Find a good insurance agent and they will guide you to the best plan for the medications you take. Our agent came to our home and went over both our medications and then presented the best options. He was very knowledgeable. My husband has UHC/AARP. He did have Aetna silver script, but it quit covering Xgeva, so he has WellCare now. Medicare covers Darzalex, revlimid we had a grant for when he was taking. There is a $2100 out of pocket limit this year.
When I was on Recvlimid the the cost started at over $12,000 and it skyrocketed to over $18,000. My United Health Care Advantage plan covered 0. I was lucky as I did get a grant that covered the cost 100%. I'm so grateful as there was no way I could pay for it out of pocket.
Talk to blood cancer united. They may have something open that would help pay the copay. There is patient united and healthwell foundation. These foundations have copay help among other programs. Look them up and call to get your questions answered. I have used them for years and saved thousands of dollars. Good luck
Only had to pay for my first dose of Revlimid last year $625 out of pocket to meet deductible- talk with your social worker there are a lot of programs/grants to help with Rx's.
I have Humana Part D and it pays well but I also have Champ VA due to my husbands disability so it pays whatever remains. I did discover that different states have different premium arrangements with the insurance companies. We moved from Missouri to Texas this past year and Texas has cheaper premiums for the same insurance. I was also advised by an agent that I could go to a more basic plan, which was cheaper even still, and still have my medications covered.
I am really upset about the cost of Revlimid. I read an article about the company that made it originally and it was their only major drug. It has the highest mark up of any drug in the country, I believe it said Revlimid had been marked up 90 different times. It costs them 25 cents to make each pill. It is a remake of thalidimide that did so much damage with birth defects. It cuts off the blood flow to cancer cells. The original company was acquired by Bristol Myers Squibb in 2019 but they kept the price up. I also read elsewhere that there are volume restrictions between Bristol Myers Squibb and generic companies that last until the end of this month so the price should be coming down soon as the supply ramps up with generic companies able to supply whatever is needed.
Update: I discovered that my ChampVA was only covering me the first month after Humana paid all but my deductable. The rest of the year Humana was covering 100% of the cost. I am receiving lenalidimide, the generic of Revlimid.