1. < Osteoporosis & Bone Health

Pharmaceutical assistance

Posted by chickyb @chickyb, Sep 14, 2023

I just found out my monthly copay for forteo is 1,312.00 monthly, has anyone found patient assistance thru the manufacturer or foundations? Any advice/info greatly appreciated

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chickyb | @chickyb | Sep 16, 2023
In reply to @milkweed "Try CVS Specialties pharmacy. If you have a teaching medical center nearby you can attempt to..." + (show)
@milkweed

Try CVS Specialties pharmacy. If you have a teaching medical center nearby you can attempt to get assistance there as well. These options secure grants from various locations to assist with payment. You have to qualify via an income cap of, I believe, $67,000 for individuals and $87,000 for household. If you have stocks you may be able to reduce income by putting dividends in tax shelters. Perhaps a 529 tax deferred college fund for grands? I’m not an expert so ask a reputable tax lawyer. I can vouch for Teraparatide (Forteo). In last 3 years I had 6 stress fxs and after 10 weeks using it I’m walking without assistance. My general health was suffering from immobility and now I’m exercising regularly again. Good luck!

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Thank you so much for your advice

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Mentor
Chris Trout, Volunteer Mentor | @artscaping | Sep 16, 2023
In reply to @gravity3 "Darn!!" + (show)
@gravity3

Darn!!

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Good evening @gravity3 and @chickyb. I was browsing this Connect subject and noticed the statement that you would not be able to use Medicare for the Forteo copay. That is also what I was told recently. When I pursued the reason, I was told that my medication was not on the Medicare formulary. My physician was able to get an exception ruling for me. This may be the issue or it may not but it is worth a try.

Take good care,
Chris

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chickyb | @chickyb | Sep 16, 2023
In reply to @artscaping "Good evening @gravity3 and @chickyb. I was browsing this Connect subject and noticed the statement that..." + (show)
@artscaping

Good evening @gravity3 and @chickyb. I was browsing this Connect subject and noticed the statement that you would not be able to use Medicare for the Forteo copay. That is also what I was told recently. When I pursued the reason, I was told that my medication was not on the Medicare formulary. My physician was able to get an exception ruling for me. This may be the issue or it may not but it is worth a try.

Take good care,
Chris

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Thank you for responding, I was told it is a tier 5 which brought my out of pocket co-pay to 1,312.00 monthly, Medicare would pay the rest. I was offered to apply thru my insurance (Medicare advantage plan) a request to bring it down to a tier 4 which would lessen my co-pay of 1,312.00 by 2%. I’m still hoping to find some type of assistance

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