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Lovenox. Question about pay.

harshstopsharshstops
in High-Risk Pregnancy

How in the world am I supposed to pay for lovenox for the next 7 months?
My copay is $600 a month.

I went and got on Medicaid just to pay for the Rx, and then Medicaid won't pay for it because I have other insurance.

I can't use the patient assistance program because I'm on Medicaid. 

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Re: Lovenox. Question about pay.

  • nurseJKnurseJK member
    Ask for a prescription for heparin instead. You will have to give yourself shots more frequently (usually twice instead of once a day) but it is A LOT cheaper! I am going to do heparin.
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  • pinkamerspinkamers member
    Oh, my goodness! I'm so sorry that it's not covered for you! Mine is only $25 per month....although I know that's not what you want to hear. :(
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  • lax15bsulax15bsu member
    I had the same issue. Insurance covers Lovenox, but 30 day supply would cost about $550. Heparin, which is two shots daily, cost me $170 for a 30 day supply. And heparin is not covered by my insurance. Totally sucks and doesn't seem fair!
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  • lax15bsulax15bsu member
    I had the same issue. Insurance covers Lovenox, but 30 day supply would cost about $550. Heparin, which is two shots daily, cost me $170 for a 30 day supply. And heparin is not covered by my insurance. Totally sucks and doesn't seem fair!
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  • trickywootrickywoo member

    Are you sure medicaid won't pay?  We had it for about a month during the last pregnancy, and they covered the lovenox.  We just had the pharmacy file with them first, even though dh had insurance through work. 

     

    Might be worth a try?

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  • UrbanWifeUrbanWife

    Your normal insurance will not cover it?

    I guess I'm lucky, mine does and I use the mail in prescription plan and get a 90 day supply for $100.

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  • mommajen8mommajen8 member
    lurker here!! i work for a state medicaide HMO and usually how it works is your pharmacy bills your primary insurance then bills the left over copay to the medicade. they should pick up that $600.
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  • str8otastr8ota member
    imageUrbanWife:

    Your normal insurance will not cover it?

    I guess I'm lucky, mine does and I use the mail in prescription plan and get a 90 day supply for $100.

    This.  I pay $65 for 3 month supply of lovenox through mail-in.

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  • betheppertbetheppert

    My first 9 days cost $800 but that helped us meet our deductible and now it's $30 a month. Call your insurance and see if heparin is covered- typically it is less expensive. 

    In my case heparin isn't covered by my insurance at all so it would have been $200 a month for me.

    Good luck! 

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  • harshstopsharshstops

    I'm wondering if that'd work, billing the remainder to Medicaid, I'll call my pharmacy.

     

    In the meantime I've switched to a new drug plan with Medicare part D that supposedly does cover the Lovenox and I'd pay $3.30 a month. 

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