Optum Rx no longer covers Lynparza as of Jan 1 2021

[HopingForTheBest1]

Got a letter yesterday that Optum Rx, my Medicare prescription plan, will no longer cover my Lynparza med. Have been on it for almost 2 years with no out of pocket costs, and has been very effective in controlling my PSA. Now I will apparently be subject to a retail price of over $13,000 per month???? How in the world is anyone expected to afford that? And even after recent FDA approval? Can't believe it.

Astra Zeneca does offer a subsidy program for patients whose joint income is less than $82,300 per year. I will pursue it.

[Hidden]

Sorry to read this. Hope you can find financial assistance.

[Fightinghard]

Worth a try - If not already done, ask your MO to contact the insurance provider and explain/support your request for exception to policy.

[Magnus1964]

You could Sign Up For MyLYNPARZA. Patient Support Program. See you MO or Uro.

[HopingForTheBest1]

That site does not allow me to sign up because it is for ovarian or breast cancer patients only.

[Pleroma]

Would you consider trying the other FDA approved PARP inhibitor: rucaparib?

What about switching to Nubequa?

[Hidden]

I hope you find an acceptable resolution to your problem.I had a bad experience with Optum. They really dragged their feet on approving eligard for my treatment. I had to get on the phone for more than an hour with my medicare plan F provider to resolve the issue. There was absolutely no reason or excuse for their lack of action. It left a bad impression. I will never select Optum in the future, ever.

[j-o-h-n]

Did they give you a reason why they are stopping?

$13,000 per month ain't chickenfeed.... ($156k per year)...

I am not against big pharma but AstraZeneca and your Optum Rx medical coverage plan are just fucking crazy......

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 12/31/2020 4:55 PM EST

[HopingForTheBest1 in reply to j-o-h-n]

We all know the reason - save money at the cost of people's lives.

[j-o-h-n in reply to HopingForTheBest1]

Where's the unabomber when we need him?...........

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 12/31/2020 7:02 PM EST