I do not know if this is true for everyone who is covered by Express Scripts, but I can't imagine that it would not be. Our experience has been that you do not have to use mail order for HIV medications if you have Express Scripts, but they will not tell you this, and you will need to find out through your own efforts. So, not only is there help paying for prohibitively expensive drugs, there is the added help of that offsetting what would otherwise need to be paid for office visits and blood tests, etc. Two more fills, and he is done paying anything out of pocket this year. The copay card covered all of that while also meeting his annual deductible and a good portion of his OOP annual responsibility. After the insurance paid, we were left owing $680 something dollars. He has a $250 deductible and $1,500 maximum out of pocket per year. I filled both of our prescriptions today at a local pharmacy. That sounds bad, but remember, whatever copay assistance you are getting will offset that amount AND you will be getting credit towards your yearly out-of-pocket maximum AND it will not be coming out of your pocket.įor example-My partner has Express Scripts. However, this may come with a catch, namely that you only get a 30-day supply at a time (whereas you might be able to get 90 through mail order), and that you must pay your deductible and then 20% or higher in coinsurance. You may find that you are able to fill your prescriptions for them there. There are a couple of things that you can do.1) Try having your local pharmacy run a test claim for the drugs. Para cambiar sus preferencias de los foros en español, haz clicįinished Reading This? You can collapse this or any other box on this page by clicking the To change forums navigation language settings, click here (members only), Register now Members unless permission has been secured from POZ.
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