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cost of prescriptions

Discussion in 'Parents of Children with Type 1' started by Brookiesworld, Jul 1, 2010.

  1. Brookiesworld

    Brookiesworld Approved members

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    Hey , thanks to everyone to my earlier post about new and all. I have a question for you: How does everyone pay for your childrens medicine? the first time i filled Brooke's scripts it was like 400.00 i about lost it, this isnt like a headache pill or i have heartburn pill, if she doesnt have her insulin she will die, and i sure cant afford 400/month. i talked to my insurance today and they said i can order thru the mail for 90 days and it comes to like 650. for the 3 months. does anyone have better/cheaper solution? we will do what we have to do but would sure like to find something a little cheaper if it is out there.
     
  2. Ali

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    You may not be getting accurate information. Read your booklet first. If it pans out this way then when it comes time to renew your insurance see about a change in plans. Track your costs. Some states have help for certain income levels. Good luck. Ali
     
  3. mmgirls

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    I know this is not very helpful, but if With your insulance it cost $400 a month then I would be looking for ne insurnance.

    My copay for insulin is $30 (for two vials of apridra)

    and for one touch test strips $15 (for 200 strips a month.)


    If that is truley your cost for scripts then you may want ot look for better coverage even if it cost you more for the polocy.
     
  4. VinceysMom

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    Well, we have CVS/Caremark and have to pay 30% of the cost...so 3 virals of Humalog $153; 3 Vials of Lantus $75; and 800 test strips $200+; plus sryinges... these are all for 90 day supply. Before Jan 1 2010, i had the usual co-pay $5, $10, $20... $20 for the insulin, etc. Things have changed.
     
  5. mom24grlz

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    my husband is the person who actually goes to the pharmacy to get all of Ashleigh's supplies. I'm pretty sure that we pay $30 a month for her insulin. I know the lancets we use are free. Test strips i think are also $30 a month.
     
  6. chammond

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    One thing to keep in mind is that you may have filled glucagon rx's and other medications that are not used on a regular basis. When we get our glucagon filled we get 2, at a cost of $110. We have been at this for a year and a half, and have only had to fill that rx once. Just make sure you keep track of expiration dates. That is very expensive, though, and I hope you can find a cheaper option or there is some sort of mistake.
     
  7. SarahKelly

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    If that is truly your cost (after initial set up costs of things like glucagon) I'd look into some programs in your area that help offset the cost, some children may even qualify for free Rx based on their family's needs and their medical conditions. If you need more info I can get it for you from my mom she helps people all the time find ways to pay for necessary Rxs. I will say it's costly as we have two people in our fam with t1d and have had to cut back on all the extras, but switching to mail order has helped a lot and made things easier. I don't miss going to Walgreens weekly at all!
     
  8. Kaylas mom

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    That first month we did pay a lot of out pocket.. between test strips, glucagon and even alcohol wipes (for some reason they went as an RX for $6.99 a box even tho I can buy them for $1.99 a box OTC)

    The hospital applied Kayla for a Medically handicapped childrens program in our state that now covers all her D related supplies, so that helps some.
     
  9. MikailasMom

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    not trying to threadjack...

    Amy, is there a income limit for that program? We tried to got through hhs here, but they say we make too much for medicaid/kid connection and want us to try for SSI, but I know its a lost cause. I dont want the money, just some help with scrip/supply copays as our insurance isnt that great and copays are killing us. THANKS!
     
  10. dqmomof3

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    We have no prescription co-pay plan, so we pay big $$$$ for prescriptions. It is a sad thing. Over $100 per bottle for Apidra, and of course pump supplies. Other families of CWD have been extremely gracious and shared some supplies with me, and when I met my deductibles, I got everything the insurance company would give me!

    I don't have any great advice for you...just wanted you to know I'm in the same boat, and it's a lousy boat! :(
     
  11. MNmommy

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    We pay 20% for the "durable medical goods" and a straight copay for insulin (which there is, of course, no generic for).

    Premiums = $894.04/month :eek:

    Novolog = $35.00
    Lantus = $35.00
    Test Strips = $62.00/300
    Syringes = $14.98/300

    Then of course there are all of the "extras" (alcohol wipes, lancets, etc.):rolleyes:
     
  12. suzyq63

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    I believe that all states have a Children With Special Health Care Needs program (it's not medicaid). They currently pick up all of Alison's diabetes copays, and their income limits are very generous. Some states may use a different name for that program, but it should be there somewhere.
     
  13. Kaylas mom

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    There is some sort of guideline but I am not sure what it is. I have a coworker that also has a son with D and spina bifida and we compared incomes before we both applied. We made more than she did as a whole.. but had more out of pocket medical expenses than she did. Our out of pocket medical for last year alone was over $15K this is before Kayla's D. We qualified and she didn't. But Nick gets IVIG, Noah has double vision and gets vision therapy, and dh has kidney stones..

    Anyways, basically, we didn't gain anything with the program except the program picks up Kayla's D supplies and our copays for her dr's appts as long as they are D related. They also cover Nick's asthma related expenses but not his IVIG or immune related expenses.. so we are still paying the same amount out of pocket as we were previously. I say it is worth the time to at least apply, it took about a month to apply and there is a lot of paperwork to fill out. D is an automatic medical approval in Nebraska but you still have to qualify finacially. They will go back and cover things from the time of application but not rx's.
     
  14. spamid

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    Another thing that may help...We use A plus medical for everything except insulin, syringes, and glucagon. We can get alcohol swabs, ketone strips (blood and urine) and test strips through them with no coinsurance, copay, or deductible. They bill through durable medical (DME), if your insurance has a fairly low deductible. Worth checking into.
     
  15. curediabetes14

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    We also pay at least $400 per month for our dd's supplies. That includes insulin, test strips, pump supplies, cgms supplies and pump payment. No doctors fees or any of the over the counter supplies included in that amount.

    I have looked everywhere for help, but they say that my husband and I make too much money.

    If anyone has found a place to get financial help please let me know as well.
     
  16. Abbysmom

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    Do you have a Special Needs Fund were you are?

    In Indiana we can get Children with Special Health Needs. The limit for a family of 5 in Indiana is about $75,000 a year.

    They are not insuarance but a fund that pays the costs associated with diabetes after insuarance. So they will pay all our co-pays related to diabetes, a dental visit, specialist for her eyes, some ped visits, encrinology, etc.

    Also medicaid runs a childrens health insuarance program that is exptremely afforadble with great coverage. Income limits are higher than you might think.

    We are self-employed and uninsurable and had never had any health insurance before Abby go sick. It was very hard to except help but there are no other options available for us. Not yet anyways.
     
  17. dqmomof3

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    In NC, there is a high risk health insurance option. You are only eligible, though, if you are not eligible for any group health insurance policy. There is no income limit at all. I just found out about it a couple of months ago and am in the process of getting Jayden approved. If you have everything in by the 15th of the month, your coverage can begin the first day of the next month. I am aiming for August 1 as a coverage date. The premium for her will be $200 a month. There are copays and such after that...I think the endo is $40. Insulin is $35 (I think), and I don't know about pump supply coverage yet.

    www.inclusivehealth.org, I think, is the website. If that doesn't work, you can google North Carolina high risk pool and it will come up.
     
  18. Lisa P.

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    We resigned ourselves long ago to the sad fact that this is going to have to be part of our budget from now on. We can mitigate it, but just like we need food, water, electricity, roof over our heads, we now need insulin and supplies. :( Hope you can find a way to make the costs something that won't break you, it's a bear. I try to take it as just "that's life, everybody has something to deal with, this is just our something" but then I wonder, if we put $200 to $400 every month into a retirement account or a college fund -- or Vegas. . . . ... .:p
     
  19. Lee

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    I was going to suggest this as well - we use them for everything but Insulin - they even send me two glucagon kits a year!

    Why don't you use them for syringes?
     
  20. spamid

    spamid Approved members

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    We can't use them for syringes, as they are considered prescription for our insurance (Blue Cross PPO =). I'm not complaining!
     

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