Insurance and budesonide

Tornado6

Veteran Member

Joined : Mar 2013

Posts : 1155

Posted 5/14/2013 10:39 PM (GMT 0)

United HealthCare denied my Uceris, which would have been $1300/$60 copay for eight weeks.

Instead, I'm taking oral budesonide at $1615/$30 copay and budesonide enemas at $3044/$60 copay for four weeks!

neat system, huh?

imagardener2

Veteran Member

Joined : Jan 2010

Posts : 5896

Posted 5/14/2013 10:47 PM (GMT 0)

You know it's entirely possible that your insurance company is not paying that $1615 but a much, much lower number. But with "named" non-generic drugs they have to pay a higher rate. Remember the price you see is not the price they pay. It's a giant RICO scheme that punishes the uninsured and semi-punishes the insured by making you take the drug your insurance company has a deal with not the one your doctor wants you to take for your health.

Sometimes I wish I lived in France. Well, long enough to get national insurance and visit all their wonderful villages.

Tornado6

Veteran Member

Joined : Mar 2013

Posts : 1155

Posted 5/14/2013 10:50 PM (GMT 0)

That's what shows up on their claim. They always have the 'discount' or allowed charge on there if they get one.

I obviously don't have the form for Uceris, so that is the retail price from the pharmacy.

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