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Author Topic: Co-pays for harvoni?  (Read 14579 times)

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Offline BubbaT

  • Member
  • Posts: 267
Co-pays for harvoni?
« on: March 02, 2015, 07:23:35 pm »
Hi everyone, can someone tell me about the co-pays for harvoni, I got the meds today and paid a 35.00 copay, is this the norm?    The pharmacy said they did not take the harvoni coupon for a 10 copay,   
 Anyone have a similar deal?
Age 57 male
Infected late 70's
Diagnosed 95
1a, 2 prev biopsy 95, 2004
Ct 2007, 2015
Treatment Naive
F4 A3. Fibrosure/ CT 2-5-15. Ammonia 222
VL 2.2 mil.
Started Harvoni  3-3-15. 12weeks, finished 5-26-15
4 week VL undetected
12 week EOT undetected

Offline ma snart

  • Member
  • Posts: 65
Re: Co-pays for harvoni?
« Reply #1 on: March 02, 2015, 07:47:38 pm »
Helen gets hers for 5.00 co pay using the Gilead coupon.

Helen 54 yr old female
Geno 1B since 84 from transfusion
started Harvoni on 11-22-14 with 8.5 million viral
After 8 days 933 viral and normal AST and ALT
Week 10 viral load  UNDETECTED
Week 17    detected 19
Week 18    detected 21
Week 20    UNDETECTED   Doctor did prescribe Ribavirin, but have not taken it yet as we are thinking that weeks 17,18 had to have been mishandled.
All other test have shown normal levels.
Week 21 results  on Tuesday 4-21
Week 4 post Harvoni 24 week plan UNDETECTED!!

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Co-pays for harvoni?
« Reply #2 on: March 02, 2015, 10:01:26 pm »
My normal copay would be $20 ($60 for a 3 month supply)

I pay $5 a bottle using the coupon. Over my 24 week tx that saves me $90

I believe your copay is from your insurance company based on your policy provisions
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline kate0b1

  • Member
  • Posts: 293
Re: Co-pays for harvoni?
« Reply #3 on: March 03, 2015, 06:19:59 am »
mine was 36 but i got an email for a coupon so its been 5 for each month

kate


Offline OO7GUY

  • Member
  • Posts: 27
Re: Co-pays for harvoni?
« Reply #4 on: March 03, 2015, 07:06:47 am »
mine would of been 55 bucks a scrip  but i use the coupon too 5 bucks  ;D
Diagnosed in 08, 1a first TX 08 was Boceprevir, cleared but relapse while still on TX 2nd TX 2010  Telaprevir nonresponder both combination with PEG/riba. 3 TX Harvoni started 1/22/15 doing 12 weeks finished 04/16/15

Offline BubbaT

  • Member
  • Posts: 267
Re: Co-pays for harvoni?
« Reply #5 on: March 03, 2015, 03:37:26 pm »
Thanks, I have Caremark/cvs and my Gi dr went thru a speciality pharmacy that does not accept the Harvoni coupon, have others also not been able to use the coupon because pharmacy does not accept?

Thank you,

Btw, I started the pills today and so far so good!

Age 57 male
Infected late 70's
Diagnosed 95
1a, 2 prev biopsy 95, 2004
Ct 2007, 2015
Treatment Naive
F4 A3. Fibrosure/ CT 2-5-15. Ammonia 222
VL 2.2 mil.
Started Harvoni  3-3-15. 12weeks, finished 5-26-15
4 week VL undetected
12 week EOT undetected

Offline kate0b1

  • Member
  • Posts: 293
Re: Co-pays for harvoni?
« Reply #6 on: March 03, 2015, 07:00:09 pm »
@bubba, do you know why they went though a different pharm then carmark? when i was on triple therapy they did that but after two months caremark jumped in a made them change to them. When i was starting this tx i asked them to go though them to start with so i would not have a problem. and PS welcome and good luck
 kate

Offline BubbaT

  • Member
  • Posts: 267
Re: Co-pays for harvoni?
« Reply #7 on: March 03, 2015, 07:14:22 pm »
Kate0b1,   I'm not sure why he went thru this particular pharmacy,  the pharmacy guy said he would take a Medicaid #, but not gilead coupon from Harvoni .

I think it's so they can control the meds if you don't follow their protocol.

I'm gonna check into it.

Thanks Kate

Age 57 male
Infected late 70's
Diagnosed 95
1a, 2 prev biopsy 95, 2004
Ct 2007, 2015
Treatment Naive
F4 A3. Fibrosure/ CT 2-5-15. Ammonia 222
VL 2.2 mil.
Started Harvoni  3-3-15. 12weeks, finished 5-26-15
4 week VL undetected
12 week EOT undetected

Offline Bituman

  • Member
  • Posts: 157
Re: Co-pays for harvoni?
« Reply #8 on: March 03, 2015, 10:47:17 pm »
I had an interesting copay experience.  My prescription was filled by my health care provider, Mayo Clinic Scottsdale, via their specialty pharmacy in Minnesota.  When they called to discuss filling my prescription, the lady pointed out that my insurance carried an annual out of pocket maximum of $5000.  Of course I already knew that and was prepared to send them a check or otherwise pay that amount.  So she said "I hope you don't mind but I applied with Gilead for copay assistance for you and they granted you a copay coupon and now you owe $5.  Would you like to send a check, or we bill you, or we take all major credit cards." That nice lady in Minnesota effectively  arranged for me a $4995 copay coupon and her friends in Arizona are very likely  curing me.  Amazing! 

I have pointed out in one or two other threads that we all need a health care provider that advocates for us in all ways.  This is a pretty good example.  It makes me sad to read about medical professionals that don't take the time to do these things. 

Congrats Bubba on starting the cure! 

Bob

Age = 59, male, infected likely 1975
DX 07/07 GT 1a
Biopsy 2007:  GR 1, stage 0, HAI = 2/18
Since 2007:  1.48 MM < VL < 11 MM, avg = 5.64 MM
IL28B=CT
1/26/15, AST=43, ALT=55, VL=3.59 MM
2/5 Start Harvoni 12 weeks; Treat naive
2/20 AST=29, ALT=24, VL=59
3/6 AST=29, ALT=25, VL<15
3/19 AST=24, ALT=22, VL=undet
4/3 AST=29, ALT=25, VL=undet
4/30 EOT, AST=22, ALT=20, VL=undet
5/29 EOT+4, AST=20, ALT=19, VL=undet SVR
7/24 EOT+12, AST=23, ALT=18, VL=undet SVR
10/16 EOT+24, AST=22, ALT=17, VL=undet SVR

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Co-pays for harvoni?
« Reply #9 on: March 04, 2015, 02:39:53 am »
Hi Bubba

I would ask Gilead My support Path if they know anything about the pharmacy maybe hopefully there is some misunderstanding on the pharmacys part.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline BubbaT

  • Member
  • Posts: 267
Re: Co-pays for harvoni?
« Reply #10 on: March 04, 2015, 10:37:38 pm »
Thanks Lynn,

I thought it was strange, but I'm not aware of how the Drugs are dispensed from Gilead, since my insurance is cvs/Caremark why would my Gi dr work thru another pharmacy?

 the pharmacist called me and asked for the Copay and then delivered the pills to my Gi dr office and I picked them up at his office and got the lab draw orders from his nurse.

Thanks bob, glad you got a good deal on that!
« Last Edit: March 04, 2015, 10:41:19 pm by BubbaT »
Age 57 male
Infected late 70's
Diagnosed 95
1a, 2 prev biopsy 95, 2004
Ct 2007, 2015
Treatment Naive
F4 A3. Fibrosure/ CT 2-5-15. Ammonia 222
VL 2.2 mil.
Started Harvoni  3-3-15. 12weeks, finished 5-26-15
4 week VL undetected
12 week EOT undetected

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Co-pays for harvoni?
« Reply #11 on: March 04, 2015, 11:07:03 pm »
Gilead is the maker of the drug and the provide patient support to help patients get their medicine. My support path is sponsored by Gilead

http://www.mysupportpath.com

The HARVONI and SOVALDI co-pay coupons may help eligible patients lower their out-of-pocket costs
Click below to register and read full terms and conditions.

HARVONI Co-pay Registration SOVALDI Co-pay Registration
With a co-pay coupon, most eligible patients may pay no more than $5 per co-pay (restrictions apply)
Not valid for patients enrolled in government healthcare prescription drug programs, such as Medicare Part D and Medicaid. Patients in the coverage gap known as the "donut hole" also are not eligible

Providers and patients can call 1-855-7-MYPATH (1-855-769-7284) for assistance

https://www.harvoni.com/co-pay-coupon-registration?evo_source=MYSUPPORTPATH&_ga=1.262060813.1478436839.1408430403


Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,543
  • Get tested, get treated, get cured, fight Hep c!
Re: Co-pays for harvoni?
« Reply #12 on: March 04, 2015, 11:10:20 pm »
I guess I must be missing something about why the pharmacy won't accept the Gilead support path copay coupon unless it is the Medicare that is the problem per the support path disclaimer
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline MrMcSwifty

  • Member
  • Posts: 14
Re: Co-pays for harvoni?
« Reply #13 on: March 05, 2015, 09:40:16 am »
My copays for Sovaldi have been a confusing mess for me through Accredo.

I was told before my first round shipped that with the copay assist I would owe $15 for the Riba, and $5 for the Sovaldi. 

First bill was $15 for the Riba, $50 for Sovalid.  Called them and they said the copay assist hadn't applied yet, and to pay it and I would receive a credit toward the next bill.

Next bill was $15 for Riba, and $0 for Sovalid.  Ok... seems fine I guess...  Credit probably only applies to the Sovalid, right?

Next one after that is $30 for TWO doses of Riba, dated back to the first round of treatment, and $5 for Sovaldi again.

Every time I call them, they can't explain why I'm even being billed at all to begin with, since my account says I still have a $-45 balance (credit from first payment).  And according to their records, they can't even see this $30 for Riba that they're billing me for right on the invoice I'm holding in my hand.  AND they're telling me that my copays for Sovalid are supposed to be $35, not $5 or $50.   :o

All so confused by the whole thing, and of course, it just makes me so paranoid they're going to try some shenanigans and wind up withholding my next round of pills for lack of payment. :(

Offline BubbaT

  • Member
  • Posts: 267
Re: Co-pays for harvoni?
« Reply #14 on: March 05, 2015, 08:11:23 pm »
Hi all, I called the Gilead: my support path)today and spoke with a person and asked about the reason why this pharmacy My dr. Used would not take the coupon, she did not have an answer and basically said I should call the dr. And see if they would use a pharmacy that does accept the coupon.

I'm not convinced they know what's going on!

« Last Edit: March 05, 2015, 08:13:03 pm by BubbaT »
Age 57 male
Infected late 70's
Diagnosed 95
1a, 2 prev biopsy 95, 2004
Ct 2007, 2015
Treatment Naive
F4 A3. Fibrosure/ CT 2-5-15. Ammonia 222
VL 2.2 mil.
Started Harvoni  3-3-15. 12weeks, finished 5-26-15
4 week VL undetected
12 week EOT undetected

 


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