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Apr. 29th, 2025 06:33 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
logans_girl2001My doctor has been trying to put me on Eliquis ever since she diagnosed me with A Fib. My insurance has only paid part of it (meaning my out of pocket has been several hundred dollars which I refuse to pay) until last month. At first, I thought the reason was because she had been trying to write the script for a three month supply and when I saw her last she resubmitted it for just one month.
Spoiler: that wasn't the reason. The reason it covered it last month? No one knows.
Why am I mentioning this? My insurance wants me to pay $491.41 for Eliquis this month. All my other meds are at no cost. And it's not because I was already taking them before I got this insurance (my company was bought by another in 2021 and so our insurance company changed) because she has changed my Lisinopril for Irbesartan and I don't pay for that. She has also put me on a diuretic and I don't pay for that either.
I cannot for the life of me figure out why insurance companies pay for some meds and not others. Eliquis is a blood thinner. You'd think since it's a life saving drug, that insurance companies would pay for it.
The pharmacist I spoke to last night (the Eliquis and Metoprolol were showing as in progress for several days and the Metoprolol still is (WTF, Walgreens?)), was so nice. She tried running it again with me on the phone and it is still coming up that I have to pay $491.41, which I refuse to do. $20 copay? Sure. Nearly half my rent? Abso-fucking-lutely not!
She told me to try and get a coupon. So I found three or four and I will call when the pharmacy is open later and try them to see how low I can get my cost. One of the coupons gives me two years of Eliquis (it says the cost could be as low as $10) while the others are for any drug (I'm hoping they aren't a one time use kinda thing).
Spoiler: that wasn't the reason. The reason it covered it last month? No one knows.
Why am I mentioning this? My insurance wants me to pay $491.41 for Eliquis this month. All my other meds are at no cost. And it's not because I was already taking them before I got this insurance (my company was bought by another in 2021 and so our insurance company changed) because she has changed my Lisinopril for Irbesartan and I don't pay for that. She has also put me on a diuretic and I don't pay for that either.
I cannot for the life of me figure out why insurance companies pay for some meds and not others. Eliquis is a blood thinner. You'd think since it's a life saving drug, that insurance companies would pay for it.
The pharmacist I spoke to last night (the Eliquis and Metoprolol were showing as in progress for several days and the Metoprolol still is (WTF, Walgreens?)), was so nice. She tried running it again with me on the phone and it is still coming up that I have to pay $491.41, which I refuse to do. $20 copay? Sure. Nearly half my rent? Abso-fucking-lutely not!
She told me to try and get a coupon. So I found three or four and I will call when the pharmacy is open later and try them to see how low I can get my cost. One of the coupons gives me two years of Eliquis (it says the cost could be as low as $10) while the others are for any drug (I'm hoping they aren't a one time use kinda thing).
