for clients with private insurance. contractors that offer co-pay assistance have you thought about...

8
For Clients with Private Insurance

Upload: sierra-dempsey

Post on 27-Mar-2015

213 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

For Clients with Private Insurance

Page 2: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

Contractors that offer Co-Pay AssistanceHave you thought about how much you could

save if co-pay assistance programs were used?

Co-Pay assistance programs are available from the major drug companies to pay the co-pays for ARVs as well as other drugs.

An analysis of all co-pay assistance provided in three Regions for ARVs ONLY was conducted for one month.

Page 3: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

The results were amazing!

Page 4: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

A Sample taken from Region AHad 277 co-pays for ARVs Encompassed several months from one area

but only one month from other areasThe total dollar amount for the copays was

$16,464If Region A had used co-pay assistance

programs, they would have had to pay $2,667Region A would have saved $13,797.

Page 5: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

A subset of Region BHad 136 co-pays for ARVs in the month of

JulyThe total co-pay amount that was paid was

$9,067If the subset of Region B used co-payment

assistance programs (one provider already does) they would have paid $2,634.

The subset of region B would have saved $6,433.

Page 6: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

A Sample from Region CHad 49 co-pays for ARVs for a month chosen

at randomThey paid $5,146 in co-pay assistanceIf they used co-pay assistance programs they

would have paid $2,255They would have saved $2,892

Page 7: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

The total amount saved by using co-pay PAPs:

$23,122

Page 8: For Clients with Private Insurance. Contractors that offer Co-Pay Assistance Have you thought about how much you could save if co-pay assistance programs

Co-Pay PAP Assistance Information Name of Drug

CompanyDrugs Covered Contact

InformationProgram Details

Abbott Kaletra, Norvir 800-222-6885 Pays the first $50 per Rx per month but not really co-

pay program. Covered by regular PAP with same

eligibility criteriaBoehringer Ingelheim Viramune Distributed by health care

ProvidersPays the first $50 per month

Bristol-Meyers Squibb Atripla, Reyataz, Sustiva, Videx, Zerit

Sustiva/Reyataz: 888-281-8981 Atripla: 866-784-3431

or product website

Pays first $200 per month per drug. No income

requirementsGilead Sciences Atripla, Emtriva, Truvada,

VireadFor all but Atripla: 888-358-

0398 or product websitePays the first $200 per

month per drug. No income requirements

Merck & Co Isentress 866-350-9232 or website: www.isentress.com

Pays the first $400 per month. No income

requirementsTibotec Intelence, Prezista 866-961-7169 You pay first $5 per month,

then they pay $100. No income requirements

ViiV Healthcare (GSK) Combivir, Epivir, Epzicom, Lexiva, Rescriptor, Retrovir, Selzentry, Trizivir, Viracept,

Ziagen

888-825-5249 Covers both Pfizer and GSK drugs. Phone very difficult to navigate. Best to use

website: www.mysupportcard.com

Uses a card and covers the first $100 per month. No

income requirements