dropping. I've spoken to a couple people I know who take it and have either Medicare Advantage or Part D prescription drug plans. They tell me their costs for the drug have dropped recently ( still pretty expensive) and I checked into what I'd pay for Eliquis using my BC/BS drug plan without the manufacturer's coupon. I noticed that my current copay for a 1 month supply had dropped from around $125.00 to around $85. So I'm hoping that will be the case for everyone who pays those out of pocket costs for the drug. I'm also figuring ( fingers crossed) that the pharmaceutical companies hoping to produce and sell the generic equivalent of Eliquis in the United States at some point will finally make their way through the maze of lawsuits out there and finally be able to produce a generic apixaban at a reasonable price in the US!

@peggyle
I am away from my spreadsheet for a few days, but I will get the info on Monday. We get Multaq as well, so it helps justify the $110/per month for the plan. My nerves are better off getting the meds here where I feel I might have some control over getting them to us. My Husband has had some health scares, and I just need to have some reliable assurance in the delivery process.

@tyl411 Depending on where you live in the US the postal service can be great or terrible. My last order of off shore drugs were tracked to the US Customs office near me where after getting a message saying it had left Customs the USPS said no such order existed or was lost. Two days later it arrived in my mailbox.

@tyl411 how much do you pay in the US for your ELIQUIS? Thank you, Peggy.

@sandw40
I was told at the Canadian end that it was delivered to our home address. I had not purchased the extra tracking feature and was told that there was not any point by point delivery info. I was out of my league in knowing what to do next and accepted it and purchased tracking on the next order.

@tyl411 When you mentioned that the Canadian pharmacy said it was "delivered" did they say where to?
The usual process is a possibile tracking number from the overseas supplier to a US Customs office where if it's released it's then in the USPS system. So there are several "delivered" points along the way. Even in the USPS system their tracking system leaves a lot to be desired.

@marybird
I got my Husband signed up on the coupon plan during the first year of his diagnosis. We were able to get help through both Sanofi and Bristol Meyer Squibb for the two meds: Eliquis and Multaq. He was not on Medicare yet, so he did not qualify for Part D. I felt so grateful for these companies during that time. The meds were a very high cost back then.
Both companies were helpful in that I was navigating new waters and wasn't sure what I was doing, and they were both user friendly in letting me call and speak to someone.
Wonderful suggestion you gave .