California – $200 – Orally Administered Cancer Medication limit

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  • January 18, 2016 at 1:17 am #91289
    middlesister1
    Moderator

    I think our issue was if it was administered in hospital vs home prescription= not just the IV. we were amazed that it made a $400 out of pocket difference. We were fortunate doctors adjusted after 1st cycle and gave larger dose in hospital which still worked wonderfully.

    January 17, 2016 at 11:43 pm #91288
    marions
    Moderator

    Great example, Kathleen. There should be no difference with coverage of orally administered drugs vs. that of intravenously administered medication.
    Hugs,
    Marion

    January 17, 2016 at 10:59 pm #91287
    middlesister1
    Moderator

    Hi. First round in MD the Emend was very high ( want to say $200 pill times 2 days) next cycle to avoid the charge they gave it IV in hospital and then Medicare covered it although not a cancer specific drug, it allowed Mom to tolerate treatment.

    January 17, 2016 at 7:03 pm #12056
    marions
    Moderator

    Not sure about other States, but California patients pay no more than $200 per month for an oral cancer drug. This includes co-payment and co-insurance.

    Sorry, I quoted the wrong link. This is the correct link focused on orally administered drugs only. Intravenous administration is almost always covered.
    Vhttp://www.anco-online.org/AB219.pdf

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