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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