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Post by peppy on Jun 20, 2021 17:28:44 GMT -5
morfu, it is the insurance coverage. Okay, well .. a bit more details would be great, it seems medicare D does not cover Afrezza for example, is there a Co-pay if a different coverage is the most common?
Turns out with a comparable label the insurance companies are picking which insulin it covers, after all, they are comparable. for instance on diabetic sites, I have read complaints, the insurance company is now having the patient change from a Lilly insulin to a Novo Nordsk insulin, this is because of the deal the pharmacy purchasing managers made with the drug manufacturer. Afrezza isn't even on the list of the rebate insulins. it isn't easy to change insulins even if the label says, comparable. |
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Post by sportsrancho on Jun 20, 2021 18:09:24 GMT -5
It’s not just one thing, it’s the bad experiences, ( bad is not a good word) it’s just that the product doesn’t work for them.. it’s the price and it’s insurance. It’s incorrect dosing from the beginning. If you’re on a CGM and you have guidance you can dose heavier in the beginning which alleviates the need for follow up dosing ( which I guess is annoying to some ) And not go low. Once you get it dialed in nothing beats it that’s why there’s some people that have been on it for 5+ years and swear by it.
It’s wrong on the website.
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Post by sportsrancho on Jun 20, 2021 18:16:40 GMT -5
I will say if I was Type 1 I would use Afrezza. of course you would. If you could get it covered by health insurance. All of our patients are covered by insurance but you have to prove necessity and with the numbers we are getting in most cases we can prove it. You do have have to write a lot of appeal letters. |
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Post by morfu on Jun 20, 2021 18:19:33 GMT -5
Okay, well .. a bit more details would be great, it seems medicare D does not cover Afrezza for example, is there a Co-pay if a different coverage is the most common?
Turns out with a comparable label the insurance companies are picking which insulin it covers, after all, they are comparable. for instance on diabetic sites, I have read complaints, the insurance company is now having the patient change from a Lilly insulin to a Novo Nordsk insulin, this is because of the deal the pharmacy purchasing managers made with the drug manufacturer. Afrezza isn't even on the list of the rebate insulins. it isn't easy to change insulins even if the label says, comparable. That being said, what is the most common way to get Afrezza thee days and how much is the Co-pay?
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Post by uvula on Jun 20, 2021 18:29:25 GMT -5
If I say something about tyvaso here, would I be hijacking this new thread? I don't want to do anything wrong.
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Post by nylefty on Jun 20, 2021 18:36:11 GMT -5
morfu, it is the insurance coverage. Okay, well .. a bit more details would be great, it seems medicare D does not cover Afrezza for example, is there a Co-pay if a different coverage is the most common?
Medicare Part D plans are offered by private insurance companies, not Medicare itself. I'm on one of the Medicare Part C plans, which are also offered by private insurance companies. The companies can cover Afrezza if they want to but in most cases they do not because it's not in their financial interest to do so.
That's why the Senior Savings program that MannKind will join next year won't help us much. MannKind could have joined that program this year, but chose not to. There's a reason why Castagna never mentions this program in his public appearances or even on his slides.
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Post by cretin11 on Jun 20, 2021 20:39:12 GMT -5
I hope u weren’t being a smart ass peppy. I can be gullible. Perhaps she was, but ignore it, we appreciate your unique perspective as one of the top Afrezza salespeople from the early days. |
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Post by nylefty on Jun 20, 2021 21:24:06 GMT -5
I hope u weren’t being a smart ass peppy. I can be gullible. Perhaps she was, but ignore it, we appreciate your unique perspective as one of the top Afrezza salespeople from the early days. I'd make that one of the 'self-described' top Afrezza salespeople. And do ypu really believe his contention that insurance isn't a problem and that patients and doctors not knowing about Afrezza isn't a problem? To me he loses all credibility when he says that the problem is that patients just "don't like" Afrezza. |
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Post by bones1026 on Jun 20, 2021 21:46:27 GMT -5
I hope u weren’t being a smart ass peppy. I can be gullible. Perhaps she was, but ignore it, we appreciate your unique perspective as one of the top Afrezza salespeople from the early days. “Top Afrezza salespeople from the early days? Says who Validated by what? They way you guys defend him, he sounds like a saint |
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Post by cretin11 on Jun 20, 2021 22:31:20 GMT -5
Perhaps she was, but ignore it, we appreciate your unique perspective as one of the top Afrezza salespeople from the early days. “Top Afrezza salespeople from the early days? Says who Validated by what? They way you guys defend him, he sounds like a saint Nobody says he is a saint, he’s just who he says he is. Not sure why it’s so hard to understand or believe. A guy comes to the MannKind message board and shares perspective from years of working in the field selling our flagship product. You’d think we would appreciate that perspective, but instead he gets attacked because he’s not saying exactly what we want to hear. It’s petty and immature, to put it nicely. I don’t get it. Yes, we all want to make money with our investment. But look at the Afrezza sales numbers, now we have years of a track record. We believe in the brilliance of the technology, so don’t you wonder why it flopped on the market? “It’s all insurance” or “FDA and BP conspiracy” are simplistic scapegoats that might make you feel better, but I prefer the truth. Call me out for being offensive and hurting your feelings, I could care less. But I come here to get good info, and no offense intended to most of you, but it’s a bunch of hot air (myself obviously included) except for a select few connected and/or astute individuals. So I will defend one of those individuals against the bitter peanut gallery. If you start accusing sports of being a charlatan I will defend her too. |
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Post by babaoriley on Jun 21, 2021 1:21:33 GMT -5
Cretin said, like many others have for years, “ I could care less.” Well, then, how much less could you care?? LOL
I don’t know how the correct phrase ever got turned around, but it’s been over 40 years.
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Post by mytakeonit on Jun 21, 2021 1:52:16 GMT -5
Alright !!! baba called out cretin11 and challenged him. baba will put out his 5 shares to challenge cretin's 11 shares !!! Should be fun for maybe a minute.
And if sports is a charlatan ... ooooh ... that kinda excites me. I'll have to contact her. Ha!
But, that's mytakeonit
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Post by peppy on Jun 21, 2021 3:18:49 GMT -5
“Top Afrezza salespeople from the early days? Says who Validated by what? They way you guys defend him, he sounds like a saint Nobody says he is a saint, he’s just who he says he is. Not sure why it’s so hard to understand or believe. A guy comes to the MannKind message board and shares perspective from years of working in the field selling our flagship product. You’d think we would appreciate that perspective, but instead he gets attacked because he’s not saying exactly what we want to hear. It’s petty and immature, to put it nicely. I don’t get it. Yes, we all want to make money with our investment. But look at the Afrezza sales numbers, now we have years of a track record. We believe in the brilliance of the technology, so don’t you wonder why it flopped on the market? “It’s all insurance” or “FDA and BP conspiracy” are simplistic scapegoats that might make you feel better, but I prefer the truth.Call me out for being offensive and hurting your feelings, I could care less. But I come here to get good info, and no offense intended to most of you, but it’s a bunch of hot air (myself obviously included) except for a select few connected and/or astute individuals. So I will defend one of those individuals against the bitter peanut gallery. If you start accusing sports of being a charlatan I will defend her too. quote, "“It’s all insurance” or “FDA and BP conspiracy” are simplistic scapegoats that might make you feel better, but I prefer the truth."reply, It's the insurance.cre·tin /ˈkrētn/ noun 1. a stupid person (used as a general term of abuse). offensive 2. a person who is physically deformed and has a mental disability because of congenital thyroid deficiency. dated |
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Post by peppy on Jun 21, 2021 4:01:12 GMT -5
It’s not just one thing, it’s the bad experiences, ( bad is not a good word) it’s just that the product doesn’t work for them.. it’s the price and it’s insurance. It’s incorrect dosing from the beginning. If you’re on a CGM and you have guidance you can dose heavier in the beginning which alleviates the need for follow up dosing ( which I guess is annoying to some ) And not go low. Once you get it dialed in nothing beats it that’s why there’s some people that have been on it for 5+ years and swear by it. It’s wrong on the website. quote, " it’s the bad experiences, it’s just that the product doesn’t work for them. reply, that is insulin in general. People have to learn to use RAA. People need to learn afrezza. The experiences on RAA's are worse. quote, "it’s the price and it’s insurance" reply, bingo follow the money. quote," It’s incorrect dosing from the beginning." reply, insulin RAA's are difficult to dose. So Nope, it is the insurance. The physicians have fallen in line. They do not want to write the letters, the physicians office does not want calls from the pharmacy purchasing manager. Did you listen to Stevil? the pharmacy calls the physician and tells the physician that afrezza isn't covered and the physician orders an insulin that is covered by insurance. Do we really think, the person that we have just met, the physician, cares so much about what insulin you are on he is going to stop the world to write letters and get calls from the insurance companies?   |
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Post by sportsrancho on Jun 21, 2021 6:44:09 GMT -5
Yeah did I forget the part about doctors don’t want to take the time for letters to Insurance or for education on the drug. Sad
Great post cretin.. all truth.
Some people instinctively know the truth when they hear it.
I think I’m one of those people, but the person has to be completely vetted with me before I say it out loud:-)
And come on everybody knows it’s not all about insurance. Common sense tells you that, plus Vdex could not prescribe it as it’s flagship product if that were the case.
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