Reply to Paxlovid is going to cost me $1400?!

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Look at paxlovid.com.  Pfizer will pay most of the cost for many patients who have private insurance, and it can be free for those who are uninsured or on plans like Medicare.   Two weeks ago I got the same price at CVS, and told them I wanted to think about it.  Then I got in my car and called the "paxcess" helpline which coached me through the online Q&A on my phone which gave me a coupon code that reduced the price to $0.  Not sure why it was necessary because my spouse who is on the same health plangot hers a week before that for a $25 co pay without doing anything extra.  [/quote]

For people on medicare, medicaid, and tricare, you cannot use those discounts.  Either insurance covers, you private pay (we do with several medications) or you go without.[/quote]

This article explains it https://www.healthcarenavigation.com/does-my-plan-cover-paxlovid/

But most insurance covers it.[/quote]

My insurance will not give it to me and we have tricare.  I’ve always been refused.  [/quote]

Your insurance covers it if a provider orders it. You might have a deductible you need to meet, but they'll cover it after that.  Prior authorization is not required, either.[/quote]

No, that's not how it works.  Your provider can order it and tricare can deny it.  There is No deductible on base.  Stop giving wrong advice.[/quote]

I don't know where you got that idea. Paxlovid is on the formulary and does not require prior authorization.[/quote]

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