Leslie221 Posted September 22, 2005 Posted September 22, 2005 Genentech is still giving it to me free while we appeal Blue Cross's decision not to pay. But, I read that insurance companies put Tarceva in their highest co-pay bracket. I read one woman has to pay $450 a month! I can't afford that - even if it's a small price compared to the $2500 retail. The gal at Genentech says she doesn't think Blue Cross can charge me more than the $20 which is the highest Rx copay on our policy. It's making me a little scared that getting the insurance to pay may actually cause more problems! Leslie Quote
Don M Posted September 22, 2005 Posted September 22, 2005 Leslie: my copay was 30% for blue cross blue/shield federal employees basic plan. I had a secondary plan which absorbed much of the 30% copay. I never used tarceva. I had heard that it can be much cheaper if you order your chemo drugs by the mail. I have not looked into this, but a person with blue cross/blue shield federal employees standard plan said she had a copay of 20 bucks for all her chemo drugs by doing the mail order thing. If I ever have to do chemo again, I will look into it. If your plan consents to the tarceva, maybe you should see if you can get it cheaper by doing the mail order thing. Don M Quote
Leslie221 Posted September 22, 2005 Author Posted September 22, 2005 Thanks, Don. I had heard that mail ordering was cheaper. Thanks for the confirmation! Leslie Quote
Guest Lensiedel Posted September 22, 2005 Posted September 22, 2005 Leslie, We had Blue Cross, but had already hit the out-of-pocket maximum, so it cost us nothing. Otherwise it would have been a $14 copay, just like all the other scrips. Good luck! Wendy Quote
Leslie221 Posted September 23, 2005 Author Posted September 23, 2005 Wow, thanks! I am starting to realise it's going to be okay whether Blue Cross agrees to pay or not. Okay, I'll relax now! Leslie Quote
shineladysue Posted September 24, 2005 Posted September 24, 2005 Leslie, We have bluecross/blueshield and we used the mail service , Caremark. Our copay was $25.00 on Tarceva. Sue Quote
sues Posted September 25, 2005 Posted September 25, 2005 I just started tarceva and have BCBS. We pay $25.00 a month for the med ...that's through our local pharmacy. My Dr said to be sure the insurance covers it before I filled the script. When I checked with my pharmacy they weren't sure either...they checked with BCBS and like I said $25.00 - they told me that the cost is $2600.00 without insurance paying !!! Thank God for insurance !! Good luck. Sue Quote
TAnn Posted September 25, 2005 Posted September 25, 2005 Same here, I have BCBS and paid $25 copay each month for my Tarceva. TAnn Quote
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