The Saga Continues
Yesterday my nurse calls: my oncologist got a fax that Anthem is going to cover my Xeloda. Yess, it is in writing now.
This morning at CVS to fill my prescription, I inquire what is my copay?
So the lovely pharmacist calls the special line reserved for pharmacies, they put her on hold, then hang up on her then the answer comes: my copay is 100% = $1250 for two weeks of Xeloda.
The reason they gave her is that it is a brand name; my coverage is good only for generic.
Crazy, I was so upset I forgot to get the other things I wanted at CVS, then went to the grocery store then drove home w/o my groceries.
I guess I should not take it personally. I think I'll drive to Canada over the weekend and get it there; it is only about $ 900 according to my research.
My only consolation is all of you gals, following and sympathizing and the letter that I'll write to the insurance company.
Love and hugs,
Odette
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May 18, 2006 Age 52,
Diagnosed infiltrating ductal carcinoma
er/pr- HER2 + 3.9 by FISH
June-August 2006 AC chemo
August-October 2006 Taxotere + Herceptin
November 18, 2006 Mastectomy 16 involved lymph nodes
Jan 2, 2007 start radiation
Stage IV, Jan 12, 2007 recurrence in cervical lymph nodes while on Herceptin, stopped Herceptin
Rad oncologist extended the radiation field, good response
Started Tykerb Xeloda on beginning of May 2007
Progression to lungs and conglomerate lymphadenopathy July 2007
Undecided about next treatment
'One does not get to choose one's adventures'
I'm experimenting with my diet, using green tea, flax seed curry and olive oil
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