this post was submitted on 13 Jun 2023
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I hope the standing orders will also be in use so we can have insurance billed.
I don't really see that happening. Think of all the other times a previously rx-only drug has gone to OTC. Do you know of any that insurance covers? I sure don't.
Quite a few! Fluticasone spray, diclofenac gel, and while not exact there’s diclegis which is reallllly expensive as a combo. Also there’s that PPI combo with something I can’t recall right now that’s like 1000 a month but like $30 getting the two separate otc
While I admit I haven’t worked retail in awhile, it definitely depends on the patients insurance… I remember getting a letter from one stating that ALL ppis would no longer be covered, that included dexilant even though it was Rx only. Then again I remember some patients getting script for Zyrtec and paying a $5 copay/90 day supply because it was “tax free” and insurance covered it. So, hit and miss I guess, but not very reliable; then again, the worse that could happen is insurance says no and you pay oop.
On the narcan front, it’ll be interesting because I remember them being $135 or something like that wholesale… pretty expensive without insurance for a lot of patients. I wonder what wholesale for the OTC variant will be
For sure. I honestly can’t fathom why narcan got left out in the cold when it comes to copay cards. Even evil Mylan has copay cards for both brand and generic EpiPens. Maybe that has more to do with the lawsuit than anything else though