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Re: BioChica post# 26591

Monday, 04/14/2014 2:13:56 PM

Monday, April 14, 2014 2:13:56 PM

Post# of 428990
Saying the patient makes the decision on what drug to take may be true in theory, but IRL if insurance says "no coverage", and you face paying enormous amounts of cash out of pocket, you're almost certainly going to go with the cheaper drug unless for some reason you cannot in any case take the generic semi-equivalent (one of my scrip meds is $800/mo, thank god I very rarely take it!).

Hell, even generic Singulair is outrageously expensive, so costly that I had to start getting my scrip filled by a Canadian pharmacy, couldn't afford the copay - my insurance has % copays for some tiers - and don't tell me to switch, can't - Aetna is the only medicare advantage plan offered in MD in 2014 thanks to Obama's mess. IIRC Kaiser has one too, on second thought, but it was shit coverage and ridiculously expensive, plus they don't cover V. Couldn't buy a dental plan this year either, not even offered, now I'm paying $1500 in cash for some periodontal treatment and a regular checkup/cleaning - routine X-rays and cleanings used to be covered.

As mentioned before, I used to take the BP med Ramipril, desperately wanted off it because it can irritate the lungs - known as the "ACE inhibitor cough", wanted to switch to Losartan, which has a totally different MOA, but couldn't afford the copay until it went generic last year. Medicare medical is better than nothing, but the Part D costs can be huge if you take multiple Rx drugs - god help me if I ever need expensive chemo, because it will bankrupt me!

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