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Re: Whalatane post# 234135

Sunday, 12/15/2019 12:58:49 PM

Sunday, December 15, 2019 12:58:49 PM

Post# of 447357
Kiwi, if I could pick your brain I would appreciate it. I was having a discussion with Louie as we both have Fed BCBS. Right now V is tier 3 and Louie explained the reason we now pay about 40 bucks a month is because our script is currently covered at 50% so half of 300 is 150 minus the coupon of 110 yields 40.

We were discussing if BCBS made it tier 2 then our copay would be 30%. I then predicated that if we lost the coupon then the 30% tier 2 would cost us 90 bucks a month. Louie's opinion was that once it is tier 2 then BCBS would negotiate a better price for us yielding a lower cost.

When you say that it costs you 24 bucks a month with Kaiser, is that because they made it a tier 2 drug and what kind of copay do you have for tier 2 and do you know if they negotiated a better price? In other words are you able to figure out why $24?/ TIA
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