One of the biggest headaches when switching health insurance policies is you might have to change medications. Here's a basic survival guide to help you through it.
1.) Ask which UC medications are on the insurance's formulary
(preferred) list and which are on their non-formulary
(not preferred) list. For the lowest out-of-pocket cost, choose from the formulary list.
are the most cost effective. Brandnames
are more expensive.
3.) Use the health insurance's price estimator tool (online insurance website, or call insurance, or ask a pharmacy) to learn what your copay will be. You will need to know which medications are applicable. The most common meds used are the anti-inflammatory, mesalamine-based medications that should be available in their price estimator:
- Apriso is brandnamed, comes in 375mg pills, a typical dose is 1,500 mgs or 4 pills daily. A copay assistance card is available from the manufacturer http://www.aprisorx.com/apriso/savings-card.
- Balsalazide Disodium is generic of Colazal, comes in 750mg pills, a typical dose is 6,750mgs or 9 pills daily.
- Colazal is brandnamed, comes in 750mg pills, a typical dose is 6,750mgs or 9 pills daily.
- Delzicol is brandnamed, comes in 400mg pills, a typical dose is 4,800 mgs or 12 pills daily. A copay assistance card is available from the manufacturer http://www.delzicol.com/resources/savings-card/
- Lialda/Mezavant is brandnamed, comes in 1,200mg pills, a typical dose is 4,800 mgs or 4 pills daily. A copay assistance card is NO LONGER available from the manufacturer, discontinued on 11/1/2017 and will not be renewed into the next year.
- Mesalamine DR is generic, comes in 800mg pills (generic Asacol HD) and 1200mg pills (generic Lialda), a typical dose is 4,800mgs. That's 8 of the 800mg pills or 4 of the 1,200mg pills daly.
- Pentasa is brandnamed, comes in 500mg pills, a typical dose is 4,000 mgs or 8 pills daily. A copay assistance card is available from the manufacturer https://www.shire.com/patients/patient-services/shire-cares.
- Sulfasalazine is a generic,comes in 500mg pills, a typical dose is 4,000mgs or 8 pills daily.
A reference on costs for those various meds: https://www.goodrx.com/aminosalicylates
4.) Once you've found a cost effective medication, call your gasteroenteroligist for a new prescript
5.) Mail order prescript
ions may have lower copays when you get a 90 day supply, instead of a 30 day supply. Check with your health insurance and ask about
mail order options.
Moderator Ulcerative Colitis
John, 40, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaYou might have UC if your dream home renovation project is to add one of those techie Japanese toilets with voice activated seat warmer, bidet, deodorizer, and soothing music...