4 ms·
"The HARVONI co-pay coupon program will cover the out-of-pocket costs of your HARVONI prescriptions after you pay the first $5 per prescription fill, up to a ma
by downandout 12y ago
"The HARVONI co-pay coupon program will cover the out-of-pocket costs of your HARVONI prescriptions after you pay the first $5 per prescription fill, up to a maximum of 25% of the catalog price of a 12-week regimen of HARVONI." [1]
So if you have insurance, need this drug, and your copay is more than 25%, you're looking at tens of thousands out of pocket. As is usually the case, it appears they'll give it for free to the poorest of the poor that have no insurance. But if you're part of the middle class with (for example) crappy Obamacare exchange coverage, you could be in real trouble even with the discount provided by this program. If your copay was 50%, you'd be looking at paying $23,625 (25% of $94,500) out of pocket. For most people, that simply means no Harvoni.
https://www.harvoni.com/co-pay-coupon-registration?evo_source=MYSUPPORTPATH&_ga=1.176935461.1633528529.1419112248 https://www.harvoni.com/co-pay-coupon-registration?evo_sourc...
- refurb 12y agoHold on there. Right now, the maximum you can pay out of pocket for health insurance (co-pays, co-insurance) is ~$6500 for an individual. Insurance (even the Obamacare plans) are required to cover everything above that. So in your example, Harvoni would cost $31,500 for the first month. At 50% co-insurance, you'd be responsible for $15,750, but only up to the cap of $6500. After that the insurance company pays everything. Also, Gilead have benefits for the "underinsured". It's usually an income-based calculation. I would argue that no patient who truly need Sovaldi/Harvoni would not have some mechanism to get the drug via patient support programs.
- deleted 12y ago[deleted]