Aetna considers these medications to be medically necessary for those members who meet the following criteria: Betaseron, Extavia, and Tecfidera are currently listed on the Aetna Formulary Exclusions and Step-Therapy lists.*
Full Answer
What tier is Betaseron on Medicare plans?
Betaseron (interferon beta-1b) is used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. There is currently no generic alternative to Betaseron. The drug is covered by some Medicare and insurance plans.
How can I lower the cost of my Betaseron prescription?
BETASERON 0.3 MG KIT (1.000 EA ) (NDC: 50419052435) ... for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. ... Premiums, co ...
Is Avonex covered by Medicare?
If you have Medicare and Medicaid, you will usually get your drugs covered by the Medicare prescription drug benefit (Part D) and the Extra Help program. Extra Help is the federal program that pays for most of the costs of Medicare drug coverage if you meet the eligibility requirements.
What do Medicare health plans cover?
The program is designed to. Get you started with BETASERON therapy quickly by sending your first shipment while the insurance details are still being worked out. Keep your therapy going by providing you with up to 12 months of BETASERON at no cost †. Call 1-844-788-1470 and ask a coverage specialist about BETA Bridge.
Does Medicare Part B pay for Ocrevus?
Is Tysabri covered by Medicare Part B?
Does Medicare pay for Remicade infusions?
What tier is Tecfidera?
Is ampyra covered by Medicare?
Can I get Medicare if I have MS?
Is REMICADE covered under Medicare Part D?
Is REMICADE infusion covered by insurance?
Does Medicare Part B cover IVIG infusions?
Does Medicare cover treatment for multiple myeloma?
Is Gleevec covered by Medicare Part D?
Is there a generic for Tecfidera?
What is the number to call for betaplex?
Get one-on-one help when you need it by calling 1-844-788-1470.
What is the phone number for betaplex?
Get one-on-one help when you need it by calling 1-844-788-1470.
What does Medicare Part B cover?
Part B also covers durable medical equipment, home health care, and some preventive services.
Does Medicare cover tests?
Medicare coverage for many tests, items, and services depends on where you live . This list includes tests, items, and services (covered and non-covered) if coverage is the same no matter where you live.
Is there a generic for Betaseron?
Betaseron (interferon beta-1b) is used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. There is currently no generic alternative to Betaseron.
When will betaseron be available?
It is possible that Betaseron may become available as generic interferon beta-1b after September 2026. Generics are typically much cheaper than the branded version of a drug. This is the earliest possible generic release date based on patent expiration at this time.
What tier is Avonex?
Tier 5. Medicare prescription drug plans typically list Avonex on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.
How much does Medicare cover in the donut hole?
Therefore, you may pay more for your drug. Copay Range. $7 – $8286. In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.
What is prior authorization for Medicare?
Most Medicare prescription drug plans have prior authorization rules that will require your prescriber to contact your plan before you can get your medication. This is to show that the drug is medically necessary.
What is the donut hole in Medicare?
In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug. Therefore, you may pay more for your drug. In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.
How much does Medicare cover in the donut hole?
Therefore, you may pay more for your drug. Copay Range. $7 – $10205. In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.
What is prior authorization for Medicare?
Most Medicare prescription drug plans have prior authorization rules that will require your prescriber to contact your plan before you can get your medication. This is to show that the drug is medically necessary.
