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Old 06-06-2014, 12:03 PM   #1
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ISO low-cost prescription site

The person who said getting old wasn't for sissies was totally correct.

Last month I had the privilege(?) of achieving Medicare status. Yeah, rah! Applause please.

As a result, one of the medications I've been taking the last 14+ years is not on the Medicare "approved" list, which means I have to pay the full price out of my pocket. Now, instead of $15 for a 90-day fill to (checking with my local Walgreen's) $150 for the same quantity. Pew!

Does anyone know of any mail order or Internet site that I can check with to find a lower rate? I have about 30 days left in my current supply so I'm not up against a wall...yet.

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Old 06-06-2014, 12:19 PM   #2
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That happened to me also Katie. After talking with my Dr. he prescribed another med that did the same thing and is covered. That's where to start.
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Old 06-06-2014, 12:22 PM   #3
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Katie can you find out which medication of the same is approved by Medicare? Also in Kentucky, do you qualify for Medicaid? They pick up the cost for me on any medication Medicare doesn't pay for. I have one that cost $503.00 for one month's supply. Medicaid pays for 80% of it and my health insurance picks up the rest.
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Old 06-06-2014, 12:22 PM   #4
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I am in the same place. Medicare doesn't cover one med. I found Costco to be the best price locally. I had to go to several outlets to get prices for comparison.

Do you have VA privileges? Can't beat the prices there.
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Old 06-06-2014, 12:25 PM   #5
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Quote:
Originally Posted by Kayelle View Post
That happened to me also Katie. After talking with my Dr. he prescribed another med that did the same thing and is covered. That's where to start.
I wish it were that easy. It took what seemed like forever to establish a medication that was effective and I didn't have a reaction to. I'm pretty much stuck with what I am taking.
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Old 06-06-2014, 12:27 PM   #6
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Originally Posted by Addie View Post
Katie can you find out which medication of the same is approved by Medicare? Also in Kentucky, do you qualify for Medicaid? They pick up the cost for me on any medication Medicare doesn't pay for. I have one that cost $503.00 for one month's supply. Medicaid pays for 80% of it and my health insurance picks up the rest.
Kentucky no longer has Medicaid since they established a state insurance plan, so that's out. We have private insurance. So, here, it's the state plan or private insurance.
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Old 06-06-2014, 12:28 PM   #7
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Originally Posted by Andy M. View Post
I am in the same place. Medicare doesn't cover one med. I found Costco to be the best price locally. I had to go to several outlets to get prices for comparison.

Do you have VA privileges? Can't beat the prices there.
Thanks, Andy.

No Costco and no VA availability. Next......
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Old 06-06-2014, 12:32 PM   #8
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AARP and some other organizations offer a free prescription card that gives discounts. I've also gotten fliers in the mail with discount scrip cards. Some find that Canada and Mexico have much cheaper meds, I remember researching them for my mom. Can't remember the exact sites, but there are a bunch of them that will ship to the US.
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Old 06-06-2014, 01:58 PM   #9
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I am having the exact same issue with my wife. Except I will tell you the medicine. Relpax. Its a migraine RX and its very expensive.
It was on the formulary last year and the years before that. It is just now, this year, they removed it from the formulary. We did not check before re-signing with our current Medicare provider. My bad!

Since its not on the formulary and she has Medicare Advantage, she has two(2) options.
1) Pay full price.
2) Appeal and have the doctor send a letter regarding the RX and why she must have it. Get an exemption.
We are waiting on the insurance companies response.

If you are on Medicare and have RX benefits, you have a private insurance company providing your Medicare health care needs. Part "D" prescription benefits.
Medicare alone, for the record does not cover RX. But, Medicare Advantage plans do.
So, get your doctor to write the letter.
I do not know if that will even work, but its at least an attempt.

Next November, look at the formulary BEFORE you sign on with any Medicare provider. Make sure all your meds are on the formulary.
Go to Medicare.gov: the official U.S. government site for Medicare and look for "Find Health and Drug Plans".
Personalize your search so you can save your entries. This is where you will find out if your drug is covered or not.

You can also look for "extra help" in this same section. Just because Medicaid is not available in you're state, does not mean you cannot receive extra help.
Unfortunately, most folks make to much money to qualify for extra help.
But try and see. You never will know unless you try.
Do this every Nov, to be certain you have the best policy available for your zip code.
Never remain loyal to any Medicare provider. (actually any ins company) Check everything available every single year in Nov. Make sure you make an informed decision every year.
If you qualify for extra help, there is no reason to shop your plan each year as the extra help pays for what Medicare plans do not.
Good luck and keep us posted.
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Old 06-06-2014, 02:09 PM   #10
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There are sites where you can buy medications without a prescription, usually off shore and usually less expensive. Whether they would have the med you need can only be determined by looking at each site.

I won't recommend that you buy at an off shore site. That would be unethical of me.

I have a disease that has been 'disappeared' (read Cure Unknown by Pam Weintraub) and have belonged to many of their forums---- Lyme disease. Through them I do know that many people do have to get their medications off shore with no prescription and the names of the good and reputable ones are given to other Lymies.
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