Entresto. Would appreciate any discussion, pros, cons.

I am paying less than $130 for a month's supply of Entresto from Costco and I am on medicare with a bare minimum part B coverage. I am on the lowest dose and needed to request the medium level dose from my cardiologist which I will start taking next week. I am also taking the recommended drug metoprolol succinate in addition to the Entresto.

I am exercising 5x per week and this is a critical part of my recovery program.

I do not know what medicare plan you are on, but, I only pay a forty dollar copay for mine. I have been on Entrso for years and it has worked beautifully for me.

Entresto and Norvatis
I think those mentioning Medicare are talking about Medicare Part D (or the additional coverage you sign up for prescription coverage) as Medicare does not cover prescription without prescription plan.

Entresto is manufactured by Norvastis. Those who do not have insurance can contact Norvastis about programs to assist getting Entresto directly from Norvatis. When I was put on Entresto it was not covered by BCBS federal. Norvastis program covered it in full and mailed the prescription to me free.

They also work on high cost assistant programs. My heart failure doctor send medical letter to BCBS Federal stating Entresto was a heart failure medication not just a BP medication. BCBS approved his determination and BCBS started covering Entreston. So I went from paying 0$ to paying 125.00 every 3 months to get it from BCBS mail delivery.

Medicare pats A and B. A is hospitalizaion. B is medical. It is the other letters you have to pay more for to cover prescriptions. If you do not have prescription medicaton coverage or very littel coverage please call or go on line to Norvastic and look up assistance programs. I did and for years got Entresto free.

Each plan is different and so I consider the monthly cost for the plan as well as the meds that are covered. My plan has a monthly cost of $18 and when I hit the $2,000 paid out mark later this month my Entresto and other drugs no longer have a copay for me.

The maker of Entresto is Novartis and they have a program where you can get your prescription filled by them (in 90 day increments) at no cost if you meet certain income limits. I didn’t think I would be eligible but I am.
Also , I started taking it last year and I had a significant improvement to my Ejection Fraction at my most recent test.

@beebo
Concurred and posted same. My EF was going down before going on it. It did not rise like yours but stopped going down. If you can take entresto (it does have some initial side effects) it is a great medication (per my Mayo heart failure doctor) for heart failure.

I knew a fellow airman in the Air Force nicknamed BEEBO. It was from 1966-1970. Any chance it was you?

Great thing is that there is no donut hole this year. Part D out of pocket max is $2000.

But pls note that sone “drugs” like chemotherapy and immunotherapy are covered under Part B.

Ha! No. Beebo is the name of our kids’ dog that we puppy sit all the time for.And I yell it’s name so much that it’s now stuck in my head.

@abob
I am not on Medicare Part D. I retired from the federal government. I have BCBS full medical and prescription plan (you pay a premium) that I kept after retiring. It covers my prescriptions and my wifes. BCBS gave us the option about a year ago to go to a BCBS Medicare plan that basically followed what Medicare would pay for. I declined and stayed on my full FEP plan as had a ton of more paperwork and a lot of prior approval paperwork and only giving 30 days of a drug versus 90 day on some, not all, of our medications.

My wife is a diabetic. Medicare is supposed to cover her insulin under Part B. But we can't find a pharmacy that understands they need to file the cost for the insulin to part B Medicare not prescription part D. So we pay the 60.00 co-pay that my BCBS charges as we gave up with all the red tape.

Medicare coverage for insulin depends on how it is administered.

Part B covers insulin used with a traditional insulin pump - a traditional, durable medical equipment (DME) pump. A 20% coinsurance applies after the Part B deductible is met.

Part D covers insulin used with other methods, like injections or disposable pumps. Copays for insulin under Part D are often capped at $35 per month,