what to do when Subsidy by Drug maker is not transferable to medicare?

sam816

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I have a prospect who is new to Medicare. She is taking Vemlidy which is a tier 5 and the full cost is about $1000/month, with an MAPD plan her copay will be around $300/month before the gap.

She says her copay for this drug is only $40/month when she uses the group coverage offered by her current employer. After a little digging I found out she is actually getting some kind of subsidy from the pharmaceutical, she recognizes this card:

VEMLIDY® (tenofovir alafenamide) | Savings and Support

the problem is:

"If you are enrolled in a government healthcare program, such as Medicare Part D or Medicaid, you are not eligible. This includes when you are in the Medicare Part D coverage gap known as “the donut hole.” "

I told her go back to her specialist and check if there are other ways of saving, but what can you do to help a prospect in a similar situation?

TIA.
 
Buying from a Canadian Drug Store might be the best option in this situation. If you come across other situations where people are paying a high price for their prescriptions you can see if they qualify for any patient assistance programs. Some great websites to check out are:

www.goodrx.com
www.needymeds.org
 
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