Author Topic: Does Medicare pay for name brand Evoxac?  (Read 633 times)

ohiolady

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Does Medicare pay for name brand Evoxac?
« on: January 31, 2020, 08:03:51 PM »
Hi everyone. I will be 65 in September and am wondering what to expect with my prescriptions. I tried the generic form and I could not swallow and began getting sores in my mouth again. I?ve been on the brand name for 12 years. Will Medicare require me to use the generic form? I have insurance through my husband?s retirement plan. We have United healthcare. It is a layover plan with the Medicare.

Any comments will be appreciated.

Thanks,

Anna
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ohiolady

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Re: Does Medicare pay for name brand Evoxac?
« Reply #1 on: February 04, 2020, 07:22:14 AM »
Is anyone on Medicare and brand name Evoxac????

Thanks!!!
SJS  Hashimoto's   Mild Raynauds  GERD  Gastroparesis
Restasis, Evoxac, Dexilant,  Domperidone, Zofran and Synthroid. Fish Oil, Vit D and B12  R lipoic acid,  Acetyl L Cartnine, Vitamin B1, and The Perfect Food Green and Fruit supplement

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irish

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Re: Does Medicare pay for name brand Evoxac?
« Reply #2 on: February 04, 2020, 05:48:09 PM »
I don't know, but you can always ask your pharmacist about this. I assume you know about pilocarpine and that it is generic drug to increase saliva. Good luck. Irish

Linda196

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Re: Does Medicare pay for name brand Evoxac?
« Reply #3 on: February 05, 2020, 02:48:30 AM »
Not sure how it works in the US, but in Canada most insurance requires a generic substitution unless the doctor writes "no substitutions" or "Brand only" on the original RX, If that is done, there's no problem getting brand.

There are also several companies making cevilimine (generic Evoxac) so there is a possibility that a different one may not contain whatever ingredient caused you issues.
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ohiolady

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Re: Does Medicare pay for name brand Evoxac?
« Reply #4 on: February 05, 2020, 05:31:02 AM »
Thanks! My doctor has written brand name only. So, maybe it will not be an issue.
It seems interesting to me I must be one of the few in this situation. The generic just did not work for me.

Anna

SJS  Hashimoto's   Mild Raynauds  GERD  Gastroparesis
Restasis, Evoxac, Dexilant,  Domperidone, Zofran and Synthroid. Fish Oil, Vit D and B12  R lipoic acid,  Acetyl L Cartnine, Vitamin B1, and The Perfect Food Green and Fruit supplement

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Cricket

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Re: Does Medicare pay for name brand Evoxac?
« Reply #5 on: February 09, 2020, 04:26:42 PM »
They would not pay for it till I tried generic Salagen. 

It works good for me.  I take 4 a day.  Hope this helps.
Female 64 yrs. old with:~Lymphoma ~SJS~, Fibro, Neuropathy, Spinal  Stenosis, Degenerative Discs, Shingles Arthritis, Hypo-thyroid.
Rituxan, Synthroid, Lopressor, Vasotec, Zantac, Zyrtec, evoxac, Lexapro, Neurotin, Ambien, Zanaflex, Voltarm, Vicodin, fish oil, Centrum vit.,  CoQ10, vit. D, Miralax

ohiolady

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Re: Does Medicare pay for name brand Evoxac?
« Reply #6 on: February 11, 2020, 08:56:45 PM »
Cricket,

I have already tried pilocarpine. Nothing has worked as well for me as brand-name Evoxac.

Anna
SJS  Hashimoto's   Mild Raynauds  GERD  Gastroparesis
Restasis, Evoxac, Dexilant,  Domperidone, Zofran and Synthroid. Fish Oil, Vit D and B12  R lipoic acid,  Acetyl L Cartnine, Vitamin B1, and The Perfect Food Green and Fruit supplement

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Carolina

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Re: Does Medicare pay for name brand Evoxac?
« Reply #7 on: February 13, 2020, 08:10:27 PM »
Medicare, per se, doesn't have drug coverage.  Medicare only covers Doctors, and Hospitalization, plus testing and a bunch of other medically related services.

Some of the Advantage Plans that manage Medicare for you (run by Insurance Companies) also include Prescription Coverage, and the coverage will vary from plan to plan.

I have basic Medicare, plus a supplement (which pays everything Medicare doesn't pay), AND I have to buy a Prescription Plan, separately. 

Brand name Evoxac is NOT covered by my Prescription Plan. 

Generic Evoxac, Cevilemine is NOT covered by my prescription. 

I take generic Salagen (Pilocarpine) and it IS covered but costs $340 for a 90 day supply. 

Salagen (brand name) is NOT covered.   

It seems criminal that such an important medication is so expensive, even in its most generic form!

Coverage of various drugs under those part D Prescription Plans varies.  But I think mine is pretty typical.

Before you choose any plan, either an Advantage Plan, or a Supplement plus separate Drug Coverage, be sure to cost out all the options for this important class of drugs.

Regards, Elaine

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ohiolady

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Re: Does Medicare pay for name brand Evoxac?
« Reply #8 on: February 15, 2020, 06:24:13 PM »
Thanks Elaine! I guess I Will find out come September. I already get two medications from a Canada pharmacy. I might check the price on a Evoxac the next time I call.

Anna
SJS  Hashimoto's   Mild Raynauds  GERD  Gastroparesis
Restasis, Evoxac, Dexilant,  Domperidone, Zofran and Synthroid. Fish Oil, Vit D and B12  R lipoic acid,  Acetyl L Cartnine, Vitamin B1, and The Perfect Food Green and Fruit supplement

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Cricket

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Re: Does Medicare pay for name brand Evoxac?
« Reply #9 on: February 28, 2020, 09:46:10 AM »
Anna
 
Where in Canada do you get your prescriptions from?
Female 64 yrs. old with:~Lymphoma ~SJS~, Fibro, Neuropathy, Spinal  Stenosis, Degenerative Discs, Shingles Arthritis, Hypo-thyroid.
Rituxan, Synthroid, Lopressor, Vasotec, Zantac, Zyrtec, evoxac, Lexapro, Neurotin, Ambien, Zanaflex, Voltarm, Vicodin, fish oil, Centrum vit.,  CoQ10, vit. D, Miralax

ohiolady

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Re: Does Medicare pay for name brand Evoxac?
« Reply #10 on: February 28, 2020, 11:31:36 AM »
Google Marks Marine Pharmacy

Anna
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Restasis, Evoxac, Dexilant,  Domperidone, Zofran and Synthroid. Fish Oil, Vit D and B12  R lipoic acid,  Acetyl L Cartnine, Vitamin B1, and The Perfect Food Green and Fruit supplement

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Navigator

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Re: Does Medicare pay for name brand Evoxac?
« Reply #11 on: March 20, 2020, 07:24:13 AM »
You can go online to Medicare.gov and look up prescription plans available in your state  and browse around.  You do not have to sign up to do this.

I have WellCare (a CVS/Aetna) Pharma plan and it characterizes Evoxac as a Non Preferred Drug..hence I pay More for it.  They  do cover  Salagen as a generic.  When I go for my checkup next month I am going to see about switching and see how I do. But if I don't do well I will just switch back and pay more.

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Spring

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Re: Does Medicare pay for name brand Evoxac?
« Reply #12 on: March 21, 2020, 12:35:52 PM »
I have a supplement, plus I also pay for a part D (drug coverage).
I am 68, almost 69.
I check the coverage for cevimeline (generic Evoxac) every year. I get the one that pays at least something for it.
Most years I can only find 1 plan that covers it at all!
This year (it is 3 caps a day for 90 days), 351.00! but most of my other meds are 0.00 or close. I am on the welmed/CVS paln this year. I only pay 20 a month for Rx.
Last year, I used GoodRX and found it cheaper at Walmart, so you might try that. What you have to do is print your own coupon at the GoodRX website, and each time you refill, ask for the same low price. They will give it to you.
When I called Welmed they told me it should be less money as the year went on, so I took their plan D. I met the deductable and am dissappointed to find my second RX is the same. We shall see how the year progresses.