Yervoy and Zelboraf both are tier 5 drugs, you would pay if you couldn't get it free in a trial 27% of the cost until you reach $3310 the gap then you would pay 45% of the cost, when you reach $4850 what you have paid out of pocket for drugs then the cost would be 5% or $7.40 co pay whichever is greater. With these two drugs you probably will reach the $4850 in a month or two.
Zelboraf comes in a tab needs pre-authorization and has quantity limits of 240 tablets in a 30 day period.
Yervoy is iv infusion they would probably teach you to administer yourself since it's in the drug plan. Of course if administered in outpatient setting would be a $40 or $50 co pay each time and would not go towards your drug plan.
The two we discussed last week that Jimmy Carter was on is not in the book as being covered.
Zelboraf comes in a tab needs pre-authorization and has quantity limits of 240 tablets in a 30 day period.
Yervoy is iv infusion they would probably teach you to administer yourself since it's in the drug plan. Of course if administered in outpatient setting would be a $40 or $50 co pay each time and would not go towards your drug plan.
The two we discussed last week that Jimmy Carter was on is not in the book as being covered.
Last edited by ppaca on 3/15/2016, 9:24 pm; edited 1 time in total