Posted 9/9/2014 7:52 PM (GMT 0)
Alright folks, I have decided it is time to start sharing our stories with Entyvio. Hope this helps somebody out there.
My Husband's GI (Lattimore, Lakewood, CO) finally got back to work from vacation and he is giving Justin the OK to get on Entyvio but he did suggest to think about a trial first, an injectable similar to Entyvio. He suggested it because of insurance hiccups/challenges and the fact that we live 3 hours from a metro city that he can get infusions done at. We had pretty crappy insurance for awhile so he probably forgot that isn't quite that big of a problem anymore. We did not get much information on the trial besides that it is inject-able instead of infusions and that there is a chance that he could of course get the placebo and if it did work for, and get approved, he could get the medication for free for 5 years. Decided to pass on the trial, I personally just want Justin better and Entyvio sounds so promising!! Free meds sound great, but then what would we use to eat our out of pocket maximum each year? ;) bad joke!
I spoke to my insurance last week about getting going on the approval process. Of course since they were waiting for the script (dr. on vaca) they couldn't determine much. The medication is at least in their system, haha! I'm sure we will need prior authorization and all that. Good news is when we got approved for Simponi it was actually pretty smooth with insurance, so hopefully this one will be just as smooth. :) We have United Health Care and have to use the CVS Specialty Pharmacy.
Anyway I will try and put some details on here from time to time about how things go....from insurance to success and side affects! I appreciate all of those great people that post such great information, it is now time I start sharing!