Erleada (apalutamide) dosage

[icanwintwice]

Erleada is costing 17K plus per month now. My insurance company has taken the opportunity to say that since I have enlisted in Medicare Part A and Part B and haven't coordinated my benefits (COD) then they aren't paying. wow.

Due to having my own policy Medicare is definitely my primary. My other policy is secondary. My insurance has been great up until recently. Who coordinates benefits with Medicare? Me or the Insurance company?

Also, I have found 240mg samples available of Erleada. I am currently on 4- 60mg tablets daily. Does it matter if you take 1 240 mg tablet vs. 4 60mg tablets?

Hoping to work out the insurance issues soon. But def in crisis mode!

Thanks guys

[tango65]

You need to get Medicare part D to pay for Erleada. If you do not have Medicare part D you have to pay for all your meds.

[icanwintwice in reply to tango65]

thanks

[Hidden in reply to icanwintwice]

Pills are Part D. If you ever get injectable cancer meds, that goes to Part B with a 20% co-pay, unless you buy into a Part G

Are you new to Medicare? Did you not choose a Part D when eligible? Look up penalties.

[No17]

Sorry to chime in. But 17 k a month! it's 3800 $ Cdn per month here upn North before insurancekicks in , same product and quantities... Sorry , for the interruption. I am having insomnia..another Erleada side effect. Good luck with your insurance issues

No17

[Mcrpca]

I can’t help with the insurance issues, but four 60mg tablets is identical to one 240mg tablet.

[icanwintwice in reply to Mcrpca]

I can do the math on the tablets...just wondering if it makes any difference....

[Mcrpca in reply to icanwintwice]

None whatsoever. With some medications cutting them in half produces a variable dose in each half and is not recommended. Smaller doses added together are fine. Sorry if I misunderstood the question.

[Concerned-wife]

this link has info and a number to call with questions. I think you just need to perhaps help the providers know who to bill first.

medicare.gov/supplements-ot...

[icanwintwice in reply to Concerned-wife]

yes!! it has to do with coordination of benefits. thank you

[icanwintwice in reply to Concerned-wife]

thank you ....very helpful!!

[Concerned-wife]

empr.com/home/news/new-tabl...

[Tjc1]

Maybe try getting a grant from the manufacturer. That's what I do with Xtandi that was 10,000 a month last I checked. My MO has a social worker that set it up for me. Unless your Super rich who could afford it?

[icanwintwice in reply to Tjc1]

thanks, I have heard about those and when I started I almost did that. Looks like Im back at it....

[SteveTheJ]

See if you can get in the Janssen discount program. With Medicare I'm not sure but you should try.

[GoLowPSA]

I am on the Janssen discount program- it will not work with Medicare.......only if you have private insurance.

[icanwintwice in reply to GoLowPSA]

thanks