Let's say that Mrs Patient has been receiving pantoprazole for the past year and paying a $7.00 copay.
Now that a new year has started, her Medicare D plan has decided that they will only cover the brand name Protonix. And as an added bonus, Mrs Patient's copay is now $38.00.
We all know that by altering the formulary, the Medicare D plan is weaseling its way out of paying for the medication* and getting Mrs Patient to the donut hole that much faster.
Thank you, Big Time Insurance Company.
You suck.
*the net cost to the insurance company is less in this scenario. If you need an explanation, email me.
Now that a new year has started, her Medicare D plan has decided that they will only cover the brand name Protonix. And as an added bonus, Mrs Patient's copay is now $38.00.
We all know that by altering the formulary, the Medicare D plan is weaseling its way out of paying for the medication* and getting Mrs Patient to the donut hole that much faster.
Thank you, Big Time Insurance Company.
You suck.
*the net cost to the insurance company is less in this scenario. If you need an explanation, email me.