I am currently working with a referral from a long time client. Husband will T65 in July, wife (age 62) retiring in August. Husband has a variety of ailments and has a daily Rx regimen of 10 different medications. Most are low cost generics but two are high priced brand name only meds and a third has an affordable generic version but it is not on any formulary.
We are wrestling with ways to bring down the cost of Eliquis and Otezla.
I found solutions for Eliquis but Otezla is tough. After spending almost an hour looking for solutions I emailed the Rx report and it floored him. Otezla would cost almost $2500 for July through December.
His wife is handling most of the dialogue and told me a friend said if the doctor writes a note, saying Otezla is the only drug that works for him, the price will come way down. My response is below . . .
You have been given several reports, including the StrategiesForRx outline for your 3 most expensive meds. There are less than 200 agents nationwide who have access to that report and only a few live in Georgia.
You also have been given the link to NeedyMeds so you can do your own research if you choose.
The Otezla manufacturer can not provide financial assistance for people on Medicare, only for those covered by an employer group health insurance plan or Obamacare. These are rules laid out by CMS, not something the manufacturer decided on their own.
Drug manufacturers of high priced medications are given tax breaks and incentives from the IRS which allows them to heavily discount medications to people who are not covered by Medicare. However, those incentives and tax write offs disappear when you leave an employer group plan, or Obamacare, and enroll in Medicare.
There are currently 3 grant programs for Otezla users and the accessibility varies according to the underlying diagnosis. Only two of the grants are for folks with plaque psoriasis, and both are closed at this time until they get additional donor funding. Grants do not receive taxpayer funds, they rely on donations from individuals and corporations.
The FDA has not approved Otezla for "general" psoriasis, only for plaque psoriasis.
The Food and Drug Administration (FDA) approves prescription drugs such as Otezla to treat certain conditions.
Otezla is FDA-approved to treat three conditions in certain adults, which are described in more detail below:
plaque psoriasis
active (currently causing symptoms) psoriatic arthritis
mouth ulcers caused by Behçet’s disease
For plaque psoriasis and psoriatic arthritis, Otezla is often used in combination with other medications such as methotrexate (Otrexup, Rasuvo, Trexall, others), sulfasalazine (Azulfidine), leflunomide (Arava), or others.
Your options are limited.
Pay for Otezla out of pocket and find a pharmacy that can fill your prescription. Otezla is an LDD drug and only available in a few pharmacies.
Order the generic form (apremilast) from Canada with your doctor's approval and willingness to provide a new prescription for the Canadian pharmacy.
Ask your doctor for a more common, and lower priced prescription.
This morning I received the following from his wife.
Bob,
I put a call into our doctor about the #Otezla and am waiting to hear from her, hopefully today. I will keep you posted.
Thank you,
This is all about establishing a level of TRUST with your prospect or client.
We are wrestling with ways to bring down the cost of Eliquis and Otezla.
I found solutions for Eliquis but Otezla is tough. After spending almost an hour looking for solutions I emailed the Rx report and it floored him. Otezla would cost almost $2500 for July through December.
His wife is handling most of the dialogue and told me a friend said if the doctor writes a note, saying Otezla is the only drug that works for him, the price will come way down. My response is below . . .
You have been given several reports, including the StrategiesForRx outline for your 3 most expensive meds. There are less than 200 agents nationwide who have access to that report and only a few live in Georgia.
You also have been given the link to NeedyMeds so you can do your own research if you choose.
The Otezla manufacturer can not provide financial assistance for people on Medicare, only for those covered by an employer group health insurance plan or Obamacare. These are rules laid out by CMS, not something the manufacturer decided on their own.
Drug manufacturers of high priced medications are given tax breaks and incentives from the IRS which allows them to heavily discount medications to people who are not covered by Medicare. However, those incentives and tax write offs disappear when you leave an employer group plan, or Obamacare, and enroll in Medicare.
There are currently 3 grant programs for Otezla users and the accessibility varies according to the underlying diagnosis. Only two of the grants are for folks with plaque psoriasis, and both are closed at this time until they get additional donor funding. Grants do not receive taxpayer funds, they rely on donations from individuals and corporations.
The FDA has not approved Otezla for "general" psoriasis, only for plaque psoriasis.
The Food and Drug Administration (FDA) approves prescription drugs such as Otezla to treat certain conditions.
Otezla is FDA-approved to treat three conditions in certain adults, which are described in more detail below:
plaque psoriasis
active (currently causing symptoms) psoriatic arthritis
mouth ulcers caused by Behçet’s disease
For plaque psoriasis and psoriatic arthritis, Otezla is often used in combination with other medications such as methotrexate (Otrexup, Rasuvo, Trexall, others), sulfasalazine (Azulfidine), leflunomide (Arava), or others.
Your options are limited.
Pay for Otezla out of pocket and find a pharmacy that can fill your prescription. Otezla is an LDD drug and only available in a few pharmacies.
Order the generic form (apremilast) from Canada with your doctor's approval and willingness to provide a new prescription for the Canadian pharmacy.
Ask your doctor for a more common, and lower priced prescription.
This morning I received the following from his wife.
Bob,
I put a call into our doctor about the #Otezla and am waiting to hear from her, hopefully today. I will keep you posted.
Thank you,
This is all about establishing a level of TRUST with your prospect or client.
