9/10/2023 0 Comments Ajovy copay cardSome patients, like Hart, hit roadblocks because their insurance provider only covers certain drugs within the class, while others struggle to overcome prior authorizations: requirements that force doctors to get permission from their patient’s insurance provider before it will cover a drug. “We’re at the era where say they’re covering these medicines, but now we’re going to start seeing at the individual patient level just how much that is true or not,” Lenaburg says.Īlready, it’s easy to find migraine patients struggling to navigate the complicated web of permissions and designations required to gain coverage. When they run out, many more patients may have to enter into insurance battles, Lenaburg says. Amgen/Novartis’ assistance program covers 12 doses, Eli Lilly’s lasts 12 months and Teva’s runs through December of this year. Kevin Lenaburg, executive director of the Coalition for Headache and Migraine Patients, says these programs have gone a long way toward providing access, but the future is uncertain. To help those without insurance, or with inadequate coverage, each drug maker rolled out financial-assistance programs meant to help patients get free or highly subsidized supplies. Representatives for Eli Lilly and Teva said both Emgality and Ajovy are available to 80% of patients with commercial insurance, while Amgen and Novartis report 75% approval rates for new Aimovig patients on both commercial and Medicare Part B plans. But each drug has a list price of $575 per month, putting them out of reach for many uninsured patients, as well as those whose insurance does not yet cover the new drugs.
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