Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
July 25, 2014, 05:37:43 PM

Login with username, password and session length


Members
Stats
  • Total Posts: 631888
  • Total Topics: 47840
  • Online Today: 293
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Cost of Meds Tivicay/Truvada  (Read 842 times)

0 Members and 1 Guest are viewing this topic.

Offline Turtle-12

  • Member
  • Posts: 17
Cost of Meds Tivicay/Truvada
« on: February 18, 2014, 09:47:40 PM »
Hi all, I would like to know if anyone out there knows the price of Tivicay and Truvada (my current combo). I am currently looking for alternative ways of getting my meds, as my insurance can only fill my prescription in a monthly basis and i would like to have some meds on the side for eventualities (just in case)... Also, where to get them without a hassle in Southern CA would be good...thanks

Offline AnotherUserinCO

  • Member
  • Posts: 4
Re: Cost of Meds Tivicay/Truvada
« Reply #1 on: February 19, 2014, 03:47:15 PM »
Depending on your income, you might qualify for help in the price.  I am on Truvada and Intellence.  I cannot remember which one it was, but a 3 month supply for both was a little over $5,000. 

I go thru my online pharmacy for a 90 day supply - and they charge $180.  I am on a plan that pays the co-pays for one and the other is $15.00. 

I am surprised the insurance does not allow a 90-day supply.

But this is what I do for my partner who takes Aceon for high blood pressure.  Aceon went generic and when he took it, I had to take him to the ER.  Cigna had a 3 tiered system for this drug.  After a $15,000 ER visit, Cigna required him to take another from Tier 1 and one from Tier 2 before the brand name would be approved.  So I thought I would just get the doctor to right a RX for both of these and then have him say it did not work. But Cigna required documentation - basically ER visits.

I went around them a few times and finally got Aceon approved on a 30 day basis.  So what we do is, you can usually call in your RX 6 or 7 days before.  We go to the pharmacy at the hospital because he is the only one that can get it.  It is not worth it for the major pharmacies.

But with this system of calling, he has almost 3 months supply on hand.  I would recommend using a small pharmacy and get to know him / her.  Don't go to a chain or grocery store.  You will learn more from a small, local pharmacist.

Hope this helps some.

Offline ARMANDO

  • Member
  • Posts: 249
Re: Cost of Meds Tivicay/Truvada
« Reply #2 on: February 25, 2014, 06:32:00 AM »
i think all antivirals are considered SPECIALTY DRUGS  ,so we are forced to use mail order specialty pharmacy,at least thats what CVS thru UNITED HEALTH CARE IS DOING.I USE TO GET ALL MY MEDS AT A LOCAL PHARMACY THAT WAS FUNDED THRU RYAN WHITE BUT THAT HAS CHANGED AS OF JAN.1 2014

Offline OCPozGuy

  • Member
  • Posts: 4
Re: Cost of Meds Tivicay/Truvada
« Reply #3 on: February 25, 2014, 12:16:05 PM »
i think all antivirals are considered SPECIALTY DRUGS  ,so we are forced to use mail order specialty pharmacy,at least thats what CVS thru UNITED HEALTH CARE IS DOING.I USE TO GET ALL MY MEDS AT A LOCAL PHARMACY THAT WAS FUNDED THRU RYAN WHITE BUT THAT HAS CHANGED AS OF JAN.1 2014

Armando - as you infer, it is very plan/insurance company specific and drug specific whether it is classified as a "specialty drug" or not.  Stribild for instance for me on my plan is a Tier 3 drug (non-preferred brand name), while Truvada is a Tier 2 drug (preferred brand name).  There is also a Tier 4 classification in my Drug Formularies which is "specialty drug".  Very few HIV related drugs are considered 4's, where many are 1's and 2's.  If a drug is not specifically listed they automatically are assigned into Tier 3, which I find reasonable and better than them automatically putting a new drug like Stribild into Tier 4.

But again it is very plan specific and you have to get the drug formularies to figure this stuff out.

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.