keytruda new lung cancer med

Apr 16, 2018

  1. PhxSunsFan
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    PhxSunsFan Expert

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    In CA, anthem covers this med at 33% its a 100k drug. are there other part d carriers that offer in a lower tier?
     
  2. vic120
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    vic120 Guru

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    "its a 100k drug"

    does not matter they will be in the catastrophic stage in the first month
     
    vic120, Apr 17, 2018
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  3. bluediamond
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    bluediamond Guru

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    I had a friend on immunotherapy and it's done normally at an infusion center and fell under Part B. Unless Medicare has changed something in the past year it has always fallen under Part B and on a MAPD depending on your coverages you would normally have to pay 20% but also can get help from manufacturer which my friend did, met his MAPD max oop be the extra help and never paid a dime after his first initial doctor visit except for prescriptions.
     
  4. DS4
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    DS4 Guru

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    Here is a Medicare Plan Finder for keytruda
     

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    DS4, Apr 17, 2018
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  5. somarco
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    somarco That Medicare Guy

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    (2016) The new immunotherapy drugs from Bristol-Myers Squibb (BMY) and Merck (MRK), such as Opdivo, Keytruda and Yervoy, also are covered by Part B, but Yee argued that they aren't chosen for price reasons.
    Medicare Part B Changes Could Hit Big Biotech Drugs, Say Analysts | Investor's Business Daily


    As a general rule, drugs that patients can inject on their own without help from a doctor or nurse, or that are not taken as part of chemo are covered under Part D.
    Special things people with cancer need to think about
     
    somarco, Apr 17, 2018
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  6. rousemark
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    rousemark Still Here!

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    Another reason why a good cancer plan could be very handy. Especially if one that has benefits for Immunotherapy.
     
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