Wednesday, October 30, 2013

Advair suddenly cost $16.4K a month, instead of $275 - Drug inflation!!!!

Step 3: View Report
You may hit the Doughnut Hole in January.
$3,538.05
$3,184.25
$2,830.44
$2,476.64
$2,122.83
$1,769.03
$1,415.22
$1,061.42
$707.61
$353.81
JanFebMarAprMayJunJulAugSepOctNovDec
Explanation of Monthly Drug Costs
Month
Your Cost1
JanuaryMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesDeductible / Initial Cost / Gap / Catastrophic$16,382.83$3,254.91
levothyroxine sodium TAB 200MCGYesDeductible$7.59$7.59
levothyroxine sodium TAB 25MCGYesDeductible$5.01$5.01
Nexium CAP 40MGYesDeductible$229.54$229.54
What you’ll spend in January:$3,538.05
FebruaryMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in February:$876.92
MarchMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in March:$876.92
AprilMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in April:$876.92
MayMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in May:$876.92
JuneMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in June:$876.92
JulyMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in July:$876.92
AugustMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in August:$876.92
SeptemberMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in September:$876.92
OctoberMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in October:$876.92
NovemberMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in November:$876.92
DecemberMonthly FeeYou Pay
Drug Premium$41.00
DrugCovered
Drug
PhaseFull
Cost
You Pay
Advair Diskus AER 250/50YesCatastrophic$16,382.83$819.14
levothyroxine sodium TAB 200MCGYesCatastrophic$7.59$2.65
levothyroxine sodium TAB 25MCGYesCatastrophic$5.01$2.65
Nexium CAP 40MGYesCatastrophic$229.54$11.48
What you’ll spend in December:$876.92
Total Estimated Annual Cost for 2013:$199,499.64

1 This number includes the amount you pay for drug copays and drug plan premiums, but not any health coverage premiums your plan may charge.

Your overall annual out-of-pocket cost is based on:
  • Your premium: What you pay each month to your plan for coverage.
  • The amount of your plan's annual deductible (the full cost you pay for your drugs before coverage kicks in) if your plan has one.
  • What you pay toward the cost of your drugs in the initial coverage period. You pay either a copayment (a fixed-dollar amount) or coinsurance (a percentage of the drug's full cost) for each prescription. Your plan pays the rest.
  • Any payments you make for your drugs during the coverage gap (or "doughnut hole"), when you pay the full price that your plan has negotiated with the manufacturers.
  • What you pay (no more than 5 percent of the drug's price) during the catastrophic coverage period (if your costs are high enough to reach the out-of-pocket limit that gets you out of the gap before the end of the year)

Except for your premiums, all the above expenses count toward your out-of-pocket limit for the year. On January 1 of each year, you start counting expenses again.
Your Drug List
Advair Diskus AER 250/50
1 AEPB per month
Tier: 2
Quantity Limits
About this drug
Any options to save money?
levothyroxine sodium TAB 200MCG
30 TABS per month
Tier: 1
About this drug
Any options to save money?
levothyroxine sodium TAB 25MCG
30 TABS per month
Tier: 1
About this drug
Any options to save money?
Nexium CAP 40MG
30 CPDR per month
Tier: 2
Quantity Limits
About this drug
Any options to save money?

Your Pharmacy
These prices are approximate. They reflect the average of what you'd pay at any of your plan's in-network retail pharmacies. Actual costs vary slightly among these pharmacies. Mail-order costs, which are sometimes lower, are not shown. To select a specific pharmacy within your zip code, click here. The pharmacies you find may or may not be in-network. Please contact your plan directly to find out which pharmacies are in-network, including a mail-order pharmacy option.

1 comment:

  1. So my cost out of pocket including the $41 a month premium is $13,184.17, and the Silverscript Silver Basic plan will pay $186,315.47.

    ReplyDelete