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Our prescription coverage changed and we are TOAST...
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<blockquote data-quote="gcvmom" data-source="post: 271437" data-attributes="member: 3444"><p>O.M.G. </p><p> </p><p>I knew that things had changed in our prescription plan, but I had no idea things were going to get so ugly.</p><p> </p><p>I just went online to reorder some mail order medications... difficult child 2's Seroquel XR (which is covered by the plan, but since it's a brand name and there are no generics, we have a higher copay) is now $150 for three months, versus the $45 it was last year for the same amount (and he takes 400's and 300's, so that's two rx's). Okay, that's a big jump. But that's not the one I'm freaking over...</p><p> </p><p>difficult child 1 takes Imuran for his Crohn's disease. His GI wants him on the brand drug and not the generic because in her experience (and she is a leading researcher in the field) the brand name drug is metabolized better. And since it's THE drug that put difficult child 1 in remission and allowed him to finally GROW (in 5th grade, he was the size of a 1st grader), I was only too happy to follow her orders. </p><p> </p><p>But this drug is NOT covered by the formulary. Period. So now the same drug that cost me $70 for 90 days last year now costs...</p><p> </p><p style="text-align: center"><span style="font-size: 22px"><strong>$724!!!!!!!</strong></span></p><p></p><p style="text-align: center"><strong><img src="/community/styles/default/xenforo/smilies/Graemlins/23_34_2.gif" class="smilie" loading="lazy" alt=":holymoly:" title="Holy Moly :holymoly:" data-shortname=":holymoly:" /></strong></p><p></p><p style="text-align: left"><strong>That's more than a <u>900% increase</u>.</strong></p><p></p><p style="text-align: left">I just got word, though, that my brother in law#3 got hired last week as the regional director for Blue Cross... which happens to be our insurer. I don't know if he can do anything about this, but I sure as heck am going to ask.</p> <p style="text-align: left"></p> <p style="text-align: left">I worry about what might happen if we switch difficult child 1 to the generic drug and his disease flares up. That's the LAST thing he needs right now. But I sure cannot afford to pay $2,900 a year for ONE drug for ONE person.</p> <p style="text-align: left"></p> <p style="text-align: left">I need to call around and get retail pricing from Walmart, Costco, etc. before I totally flip out...</p></blockquote><p></p>
[QUOTE="gcvmom, post: 271437, member: 3444"] O.M.G. I knew that things had changed in our prescription plan, but I had no idea things were going to get so ugly. I just went online to reorder some mail order medications... difficult child 2's Seroquel XR (which is covered by the plan, but since it's a brand name and there are no generics, we have a higher copay) is now $150 for three months, versus the $45 it was last year for the same amount (and he takes 400's and 300's, so that's two rx's). Okay, that's a big jump. But that's not the one I'm freaking over... difficult child 1 takes Imuran for his Crohn's disease. His GI wants him on the brand drug and not the generic because in her experience (and she is a leading researcher in the field) the brand name drug is metabolized better. And since it's THE drug that put difficult child 1 in remission and allowed him to finally GROW (in 5th grade, he was the size of a 1st grader), I was only too happy to follow her orders. But this drug is NOT covered by the formulary. Period. So now the same drug that cost me $70 for 90 days last year now costs... [CENTER][SIZE=6][B]$724!!!!!!![/B][/SIZE][/CENTER] [CENTER][B]:holymoly:[/B][/CENTER] [LEFT][B]That's more than a [U]900% increase[/U].[/B][/LEFT] [LEFT]I just got word, though, that my brother in law#3 got hired last week as the regional director for Blue Cross... which happens to be our insurer. I don't know if he can do anything about this, but I sure as heck am going to ask. I worry about what might happen if we switch difficult child 1 to the generic drug and his disease flares up. That's the LAST thing he needs right now. But I sure cannot afford to pay $2,900 a year for ONE drug for ONE person. I need to call around and get retail pricing from Walmart, Costco, etc. before I totally flip out...[/LEFT] [/QUOTE]
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Our prescription coverage changed and we are TOAST...
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