It saddens me to read about the patients that were helped by Otzela for PsA only for their insurance to discontinue covering the drug!!! That is so sad! This drug is so much cheaper than biologics, so why would insurance companies quite covering it? Does't Otzela have some kind of financial help for those people in this situation? I know I read information about financial help somewhere, but for the life of me I can't remember where!
Otezla - Why do insurance companies stop covering this drug when at first they did?
Question posted by stilts on 11 Aug 2015
Last updated on 12 January 2016 by tgarland
Answers
tgarland
12 Jan 2016
Go to Otezla's website www.otezla.com and there is information on co-pay help if you have insurance. They refer to some other forms of financial assistance if you don't have insurance. There is an 800 number to call but I'm not sure if you have to have been prescribed and accepted by the insurance company before you can get their help (which would seem appropriate). I have not tried it yet because I am waiting for the appeal process in the pre cert submittal.
kaismama
11 Aug 2015
There is help from the company. Unless of course you have medicare or medicaid. Its still a very expensive drug. Sometimes insurances require a trial with other cheaper meds first. Insurance companies would give you some double talk bull why they aren't paying for it, but it boils down to they cost too much.
Related topics
psoriatic arthritis, insurance, otezla, drug
Further information
- Otezla uses and safety info
- Otezla prescribing info & package insert (for Health Professionals)
- Side effects of Otezla (detailed)
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