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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
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1504401 tn?1387565861
Just saw your comment about we will just have to wait. Please don't.  It will first be handled on a case-by-case.  My understanding since talking to my pharmacist yesterday. We are already working on my approval for the new drug.
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1504401 tn?1387565861
Thank you for your comment I apologize I have not been on the site for very long time. Thankfully I have Extra Help. Hopefully I still have it come January. I also have a Medicare advantage plan so hopefully I'll do okay with my out-of-pocket expenses.  I will know in 2 to 3 weeks whether or not I have approval from Medicare to take the new drug. I will share that news either way and also how much it will cost me. Without insurance the doctor said it's 1200 a pill. Have a great new year and thanks again.
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1504401 tn?1387565861
Approved for Ribavirin yesterday.  I DO still have Extra Help for drug assist on Medicare due to low income.  Anyone on Medicare should check this out.  Call your state's SS Department.
They said next week I should have the Sofosbuvir.  Still in the ADD process of Medicare drug list (Formulary). I saw mention from someone else on a separate post that there were supply issues?  I am in Nevada, and it was not mentioned as being an issue at the specialty pharmacy.
If approved, the cost will be practically nil.
Anyway..that's my update.  in the approval process now 3rd week.  Feeling VERY positive!   Approval for the drug should make a whole lot more sense than letting my liver continue to disintegrate and require a much more expensive transplant.  
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