I hope all of you are having a healthy and happy start to the new year. I wanted to see if others would be willing to share a little bit about how their TKI prescription drug coverage is working for 2014. Our company had to change policies and a couple of things happened. First, when evaluating different carriers, our broker was unable to figure out how much Gleevec would cost me for the various carriers' plans. Secondly, I was paying $35 for Gleevec 400mg (30 day supply) with our current carrier for the latter part of 2013, and we renewed with that same carrier (BCBS) with an understanding that my co-pay might continue at that same price. However, I've followed up both with BCBS and the specialty pharmacy and I've been informed that my co-pay is now up to $250/month. It might reach a max based on my individual deductible, but I'm not sure -- BCBS has been unable to explain to me how this is going to play out. Ouch.
So, I'm curious to find out if this expensive co-pay is the norm for many of us, or if I'm more of an exception.
Thoughts from others?