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Old 09-24-2023, 10:48 AM
 
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I thought they got rid of the donut hole.

I don't think the average person can afford that much medication in a year.


I'm not on medicare but I ***** madly about an rx that is $26. . . I can't find it cheaper on goodrx or anything either.
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Old 09-24-2023, 10:49 AM
 
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nope , it’s alive and well in its reincarnation

it is in every drug plan and advantage plan

they just made you responsible for a flat 25% of the cost


The donut hole closed for all drugs in 2020, meaning that when you enter the coverage gap you will be responsible for 25% of the cost of your drugs. In the past, you were responsible for a higher percentage of the cost of your drugs.



so i jumped from 11 a month to 245 a month for trulicity

https://www.medicareinteractive.org/...t-d-donut-hole
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Old 09-24-2023, 10:52 AM
 
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Medicare drug plans seem utterly useless to me compared to my retiree health plan which is really nothing special. But it ends at 65.
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Old 09-24-2023, 10:56 AM
 
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private insurance companies if you had to pay for it were incredibly expensive .

i was paying 800 a month for a silver plan with a 4500 dollar deductible just for me … 5 years ago

when i had work insurance ,even with the company subsidizing a third it was many thousands a year more then medicare and a supplement
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Old 09-24-2023, 11:07 AM
 
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I pay $400 month, $1500 deductible, single. PPO. 90/10. I think it sucks compared to when I worked but I know it does not suck overall. (No I did not have a gov job).

But I certainly think a lot of retirees would struggle to pay for the meds.


Not sure why I popped into this thread really as not diabetic. I guess because I was curious about all the people on ozempic or whatever it is and wanted to see if this was similar.
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Old 09-24-2023, 11:17 AM
 
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ozempic is bit more once you pass about 4 months or so
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Old 09-27-2023, 10:35 PM
 
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Quote:
Originally Posted by mathjak107 View Post
so now we are jumping to 3mg of trulicity next month .copay is 245 a month

so i wii shop for a part D to see what covers it better .

so we went from 11 dollars for .75 to 89 dollars for 1.5 mg to 245 for 3 mg


Yes, I also found out about the donut hole. I am so upset that I can’t even really bring myself to talk about it.

Mathjak, did your PCP bump you from .75 to 3 mg. of Trulicity? I was bumped to 1.5 & my A1C is 5.4 now. It went down pretty dramatically for me from 6.7, so hang in there.

Last edited by CalWorth; 09-27-2023 at 10:46 PM..
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Old 09-28-2023, 02:43 AM
 
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i am finishing up the 1.5 and then going to 3 mg
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Old 09-28-2023, 07:57 PM
 
Location: Washington County, ME
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I'm on Trulicity 3mg, with 500mg of Metformin.

My numbers are good. Took me about a year to get up to the 3mg. I had weight loss at the beginning but it has slowed down a lot.

I have Medicare and BCBS Federal. I pay $25 for 3 months of Trulicity. I use BCBS for my prescriptions.

Good luck!
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Old 09-29-2023, 02:03 AM
 
106,594 posts, read 108,739,314 times
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Quote:
Originally Posted by Jellybean50 View Post
I'm on Trulicity 3mg, with 500mg of Metformin.

My numbers are good. Took me about a year to get up to the 3mg. I had weight loss at the beginning but it has slowed down a lot.

I have Medicare and BCBS Federal. I pay $25 for 3 months of Trulicity. I use BCBS for my prescriptions.

Good luck!
wow great price …i checked every part d plan and all have this gap
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