Page 49 - January 2024 Issue.indd
P. 49

•  Tier 5: Highest cost drug
               including high technology,                    Caroline County Historical Society
               specialty dispensing conditions,
               and compound drugs.
                                                                        PRESENTS
            If your “D” plan covers your meds
            but your copayment is expensive, as
            mentioned above you can ask the plan
                                                 The Collectibles Program
            for a tiering exception using the Part
            “D” appeal process to request lower cost
            sharing. You or your doctor must show
            the plan that lower tiered drugs used
            to treat your condition are ineff ective
            or dangerous for you. Note that you
            cannot request a tiering exception
            if that drug is on a specialty tier. If
            approved, the cost sharing exception
            that applies to the lower tier is in eff ect
            through the current calendar year. If
            denied (which, frankly, is probable with

            your first go round!) you can appeal this
            denial decision.
            Another option would be to have your
            doctor help you apply for a Patient
            Assistance Program. Pharmaceutical
            manufacturers provide eligible patients
            access to select brand name drugs at
            little to no cost. Go online to discover
            who the drug manufacturer is and go         February 24  •  2:00 - 3:00 PM
            to their website for information on
            what drugs they will assist with, what                   Rural Life Museum
            the potential co-payments or rebates              16 N 2nd St  •  Denton, MD 21629
            are, and enrollment criteria including
            documentation requirements. Be sure            Refreshments       Members:  $20;  Guest:  $25;
            to check out how long the duration of            Provided               Students Free
            coverage is and what their program   Questions or to RSVP:  410-479-2055 or  info@carolinehistory.org
            renewal requirements are. Also, look
            for information on how the medication
            assistance is delivered. Are the actual

            medications delivered by mail to the   savings at different pharmacy locations,   grocery stores! Good Rx, 855-268-
            beneficiary, physician, or pharmacy?   so it is important to compare the costs   2822, or www.goodrx.com, Single


            Or is the assistance in the form of a   between locations. This is why utilizing   Care, 844-234-3057,or https://www.

            discount coupon? Be sure to know   the internet simplifies the process when   singlecare.com, EZRX,  888-352-
            what the rules are before filling out   comparing cost savings at different   3736, or https:// www.ezrxcard.com,
            an application! Know that these    pharmacies. One can also simply ask   SaveonMeds 888-352-3736, or https://
            programs are not affi  liated with your   your pharmacist to apply the coupon   www.savingsonmeds.com. Mark Cuban
            Medicare prescription plan. Patient   cost for an expensive medication to   has established an online pharmacy
            Assistance Program out of pocket costs   compare costs before running it   for generic drugs that offers savings
            do not apply to your annual Medicare   through your regular insurance.   within a free membership that off ers
            deductible.                                                          a mail order system. Go to his website
                                               Most medication savings cards can be   https://costplusdrugs.com and enter the
            One could also utilize the free discount   printed, texted, or mailed. Go online   name of your medication to see if it is
            cards that are generally available in   or get a family member to help you   the formulary.
            your doctor’s offi  ce, and online, to save   out with investigating the cost of
            money on higher cost drugs. Diff erent   medications using discount cards at   It is important to remember that both
            discount cards off er diff erent levels of   various pharmacies, even those in   the Patient Assistance Programs and
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