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Post by therealisaching on Aug 25, 2016 7:55:21 GMT -5
from the home page www.mannkindcorp.com Update on Medicare/Medicaid Coverage We recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes. This issue impacted prescriptions last week and is anticipated to affect reported prescription counts only for the month of August. If you are on Medicare or Medicaid and having trouble filling your prescription for Afrezza, please contact MannKind Cares at 844-323-7399 (1-844-3Afrezza) for an interim solution. We expect that patients will not have any problem filling or refilling their Medicare or Medicaid prescription for Afrezza starting September 1, 2016. We apologize for this inconvenience. |
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Post by therealisaching on Aug 25, 2016 8:28:41 GMT -5
I'm pleased that managment has communicated the Medicare/Medicaid issue.
1. helps to explain the lower renewals last week. 2. reassures me that Mike & team are watching details like hawks. 3. in general appreciate the continued candor |
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Post by babaoriley on Aug 25, 2016 8:33:31 GMT -5
"We recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes." Incredibly typical bureaucratic snafu; hopefully they will have things squared away in a couple of weeks. As for script counts, well, at least it's only going to affect the older Afrezza candidates. Thanks for posting.
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Post by centralcoastinvestor on Aug 25, 2016 8:37:20 GMT -5
I'm pleased that managment has communicated the Medicare/Medicaid issue.
1. helps to explain the lower renewals last week. 2. reassures me that Mike & team are watching details like hawks. 3. in general appreciate the continued candor I agree. The ongoing communication has been great. Management seems to know what they are doing. If the script count gains traction, look out. |
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Post by yash on Aug 25, 2016 9:15:57 GMT -5
www.mannkindcorp.com/index.htmWe recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes. This issue impacted prescriptions last week and is anticipated to affect reported prescription counts only for the month of August. If you are on Medicare or Medicaid and having trouble filling your prescription for Afrezza, please contact MannKind Cares at 844-323-7399 (1-844-3Afrezza) for an interim solution. We expect that patients will not have any problem filling or refilling their Medicare or Medicaid prescription for Afrezza starting September 1, 2016. We apologize for this inconvenience.
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Post by nylefty on Aug 25, 2016 9:31:15 GMT -5
"We recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes." Incredibly typical bureaucratic snafu; hopefully they will have things squared away in a couple of weeks. As for script counts, well, at least it's only going to affect the older Afrezza candidates. Thanks for posting. Medicaid covers a lot of people who are not "older." It covers millions of poor people of all ages. |
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Post by peppy on Aug 25, 2016 9:37:13 GMT -5
from the home page www.mannkindcorp.com Update on Medicare/Medicaid Coverage We recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes. This issue impacted prescriptions last week and is anticipated to affect reported prescription counts only for the month of August. If you are on Medicare or Medicaid and having trouble filling your prescription for Afrezza, please contact MannKind Cares at 844-323-7399 (1-844-3Afrezza) for an interim solution. We expect that patients will not have any problem filling or refilling their Medicare or Medicaid prescription for Afrezza starting September 1, 2016. We apologize for this inconvenience. perhaps Mike can clarify. Does Medicaid cover Afrezza?
(There is going to be an angry Blue Cross Blue Shield customer.) |
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Post by searching on Aug 25, 2016 9:41:21 GMT -5
Thanks for posting this info. It helps explain the drop in last weeks refilll scripts.
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Post by liane on Aug 25, 2016 9:42:07 GMT -5
Medicaid goes state by state - so 50 different plans.
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Post by therealisaching on Aug 25, 2016 9:42:29 GMT -5
from the home page www.mannkindcorp.com Update on Medicare/Medicaid Coverage We recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes. This issue impacted prescriptions last week and is anticipated to affect reported prescription counts only for the month of August. If you are on Medicare or Medicaid and having trouble filling your prescription for Afrezza, please contact MannKind Cares at 844-323-7399 (1-844-3Afrezza) for an interim solution. We expect that patients will not have any problem filling or refilling their Medicare or Medicaid prescription for Afrezza starting September 1, 2016. We apologize for this inconvenience. perhaps Mike can clarify. Does Medicaid cover Afrezza?
(There is going to be an angry Blue Cross Blue Shield customer.)
Not sure how many states but NY does
www.emedny.org/info/fullform.pdf
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Post by peppy on Aug 25, 2016 10:00:05 GMT -5
perhaps Mike can clarify. Does Medicaid cover Afrezza?
(There is going to be an angry Blue Cross Blue Shield customer.)
Not sure how many states but NY does
www.emedny.org/info/fullform.pdf
Perhaps just a nasty thought. Does California Medicaid cover Afrezza? Perhaps Jan's Blue Cross Blue Shield Plan in California could be shamed for not covering Afrezza. <--- am not above using shame.
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Post by mnholdem on Aug 25, 2016 10:00:56 GMT -5
Medicaid goes state by state - so 50 different plans. FYI to all: I will be posting that information in the Formulary Trackers forum, starting in early September. 
The channels that will be tracked & posted for formularies that cover Afrezza will be:
- Commercial (currently being tracked)
- Medicare
- State Medicaid
- Health Exchange
- Managed Medicaid
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Post by kball on Aug 25, 2016 11:33:29 GMT -5
"We recently learned that there was a lapse in Medicare and Medicaid coverage for Afrezza as a result of the transition to MannKind’s NDC codes." Incredibly typical bureaucratic snafu; hopefully they will have things squared away in a couple of weeks. As for script counts, well, at least it's only going to affect the older Afrezza candidates. Thanks for posting. Doubtful these were the folks getting prescribed/fighting for the drug. Or had even heard of it as of yet. |
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Post by mnholdem on Aug 25, 2016 11:44:36 GMT -5
perhaps Mike can clarify. Does Medicaid cover Afrezza?
(There is going to be an angry Blue Cross Blue Shield customer.)
Not sure how many states but NY does
www.emedny.org/info/fullform.pdf
Not exactly true. Afrezza is listed with a PA Code "G" for which the following notation applies:
PA code "G" = PA required for Non Preferred drugs OR drugs not meeting clinical criteria (FQD, STEP) OR drugs in
Clinical Drug Review Program, the Brand Less than Generic Program or the Mandatory Generic Program
Also, the NDC codes on that report list Sanofi as the labeler. 
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Post by factspls88 on Aug 25, 2016 11:56:26 GMT -5
FYI to all: I will be posting that information in the Formulary Trackers forum, starting in early September.
The channels that will be tracked & posted for formularies that cover Afrezza will be:
- Commercial (currently being tracked)
- Medicare
- State Medicaid
- Health Exchange
- Managed Medicaid
Thanks for all of your good work mnholdem. |
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