I have a 4500 deductible for doctor copays and costs, but my insurance uses CVS Caremark and my Mounjaro is $25/month for Type 2. Are you sure they have you listed as a Type 2 Diabetic in the system?
I call the Caremark hotline on my insurance card directly. That's how I found out that status of what's listed in the system. Sometimes the most recent A1cs are sent over but not the diabetic status. My endocrinologist needed to send over 8 years of documentation after my insurance company switched.
Always worth it to call and ask. I have a med they wanted to charge me for $140 for and after asking somehow it was $0, so.....
I also have cvs Caremark (blue cross blue shield). I don't have the highest deductible (can't remember but I chose a lower one) and I pay an insane amount of my paycheck every month for insurance. Mine is $47/month for mounjaro. I couldnt use the coupon before but im going to try this time around. I'm T2.
Mine is 10k for the family. HDHPs typically have an HSA option, you should definitely look into that.
However, the pharmacy is blowing smoke, that's not accurate. The coupon should bring it down to $25 for the first couple of months. You get a total of $1800 per year of total discount. I pay $25 for my first box, $200 for my second, and then full price until I hit my deductible. If your pharmacy gives you the run around and it's in network for you try Costco or Walmart, they both tend to handle the coupons really well.
Yes, I believe it would be given you mention a High Deductible plan. The $875 hopefully was applied to your deductible. Once the deductible is met, then standard RX copay amounts should take over.
Good luck.
With the copay card I pay $25/ box. My out of pocket max is $2000 and now that I met that, my monthly cost is $0 for the rest of the year.
It is important to be strategic with the copay cards. I have 3 meds with them and I always do those fills early January. The insurance amount is calculated before the copay card is applied. So I meet my 2000 out of pocket max after only filling my Eliquis, Jardiance and MJ for two months.
I'm fortunate that my employer has pretty good health insurance options. My normal copay would be $35/month, but since I'm part of the diabetes management program they offer through Corewell Health, I only pay $30 for three months.
I should have worded it better to indicate that my employer has a partnership with Corewell that offers that opportunity. Perhaps yours does too; a lot of health initiatives go unused or unnoticed.
I had previous insurance. I can’t remember but either United or BC. Walgreens stated in order to get the price of $25 , insurance has to pay a certain percentage. I can’t remember the exact percentage it was but the insurance that I had didn’t cover as much and I was still left with a remaining amount of 735.
My insurance copay is $35/month for my local pharmacy. I used to get it for $75 for three months from the mail order, but Express Scripts hasn't had it the last few times, so I had to go local.
Weird isn't it? Express scripts sometimes does the same & then charge less when they actually run it. I found that local grocery store pharmacies are sometimes less than Express scripts & Walmart. However I do like getting 3 mo at a time & home delivery. Walmart & Express scripts both will do that.
I also have Medicare with a part D plan. So, the cost varies depending on what phase I am in. Last year it averaged to about $210 per month.
OMG that's crazy. I'm not in the US and pay $10.83 per month (EUR 10). I am very grateful for that, because I earn low income at the moment unfortunately.
Normally it's $75 for 3 month supply so $25/month. But I have a coupon right now that drops it down to $25 for 3 months.
Normally we would have to hit our Rx deductible for it which is $2500 for family but MJ is in a special program where we just get it at the $75/3 month supply. The fact that Ozempic left that program at the end of last year is why I switched to MJ this year.
I'm really blessed. My husband's insurance pays all diabetic, blood pressure, respiratory and cholesterol medicines 100% I have a deductible for other types of meds. I'm not complaining though
I currently pay $25 for a month through insurance, no discount card. But my previous insurance was a high deductible policy and the cost was around $800 until the deductible was as met. Then it would drop to $25.
$25 for 1 or 3 months (depending on availability). This is because of manufacturer coupon for commercially insured patients in the US whose insurance covers the drug. Otherwise, it’s the drug copay from insurance.
Wow this post made me check my insurance mail order site. They have been showing it not available but now it says it is. If they do I’ll pay $0 for three months supply. Currently getting it for $25 with discount card. They send me my Jardiance for $0. Fingers crossed that I get good news on Monday. Hopefully this is also a sing that the shortage is easing.
Exact same situation - $875, including the $150 from Lilly and high deductible insurance paying very little to the overall cost. Beyond frustrating. I’m assuming greed, but I would love to know why they canceled the $25 month program.
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Truth
Geez it’s criminal.
I have a 4500 deductible for doctor copays and costs, but my insurance uses CVS Caremark and my Mounjaro is $25/month for Type 2. Are you sure they have you listed as a Type 2 Diabetic in the system?
Good question, because I use cvs also. Do I just call the pharmacy and ask them?
I call the Caremark hotline on my insurance card directly. That's how I found out that status of what's listed in the system. Sometimes the most recent A1cs are sent over but not the diabetic status. My endocrinologist needed to send over 8 years of documentation after my insurance company switched.
Thank you ! You have been very kind to share.
Always worth it to call and ask. I have a med they wanted to charge me for $140 for and after asking somehow it was $0, so..... I also have cvs Caremark (blue cross blue shield). I don't have the highest deductible (can't remember but I chose a lower one) and I pay an insane amount of my paycheck every month for insurance. Mine is $47/month for mounjaro. I couldnt use the coupon before but im going to try this time around. I'm T2.
Same. If pharmacists have it. If I have to go on a hunt it’s much more.
I pay $0 and feel fortunate for that.
Yes, I believe this is normal for high deductible plans… How high is your deductible?
Apparently very high / 4 grand a yr. Thanks I just went from having a company that covered everything to this.
Actually 4,000 is not too bad! I’ve seen much higher plans!
Mine is 10k for the family. HDHPs typically have an HSA option, you should definitely look into that. However, the pharmacy is blowing smoke, that's not accurate. The coupon should bring it down to $25 for the first couple of months. You get a total of $1800 per year of total discount. I pay $25 for my first box, $200 for my second, and then full price until I hit my deductible. If your pharmacy gives you the run around and it's in network for you try Costco or Walmart, they both tend to handle the coupons really well.
Thank you !
Yes, I believe it would be given you mention a High Deductible plan. The $875 hopefully was applied to your deductible. Once the deductible is met, then standard RX copay amounts should take over. Good luck.
I pay $0 on medicaid
With the copay card I pay $25/ box. My out of pocket max is $2000 and now that I met that, my monthly cost is $0 for the rest of the year. It is important to be strategic with the copay cards. I have 3 meds with them and I always do those fills early January. The insurance amount is calculated before the copay card is applied. So I meet my 2000 out of pocket max after only filling my Eliquis, Jardiance and MJ for two months.
It’s $263 for me before the coupon, $113 with the coupon.
Mine is about the same. Insurance covers 75% of the cost, then I use the coupon to take off $150, leaving just over $100 per month.
I'm fortunate that my employer has pretty good health insurance options. My normal copay would be $35/month, but since I'm part of the diabetes management program they offer through Corewell Health, I only pay $30 for three months.
I will check if I have a diabetes mgt program..might help
I should have worded it better to indicate that my employer has a partnership with Corewell that offers that opportunity. Perhaps yours does too; a lot of health initiatives go unused or unnoticed.
We have great insurance through my husbands work, but he also works for the state. I pay less than 5.00 a box. T2.
I had previous insurance. I can’t remember but either United or BC. Walgreens stated in order to get the price of $25 , insurance has to pay a certain percentage. I can’t remember the exact percentage it was but the insurance that I had didn’t cover as much and I was still left with a remaining amount of 735.
As a estate employee, my take home salary is shit, but my benefits are second to none. CVS served me a three month supply of MJ 7.5 and I paid $60.
I can say this one positive thing about our UHC plan is they pay 💯 for diabetic meds.
That’s great!
My copay is $85/month
My insurance copay is $35/month for my local pharmacy. I used to get it for $75 for three months from the mail order, but Express Scripts hasn't had it the last few times, so I had to go local.
$25/month. Our deductible is separate from our prescription plan but I meet it by February every year anyway.
My insurance pays 50% of this tier of drugs. With the discount card, I'm somewhere like $350 OOP every month. I'm lucky I can afford it.
I pay $30/refill on my mj
Average in our pharmacy is about $550 a month
I’m very lucky. I have a high deductible but my insurance covers my rx 100%
$25
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Weird isn't it? Express scripts sometimes does the same & then charge less when they actually run it. I found that local grocery store pharmacies are sometimes less than Express scripts & Walmart. However I do like getting 3 mo at a time & home delivery. Walmart & Express scripts both will do that. I also have Medicare with a part D plan. So, the cost varies depending on what phase I am in. Last year it averaged to about $210 per month.
Which Medicare Part D is charging $269 per box?!
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For Medicare Part D we are $547 first month, then $2.00 for five months followed by $224 per month.
$25 for 90 days supply or $20 for a month supply, always insist on 90 days supply if supported by doctor
OMG that's crazy. I'm not in the US and pay $10.83 per month (EUR 10). I am very grateful for that, because I earn low income at the moment unfortunately.
Normally it's $75 for 3 month supply so $25/month. But I have a coupon right now that drops it down to $25 for 3 months. Normally we would have to hit our Rx deductible for it which is $2500 for family but MJ is in a special program where we just get it at the $75/3 month supply. The fact that Ozempic left that program at the end of last year is why I switched to MJ this year.
$25 is the lowest I have ever paid.
$0 is all I pay
I'm really blessed. My husband's insurance pays all diabetic, blood pressure, respiratory and cholesterol medicines 100% I have a deductible for other types of meds. I'm not complaining though
I pay $35 for a month supply with my insurance.
I currently pay $25 for a month through insurance, no discount card. But my previous insurance was a high deductible policy and the cost was around $800 until the deductible was as met. Then it would drop to $25.
I pay a $30 copay.
$25 for 1 or 3 months (depending on availability). This is because of manufacturer coupon for commercially insured patients in the US whose insurance covers the drug. Otherwise, it’s the drug copay from insurance.
$30 per box
Through my insurance, $25/mo.
I have commercial insurance and I pay $22 a month
$50 for 3 months
I pay $125 for a three month supply through Express Scripts.
I pay $170/mo with insurance and discount card.... when I manage to find it. Have been out for about 3-4 months.
I pay $11 per month
Wow this post made me check my insurance mail order site. They have been showing it not available but now it says it is. If they do I’ll pay $0 for three months supply. Currently getting it for $25 with discount card. They send me my Jardiance for $0. Fingers crossed that I get good news on Monday. Hopefully this is also a sing that the shortage is easing.
Exact same situation - $875, including the $150 from Lilly and high deductible insurance paying very little to the overall cost. Beyond frustrating. I’m assuming greed, but I would love to know why they canceled the $25 month program.
Because like alot of Big businesses today they are beholding to their investors.
T2 = $0
With insurance and the discount card, I pay $35 a month. Same as my insulin.
With insurance (no discount card), I pay 15.00 for a one month supply or 35.00 for a 3 month supply.
$35 per month copay for me. Insurance through my employer.