Part D Notes 2025

[MSLLC]

yeah, finding which insulin combo works is fun. a lot of trial and error.

 

[FMOadvisor]

VTAMA 1% cream. Not covered by anyone, is anyone having any luck getting formulary exceptions?

 

[kgmom219]

wellcare and albuterol HFA, only the smaller sizes are covered. not the 18gm

Both of these are GoodRX all the way

 

[annon123]

Both of these are GoodRX all the way

Look at SingleCare too. They can beat GoodRx.

 

[somarco]

Look at SingleCare too. They can beat GoodRx.

Depends on the pharmacy . . .

 

[kgmom219]

yeah, finding which insulin combo works is fun. a lot of trial and error.

Don't forget that Novo/Huma are interchangeable

 

[kgmom219]

VTAMA 1% cream. Not covered by anyone, is anyone having any luck getting formulary exceptions?

Its so new, it may be that its not showing covered because the NDC isn't in there.

 

[kgmom219]

Eye Drops are showing significantly higher on mail order for Cigna. Weird.

 

[kgmom219]

Myrbetriq has gone generic and it is available at the pharmacies.

The generic is loaded at Medicare.gov but none of the plans have loaded the information for pricing.

 

[LostDollar]

Myrbetriq has gone generic and it is available at the pharmacies.

The generic is loaded at Medicare.gov but none of the plans have loaded the information for pricing.

For BCBSKS PDP I can't tell if the plan finder pricing is for Myrbetriq or Mirabegron.

If I have the right formulary, the formulary says this:

MYRBETRIQ- mirabegron tab er 24 hr
25 mg, 50 mg

on tier 2

The formulary has no line listing for Mirabegron.

Then

planfinder shows a price of $1500-1700 on tier 3 for Myrbetriq
(And not covered prices of $5K-$7K for Mirabegron)

(and if this messes up thread flow and you want it deleted, tell me.)