Paying for Zytiga in South Carolina - Advanced Prostate...

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Paying for Zytiga in South Carolina

Unusualmint45 profile image
25 Replies

I'm considering moving to South Carolina and I would like to know if anyone might know if there are any supplimental drug programs that might cover drugs like Zytiga in that state.

I live in NY and I now have a program called EPIC( Elderly Pharmaceutical Insurance Coverage Program). After paying a deductible my costs are greatly

reduced for the remainder of the year.

Thanks

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Unusualmint45
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25 Replies
3putt profile image
3putt

I’m curious, how much do you pay for zytiga in NY? It appears EPIC is an awesome plan.

Unusualmint45 profile image
Unusualmint45 in reply to3putt

Hi 3putt ---You are right. I now have(EPIC PLAN) to pay a deductable based on my income in NY. This year my total deductible was $2300.00 and, then my monthly payments for the rest of the year is $20.00/mo. I'm now trying to find out what SC offers. I am retired and now on medicare/ plus BC/BS advantage plan in NY. I'm trying to get a BC/BS PPO plan in SC in which I can get my Zytiga through Duke Pharmacy. I'M not moving until I know what that cost would be.

Unusualmint45.

Frank

leo2634 profile image
leo2634

I assume you are on Medicare too if so start an email link with Fund Finder they direct you to open grants to assist in drug costs. They have been a Godsend to me.

Unusualmint45 profile image
Unusualmint45 in reply toleo2634

Thanks Leo, I'll look into Fund Finder.

Unusualmint45 profile image
Unusualmint45 in reply toUnusualmint45

Yes I'm on Medicare plus a supplemental(BC/BS) and EPIC requires you also have Part D.

Frank

leo2634 profile image
leo2634 in reply toUnusualmint45

I have Aetna Avantage plan, Medicare, and grants from PAN

I pay nothing after all is accounted for. Truly blessed for my Doctor and his staff they took care of everything for me.

Unusualmint45 profile image
Unusualmint45 in reply toleo2634

Yes I'm on Medicare plus a supplemental(BC/BS) and EPIC requires you also have Part D.

Frank

3putt profile image
3putt

Not yet but soon.

Break60 profile image
Break60

I live in SC. Assuming you’re on Original Medicare you of course need to get Plan D (prescription) coverage. My plan D ( Silverscript with CVS Caremark ) would cost me $703 per month for 60 500 mg pills ( two daily) which is 6% of the actual cost.

You need to shop around for the best plan for you.

Unusualmint45 profile image
Unusualmint45 in reply toBreak60

What supplimental Insurance do you have? I'm looking into a plan BC/BS PPO

and possibly going to a Dr. at Duke, then getting my Zytiga through them??--Speciality Pharmacy

Frank

Collarpurple profile image
Collarpurple in reply toUnusualmint45

Sometime Hospitals medicine is more expensive we have United healthcare plan F and part D

Unusualmint45 profile image
Unusualmint45 in reply toCollarpurple

May I ask what assistance you receive. What is plan F?

Supposedly, Duke has copay-assistance. Once I get an appointment with Dr. at Duke I will

find out what I would qualify for

Thanks all for feedback.

Frank

Break60 profile image
Break60 in reply toUnusualmint45

I have Mutual of Omaha plan G for part B supplement. As I said, Part D is through Siverscript .

Collarpurple profile image
Collarpurple in reply toUnusualmint45

AARP UnitedHealth careSupplement in plan F.

We have paid nothing for MRIs and scans doctor visits any shots done in the doctors office now the prescription plan is plan D

We passed the gap about of 5,200

But that’s the same plan for everyone lucky for Pan foundation money cover that 5,200

annjohannsen profile image
annjohannsen

Call Johnson & Johnson direct 1-800-652-6227. It was a very easy process for me and we receive Zytiga for free.

Break60 profile image
Break60 in reply toannjohannsen

Why is it free?

annjohannsen profile image
annjohannsen in reply toBreak60

I guess they base it on income tax filings. They asked for lines 7, 5a and 5b. We also have Part D which might have been a factor. J & J has been a very nice company to work with.

Break60 profile image
Break60 in reply toannjohannsen

I guess you’re correct. Thanks

Unusualmint45 profile image
Unusualmint45 in reply toannjohannsen

Thanks, I will give it a try. Is J&J somehow associated with Janssen Biotech? The company that produces Abiraterone.

Collarpurple profile image
Collarpurple

Go on Fund finder look at which one you Qualify for based on your gross income

If none are accepting set up your phone to alarm you when a grant opens and call right away. We have pan and they have been a blessing

Bentot profile image
Bentot

panfoundation.org/index.php... paid for my Xtandi for a few months, and was arranged through my Urology of Virginia doctor and his staff. When that ran out, the VA picked up the full cost. The Veterans Admin sends me Xtandi by mail, refillable online through myhealth.va.gov/mhv-portal-...

Unusualmint45 profile image
Unusualmint45 in reply toBentot

Bentot, if I might ask, I'm also a veteran and receive compensation due to my time in Vet Nam. Do you qualify for meds by the same tedious process in order to receive compensation?

Collarpurple profile image
Collarpurple

Being a vet you should get your med free or at very low cost

Bentot profile image
Bentot

The VA sent me this with my first refill: "For online help:

Monday-Friday, 8:00 a.m.- 8:00 p.m. (ET)

My HealtheVet call 1-877-327-0022 or 1-800-877-8339 (TTY)

vets.gov call 1-855-574-7286 or 1-800-829-4833 (TTY)

For prescription questions, contact your local VA Pharmacy using the phone and prescription number listed on your prescription label.

For additional information on VA Pharmacy Services, please go to pbm.va.gov/ "

As I recall, when I visited my VA Primary Care Physician, he honored the prescription from my civilian oncologist. I also understood that I could have sent my PCP the prescription and copy the VA pharmacy.

The online refill service works like a charm:

myhealth.va.gov/mhv-portal-...

Best of luck!

Ben

Unusualmint45 profile image
Unusualmint45 in reply toBentot

Ben, great information, thanks alot, I contacted the VA yesterday. I found out that I'm considered a Priority Group 1. I've got and appointment to talk to Dr. and a pharmacist.

Mucho thanks again!

Frank

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