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Medco Insulin Co-Pay Skyrocketing

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#1
Just_Plain_John

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Does anyone have problems with Medco's prescription drug program ? My co-pays for Lantus are now costing MORE than the "maximum payment" listed for the most expensive drug level ?!?!

It's not written down in any of my UHC group plan info, and certainly not on anything I signed...and currently I can't get in touch with them.

Anyone else have similar sky-high copays ?

I understand about agreements with certain manufacturers, and that those products have lower prices...I'd just like to get them to abide by their pricing agreement...and I can't currently do without the Lantus (pumping soon, but not yet !).

Any suggestions ?

#2
Clint

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I pay $30 for my lantus...
T1 since 5/99 - new MM 722 & CGMS (hopefully) on the way
Last A1C - 9

#3
jen_slc

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Do you do the 3-month mail order program? Could it be that you use Lantus cartridge pens?

I use vials and participate in the mail order program, and so far my Lantus has cost me $46 for 3 vials, which lasts me 3 months. I need to refill that prescription soon so I hope they haven't changed anything!

I'm looking on their website right now and assuming you use 1 vial per month, it costs $46.32 for a 90 day supply of Lantus via mail order, and $25.00 for a 30 day supply via local pharmacy. 1 pack of Lantus Cartridges (3ml x 5) costs $94.37/3 months by mail order and $35.02/month by local pharmacy.
T1 20 years, on Lantus, Apidra and Regular.

"Nothing shocks me. I'm a scientist."

#4
notme

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John unfortunately it is not Medco, but the contract your insurance company has with Medco. I had the same thing happen last year. The problem was that the insurance company renegotiated the contract and my co-pay increased. I would contact your employer or your spouses employer and find out what is up. You should have the same co-pay that you signed up for at open enrollement.
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#5
JasonJayhawk

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I had Medco last year, and it was $50 for a 3-month supply.

The company I was with changed their contract for this year, changing the cost to be 50% of their cost (about $120 for a 3-month supply). For test strips and the rest of my insulin, and family medications, it was equivalent to about $4K pay cut, so I quit to finish my Master's degree. :ridinghor

It's your company's fault -- not Medco. Medco does the service, but they don't decide the prices.

#6
kgm0612

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I also have Medco under United Health. I purchase my test strips and pump supplies through Focus Pharmacy. They accept the 80% as full payment. They do not bill you the 20% co-pay.

I was paying a $12 co-pay for my vials of Novolog. It has now dropped down to $5 for two vials.

Karen

#7
Lynne1

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I also have Medco under United Health. I purchase my test strips and pump supplies through Focus Pharmacy. They accept the 80% as full payment. They do not bill you the 20% co-pay.

I was paying a $12 co-pay for my vials of Novolog. It has now dropped down to $5 for two vials.

Karen


Thanks for the info. I use Medco now and I'm going to call Focus asap!




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