|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.
HIV positive and about to have no health insurance?
cobra and new insurance
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.