Does anybody know if Zytiga is covered under Medicare
Zytiga: Does anybody know if Zytiga is... - Advanced Prostate...
Zytiga
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It is but the copays are very high, and I guess it depends on what drug coverage you have. Message me if you would like more details. George
Yes, it is covered if the cancer is metastatic.
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Would you know what the cost might be. I’ve heard $1500.00 a month
Here they explain:
goodrx.com/zytiga/medicare-...
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My concern is even though I’m 72 years old, I’m still employed and have insurance coverage from my company. When I sign up for Zytiga they told me I could not use any other way to pay for the drug. So now after 3 months on the drug I’ve decided to retire and I’m concerned about what will happen with my co-pay.
I think it depends if you have a pension plan or not. If you have a pension plan it may include an insurance which in general complements Medicare. If you retire and you do not have a pension plan I believe you will be 100% responsible for paying the co-payments required by Medicare.
There is strong rumor that Zytiga will be going "generic" sometime this year so we will be able to access Aberatirone at a much more afordable cost. When that will be I don't know.
When I read posts like this, it saddens me you have no national healthcare like the rest of the civilised world. How the hell has this happened? Why do you stand for it? Our NHS pays for our drugs, and they always force the drug price down as they are a large buyer, just like a supermarket chain. You will never drive prices down whilst insurance companies are paying on an individual basis.
Good luck with the Zytiga though, it’s a great drug.
Martin
But Martin, the NHS initially refused to pay for Xtandi. Later, when J&J lowered the price, they allowed it for mCRPC cases that had failed chemo. More recently, they have added that Zytiga must be used first.
In the U.S., men aged 65 & up are covered by Medicare, which is somewhat more flexible.
-Patrick
Good Morning Andrika,
I started Zytiga with Prednisone in 1/13 just as it was FDA approved prechemo. At the time I was 65, retired, and my previous employer provided a commercial drug plan so I could use a Zytiga coupon for very minimal monthly cost.
Later my previous employer cancelled our commercial drug plan and I enrolled in a Humana WalMart Medicare Plan F supplemental drug plan. Once I blew through the deductible, easy to do with Zytiga retailing for $10,000/month, my copay was 5%.
Humana has been wonderful for me--retail drug costs for me in 2016 were $312,000, but my copay was $20,000. My previous employer has a catastrophic drug plan which reimbursed me for every out of pocket dollar over $5000. Monthly Humana premiums were about $18.00/month. Worked extraordinarily well for me.
Best wishes. Never Give In.
Mark, Atlanta
Hi Mark, the retail price in the UK for Zytiga is £2840 per month. If it’s $10,000 in the USA, that’s profiteering on a massive scale. They should be ashamed of themselves.
In Canada, Zytiga costs CA $10,000.00 a month!!
It is and the donut hole is slowly closing so copay is coming down and when you reach the out of pocket max which you will quickly your copay is low! Good news
Bob
Glad I’m not in the insurance game. My co-pay for zytiga (when I was taking it) was $11.00. I’m in the VA health care system.
It is covered under part D of Medicare but the copays are very high. Check with your doctor or the company itself. They may be able to help with costs.
I am on Zytiga and the monthly cost is $9,000.00 a month. My part D drug ins. covers most of it. But due to a divorce that about wiped me out I have Medical assistance to help me with the costs.
Are you talking about Medicaid or Medicare