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Aetna Triples Co-Pay for Atripla
Apr 23, 2010

When ordering Atripla recently from Aetna Specialty Pharmacy, my regular provider, I was told that my usual $45 co-pay had increased to $150 because Atripla was now covered by medical insurance rather than prescription insurance. All Aetna's online documents continue to reflect the $45 co-pay and when I call them I get the run around. I believe this is an attempt to extort more money from a group that they think won't push back. Whom do I go to for advocacy and assistance with this injustice - or at least to get the word out that Atripla patients are being discriminated against by Aetna?

Response from Ms. Franzoi

You don't have a lot of oprtions. A plan has a right to cover prescriptions at different levels based on generic v. preferred or formulary brand v. non-preferred or non-formulary brand. In fact, plans with closed formularies do not cover non-preferred brands.



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