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Author Topic: Question regarding Co-Pay assistance programs?  (Read 2727 times)

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Offline jb1973

  • Member
  • Posts: 68
  • To thine ownself be true
Question regarding Co-Pay assistance programs?
« on: April 24, 2012, 11:19:29 AM »
Does anyone know for certain if there are certain financial limits on the Co-Pay assistance programs?  I looked on the websites and really didnt see anything specific.  I checked atripla,complera, truvada and isentress.  Basically I read that you had to have private insurance, but, no mention of any salary limits.? 
I just had my labs done and eventhough my cd4 are >500, i've been tossing around the idea of starting medication and was just trying to make sure that it would be affordable for me at this point.   
??Infected - 08-09??
3/3/11-tested POZ
3/18/11 - CD4-534 VL-6,600
6/24/11 - CD4-642 VL-10,800
10/11 - CD4-580 33% VL-9,900
1/12 - CD4-602 ?% VL-9,700
3/12 - CD4-552 27% VL=10,684
8/12 - cd4-550 24% VL=9.865
Started Isentress/Truvada
10/12- CD4-613 31% VL=UD

Offline emeraldize

  • Member
  • Posts: 3,343
Re: Question regarding Co-Pay assistance programs?
« Reply #1 on: April 24, 2012, 12:05:38 PM »
Hey JB

As a happy recipient due to the makers of Isentress and Truvada, I can report that no income cap is noted nor is that even a question asked by the pharma companies.

It's as easy as calling. They send you the card, but even before that you can trot off to the pharmacy with the identification/code number they give you during the call and initiate the co-pay immediately. Then, your pharmacist will have it on record and you will not have to show the card each time -- at least that is how my pharmacy, a major chain, deals with it.

I am so grateful I learned about this through the forums, specifically thanks to Inchling, and have appreciated the savings ever since. I hope the companies continue to do this.

Em
« Last Edit: April 24, 2012, 12:08:33 PM by emeraldize »

Offline jb1973

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  • Posts: 68
  • To thine ownself be true
Re: Question regarding Co-Pay assistance programs?
« Reply #2 on: April 24, 2012, 03:21:11 PM »
Thanks for the response Em.  Its good to hear that about the I & T as I was kinda leaning towards that anyway.  It was either that or Complera.  I have to go back to see my Dr. next month around the 20th for my second HEP vac and I plan on discussing with her then.   :)
??Infected - 08-09??
3/3/11-tested POZ
3/18/11 - CD4-534 VL-6,600
6/24/11 - CD4-642 VL-10,800
10/11 - CD4-580 33% VL-9,900
1/12 - CD4-602 ?% VL-9,700
3/12 - CD4-552 27% VL=10,684
8/12 - cd4-550 24% VL=9.865
Started Isentress/Truvada
10/12- CD4-613 31% VL=UD

Offline phildinftlaudy

  • Member
  • Posts: 2,961
  • sweet Ann what you think babe...
Re: Question regarding Co-Pay assistance programs?
« Reply #3 on: April 24, 2012, 08:26:20 PM »
The Atripla copay program does not have a salary cap either - I have been on it for about a year and a half - they never asked about salary - just if I was on any government paid insurance or if I had private/employer insurance.
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline Hellraiser

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  • Posts: 4,136
  • Semi-misanthropic
Re: Question regarding Co-Pay assistance programs?
« Reply #4 on: April 24, 2012, 08:30:38 PM »
The copay assistance programs cover a maximum of $60 a month.  They never asked me how much money I made.

Offline jb1973

  • Member
  • Posts: 68
  • To thine ownself be true
Re: Question regarding Co-Pay assistance programs?
« Reply #5 on: April 24, 2012, 08:46:27 PM »
The copay assistance programs cover a maximum of $60 a month.  They never asked me how much money I made.

which copay assistance program is that for?
??Infected - 08-09??
3/3/11-tested POZ
3/18/11 - CD4-534 VL-6,600
6/24/11 - CD4-642 VL-10,800
10/11 - CD4-580 33% VL-9,900
1/12 - CD4-602 ?% VL-9,700
3/12 - CD4-552 27% VL=10,684
8/12 - cd4-550 24% VL=9.865
Started Isentress/Truvada
10/12- CD4-613 31% VL=UD

Offline jb1973

  • Member
  • Posts: 68
  • To thine ownself be true
Re: Question regarding Co-Pay assistance programs?
« Reply #6 on: April 24, 2012, 08:47:29 PM »
The Atripla copay program does not have a salary cap either - I have been on it for about a year and a half - they never asked about salary - just if I was on any government paid insurance or if I had private/employer insurance.

And it only matters if you are on government assisted insurance?  Private or emplyer paid insurance is ok, right?
??Infected - 08-09??
3/3/11-tested POZ
3/18/11 - CD4-534 VL-6,600
6/24/11 - CD4-642 VL-10,800
10/11 - CD4-580 33% VL-9,900
1/12 - CD4-602 ?% VL-9,700
3/12 - CD4-552 27% VL=10,684
8/12 - cd4-550 24% VL=9.865
Started Isentress/Truvada
10/12- CD4-613 31% VL=UD

Offline Hellraiser

  • Member
  • Posts: 4,136
  • Semi-misanthropic
Re: Question regarding Co-Pay assistance programs?
« Reply #7 on: April 24, 2012, 09:32:17 PM »
which copay assistance program is that for?

The one I have experience with is Atripla, they are all different of course.

Offline jb1973

  • Member
  • Posts: 68
  • To thine ownself be true
Re: Question regarding Co-Pay assistance programs?
« Reply #8 on: April 25, 2012, 09:13:10 AM »
Got it.  Thank you....... ;D
??Infected - 08-09??
3/3/11-tested POZ
3/18/11 - CD4-534 VL-6,600
6/24/11 - CD4-642 VL-10,800
10/11 - CD4-580 33% VL-9,900
1/12 - CD4-602 ?% VL-9,700
3/12 - CD4-552 27% VL=10,684
8/12 - cd4-550 24% VL=9.865
Started Isentress/Truvada
10/12- CD4-613 31% VL=UD

Offline EngryBird

  • Member
  • Posts: 5
Re: Question regarding Co-Pay assistance programs?
« Reply #9 on: April 26, 2012, 12:49:02 AM »
For the Isentress, you print the coupon from Isentress.com: Patient Assistance -> Copay program -> Print a New Coupon. Answer few questions and you got it!

For Truvada, you can order the card by calling 1 888 358 0398. After you dial this number, it tells you that this program is not available anymore however when you stay on the line, you will be transferred to GILEAD copay assistance (it must be something new though because I contacted them about Truvada two months ago using the above number). 

Present the card and the coupon during dropping off your prescriptions to be filled -- do not wait till pick up because the info from the cards needs to inputted the  same time they accept your prescriptions to be filled (at least my pharmacy chain does it this way).

For Mail Order Pharmacies or Retail Pharmacies that do not accept cards or coupons:

Pay up front out of your pocket for prescriptions. Go to patientrebateonline.com operated my McKesson.  You can print a form with your info for Truvada reimbursement that you will mail to McKesson with a copy of your invoice received with your Truvada in mail.

For Isentress, you need to call McKesson for a customized with your info form to be mailed to your address.  After you received the form, fill it out, attach invoice or copy showing your prescription number and how much you paid for it and mail it back to McKesson.

Offline jb1973

  • Member
  • Posts: 68
  • To thine ownself be true
Re: Question regarding Co-Pay assistance programs?
« Reply #10 on: April 26, 2012, 06:20:35 PM »
Wow. Thanks for the info
??Infected - 08-09??
3/3/11-tested POZ
3/18/11 - CD4-534 VL-6,600
6/24/11 - CD4-642 VL-10,800
10/11 - CD4-580 33% VL-9,900
1/12 - CD4-602 ?% VL-9,700
3/12 - CD4-552 27% VL=10,684
8/12 - cd4-550 24% VL=9.865
Started Isentress/Truvada
10/12- CD4-613 31% VL=UD

 


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