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I have been diagnosed with a blood clot and have been put on Eliquis for an indeterminate period of time. With my Medicare part D it is going to cost me about $250 a month.
When I saw my family physician last week she said that since I am a veteran, I can enroll with the VA and get the Eliquis a lot cheaper. So I have submitted the paperwork to enroll with the VA,
I was wondering how people who are having their prescriptions filled through the VA like the process.
There are $10 co-pay cards for Eliquis. I've used one for years. Don't know how VA benefits might mesh with them but you could check eligibility under different types of coverage on www.eliquis.com.
I think the prescription needs to be written by a VA provider.
you might look at the cost under different Part D plans
Since this is my second blood clot, I don't think that it would be a problem getting a VA doctor to write the prescription. I couldn't change my Part D until next year any way, so I'll see how this plays out with the VA.
There are $10 co-pay cards for Eliquis. I've used one for years. Don't know how VA benefits might mesh with them but you could check eligibility under different types of coverage on www.eliquis.com.
When this all started, I went to the Eliquis website and I don't qualify for the co-pay card.
First you will need to know what is your Priority Group as that determines the level of care, benefits and cost. Once enrolled, you'll be assigned a Priority Group and a PCP at the VA or community based care. The PCP and possible a referral to a VA specialist may be necessary before any specialized treatment is approved. If they agree that Eliquis is your best option, they will write the prescription which is filled through your VAMC pharmacy or the VA's mail order service. The VA may prescribe the new generic apixaban tablets instead of the brand named Eliquis.
Note, if you are not currently enrolled in the VA Health Care System and your condition is not "service connected", you may have a wait as you work through the various verification, authorization, PACT assignment and finally getting a new patient appointment with a VA or VA community based doctor.
First you will need to know what is your Priority Group as that determines the level of care, benefits and cost. Once enrolled, you'll be assigned a Priority Group and a PCP at the VA or community based care. The PCP and possible a referral to a VA specialist may be necessary before any specialized treatment is approved. If they agree that Eliquis is your best option, they will write the prescription which is filled through your VAMC pharmacy or the VA's mail order service. The VA may prescribe the new generic apixaban tablets instead of the brand named Eliquis.
Note, if you are not currently enrolled in the VA Health Care System and your condition is not "service connected", you may have a wait as you work through the various verification, authorization, PACT assignment and finally getting a new patient appointment with a VA or VA community based doctor.
Thanks for the detailed information. It sounds like this is going to be quite a process.
Guess I'll proceed and see how it shakes out. I would be OK with generic for Eliquis; just don't want to go the warfarin route again. Been there; done that. Worst case scenario is that I just continue with Eliquis under my Medicare part D plan.
It can take a couple months if things are backlogged. Even if they enroll you quickly, you'll still need to see a VA or Community Care doctor to write the prescription. You can check the medical appointment wait status on the VA's website for the closest facility to your residence. That will at least give you a hint as to the wait once you get your enrollment package. In the meantime, you may need to use your Part D until the VA takes over.
It can take a couple months if things are backlogged. Even if they enroll you quickly, you'll still need to see a VA or Community Care doctor to write the prescription. You can check the medical appointment wait status on the VA's website for the closest facility to your residence. That will at least give you a hint as to the wait once you get your enrollment package. In the meantime, you may need to use your Part D until the VA takes over.
Thanks again. It looks like the wait time for a new patient primary care appointment at the clinic here is 27 days. So patience on my part will be needed.
at any rate, a prior auth at the facility level is required either by the approving service or by virtue of meeting the criteria. each site probably has approval specifics set up differently.
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