Aa
Aa
A
A
A
Close
1504401 tn?1387565861

Medicare FORMULARY ADD for SOFOSBUVIR

Has anyone ever been involved in getting a medicine added to the "Formulary"?
Curious as to how long it truly takes, as we are waiting for the add of SOFOSBUVIR to cure HCV, in order for Medicare to approve costs.  
Dr. said not before end of year 2013, which is only a couple of weeks away.
Best Answer
Avatar universal
Check this link out

http://www.medhelp.org/posts/Hepatitis-C/US-Patient-Assistance-Program-/show/2058689#post_9746446

I think this part below will be a big help to those that are on Medicare with part D coverage as that in the past has been a problem for people getting help.

"• Gilead will provide support to the Patient Access Network (PAN) Foundation, an independent non-profit organization that provides assistance for eligible federally-insured and privately-insured patients who need help covering out-of-pocket medication costs."

Good luck
27 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Yes I know what it says.  But try actually APPLYING for assistance.  

I thought the same as you: that Gilead's support was open to folks on Medicare.  On another HCV forum, I was informed otherwise & I believed it at face value after reading her post.

But tonight, I went to both Gilead sites, put in first name "Test", last name "Case" and made up an email and mailing address and proceeded to apply.

When I got to the question that says:  

"Are the patient's prescriptions paid for in part or in full by any state or federally funded program, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, or TRICARE?"

and when I checked YES this is the response given (in red letters)

"yes -- The patient is not eligible at this time. If you have questions, please call 1-855-7-MYPATH (1-855-769-7284)."

Sometimes you have to dig deep for the correct info.  

I believed the other HCV site's member info at face value but for this forum; however, I went to both http://www.mysupportpath.com and https://www.sovaldi.com/register.aspx & personally verified all this BEFORE posting my response because I knew that the inevitable squabble would occur here at good ol' medhelp.org.

Which, BTW is getting o...l...d

HepCat
...
Helpful - 0
Avatar universal
"• Gilead will provide support to the Patient Access Network (PAN) Foundation"
Helpful - 0
Avatar universal
OK, I see they're different.  PAN's website is

https://www.panfoundation.org/

And they WILL help folks on Medicare, Medicaid, etc.

Good news for many folks!
Helpful - 0
Avatar universal
It does help if one takes the time to read the WHOLE post.

Can-dot
Helpful - 0
Avatar universal
I thought PAN was via the Gilead site... not a separate site.  

I did read the WHOLE post but didn't realize it was a separate program.

Helpful - 0
Avatar universal
Soooo...Can-dot.com is correct
Helpful - 0
Have an Answer?

You are reading content posted in the Hepatitis C Community

Top Hepatitis Answerers
317787 tn?1473358451
DC
683231 tn?1467323017
Auburn, WA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Answer a few simple questions about your Hep C treatment journey.

Those who qualify may receive up to $100 for their time.
Explore More In Our Hep C Learning Center
image description
Learn about this treatable virus.
image description
Getting tested for this viral infection.
image description
3 key steps to getting on treatment.
image description
4 steps to getting on therapy.
image description
What you need to know about Hep C drugs.
image description
How the drugs might affect you.
image description
These tips may up your chances of a cure.
Popular Resources
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.