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eppur_se_muova

(42,128 posts)
4. Meanwhile ... my Mom's insurance company is forcing her to buy Xarelto in $200 lots.
Sat Apr 11, 2026, 09:52 AM
Apr 11

Last year, she was paying $45 for each 30-day refill. Not too bad. This year, she suddenly found the price had shot up -- $221, but it turned out that was for a 90-day refill. Whenever something like this has happened before, she has asked the pharmacist for a 30-day supply, which is more affordable. This time, the 30-day refill was over $100, so a 90-day supply would cost her over $300 -- closer to $330-340, IIRC. In other words, the price per pill was almost exactly 50% higher if she bought them 30 at a time than if she bought them 90 at a time. A pharmacist told me -- rather apologetically -- this was a new practice the insurers are forcing on everyone, because it saves them a little money to process 4 claims a year instead of 12 -- but $440 worth ?? She's on SS, so her income is limited and now she has to make sure she can afford to drop 10% of one month's benefit check on a single purchase, while still balancing all her other expenses. She has nothing left in savings at this point, and a backlog of car repairs ready to claim more than she gets from SS. So boo hiss for the insurer (Cigna), but thanks to the pharmacist who let us know about this.

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Good for you giving credit where it is due. So many times we get screwed by crooks business Walleye Apr 11 #1
I like mine as well. RandySF Apr 11 #2
It is good to hear the good anecdotes as well. Not sure this represents change, but I hope... hlthe2b Apr 11 #3
Meanwhile ... my Mom's insurance company is forcing her to buy Xarelto in $200 lots. eppur_se_muova Apr 11 #4
I am still under private insurance and my Xarelto is cheap TBF Apr 11 #6
I've seen drug ads on TV mention those cards, but if I had ever seen one re Xarelto I'm sure I would have noticed ! eppur_se_muova Apr 11 #9
Great advice. I have knownn others who did this successfully. twodogsbarking Apr 11 #11
I'm pretty sure folks on Medicare wouldn't be included in their TBF Apr 11 #15
Direct contact with the manufacturer is worth a shot. Learn all you can. Don't give up. twodogsbarking Apr 11 #21
That sounds as if it's on the manufacturer. LisaM Apr 11 #22
What about Part D? RussBLib Apr 11 #5
Humana - and specifically CenterWell mail order pharmacy - is the worst. Ms. Toad Apr 11 #24
I have to admit genxlib Apr 11 #7
I've had good luck w/their Optum program, also, TBF Apr 11 #8
I'm also very happy with Optum Freddie Apr 11 #27
Medicare Part C is Medicare Advantage plan. Medicare A and B are original Medicare and Supplemental Nanjeanne Apr 11 #10
It's actually nice to hear something good for a change radical noodle Apr 11 #12
But edhopper Apr 11 #13
I was prescribed a blood thinner after 2 afib events. Zackzzzz Apr 11 #14
Your talents are being wasted Be The Light Apr 11 #16
Friend on regular Medicare DownriverDem Apr 11 #17
My Rebl2 Apr 11 #18
I like Kaiser AncientOfDays Apr 11 #19
My provider is also United Health. ananda Apr 11 #20
I disagree with you as I am UHC and am forced to take statins which wreck my short term memory Stargazer99 Apr 11 #23
I am not here to say that every case is praiseworthy. However, it is true that my case has some risk of fatality. NNadir Apr 11 #25
Im a firm believer in giving credit where it's due xmas74 Apr 11 #26
Nice to hear your story and see that insurance companies can do good by their customers. In contacting you, they...... FadedMullet Apr 11 #28
It is an unfortunate reality that the rigorous educations that pharmacists have is in most cases, underutilized. NNadir Apr 11 #30
NN - Just curious. How does "small molecule" fit into a discussion about picking an appropriate or effective Rx ? FadedMullet Apr 11 #29
It doesn't, but I made a distinction between the two drugs mentioned in that sentence which were large molecules. NNadir Apr 11 #32
they are under a microscope right now Skittles Apr 11 #31
Give Credit To The Woman, Not The Depraved Corporate Motherfuckers Running United. MayReasonRule Tuesday #33
Thank you for sharing your thoughts. NNadir Tuesday #34
No Offense To You At All Y'all... I'm Just Pointing Out That It's The Individual That Made This Call, Not Corporate MayReasonRule Tuesday #35
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