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Post by mannmade on Aug 25, 2016 10:06:41 GMT -5
I was speaking with a doctor friend of mine who was a high prescriber of AFREZZA. He had stopped prescribing for a while until things sorted out. He told me he just recd sample boxes in the mail of AFREZZA this week and will be trying it with a T2 this week that he has an appt with.
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Post by peppy on Aug 25, 2016 10:10:44 GMT -5
I was speaking with a doctor friend of mine who was a high prescriber of AFREZZA. He had stopped prescribing for a while until things sorted out. He told me he just recd sample boxes in the mail of AFREZZA this week and will be trying it with a T2 this week that he has an appt with. so sample boxes and not titration boxes? |
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Post by mannmade on Aug 25, 2016 10:12:27 GMT -5
Yes think he said they had 30 cartridges but I could be mistaken. He was also aware of titration packs with script.
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Post by peppy on Aug 25, 2016 10:27:18 GMT -5
Yes think he said they had 30 cartridges but I could be mistaken. He was also aware of titration packs with script. 30 cartridges/ 10 days worth. Definitely a sample. hmmm try it, you will like it? Insurance boarding time?
Just for fun the configurations. www.afrezza.com/hcp/configuration-chart
The last conference called, the titration boxes were in inventory and Mannkind was working on the sample production. paraphrasing.
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Post by applogic on Aug 25, 2016 18:34:30 GMT -5
I have an appointment Monday with the guy in San Antonio.
Here's my experience up to this point - A year ago February my PCP after we discussed Afrezza he had the nurse do the spirometry next day after work, cost me $45 and took 10 minutes. He wanted to wait until the next quarterly visit and I agreed. In May he said he wasn't familiar with Afrezza but would look into it - next time.. Well that was the same story every time thereafter. Anyway, that's all in the past so let's see how it goes this time and I will reach out to Mike if I see any issues. Maybe useful as a roadmap to the next PWD.
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Post by applogic on Aug 30, 2016 10:04:30 GMT -5
Follow up...
Was able to do a spirometry, get samples and a prescription is a single day. That's the good news.
Initially, doc was leaning towards something else until I mention my insurance would cover (I looked it up before hand). Doc was only able to give me some 4u samples as that's all he had along with a stack of the SNY discount cards. Per my doc, the cost w/o insurance would have been in the $300-$400/mo range. It was $115/mo w/insurance. I can handle that but I can see where cost could be a problem.
This is one of the docs on the AfrezzaUsers list so am surprised he wasn't supplied with samples out of the gate. How do you forget to supply your star performers? Another embarrassment of glitches. It doesn't matter to me that Mannkind hasn't raised their price in two years. I am sitting on 100k shares at 10.80 and now renting a room from someone a few years from retirement. The reality is price does matters and as wonderful as the drug may be, if insurance companies won't cover it, it seems to me the docs won't prescribe it...
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Post by peppy on Aug 30, 2016 10:09:42 GMT -5
Follow up...
Was able to do a spirometry, get samples and a prescription is a single day. That's the good news.
Initially, doc was leaning towards something else until I mention my insurance would cover (I looked it up before hand). Doc was only able to give me some 4u samples as that's all he had along with a stack of the SNY discount cards. Per my doc, the cost w/o insurance would have been in the $300-$400/mo range. It was $115/mo w/insurance. I can handle that but I can see where cost could be a problem.
This is one of the docs on the AfrezzaUsers list so am surprised he wasn't supplied with samples out of the gate. How do you forget to supply your star performers? Another embarrassment of glitches. It doesn't matter to me that Mannkind hasn't raised their price in two years. I am sitting on 100k shares at 10.80 and now renting a room from someone a few years from retirement. The reality is price does matters and as wonderful as the drug may be, if insurance companies won't cover it, it seems to me the docs won't prescribe it...
thank you for posting. I am surprised your co pay is so high $115/mo w/insurance.
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Post by ilovekauai on Aug 30, 2016 10:12:27 GMT -5
Just hang tough Applogic. As you may know many here are underwater. None of this is easy. Granted, the collapse of the SP these past several weeks is disheartening, but it will come back for good in the not too distant future. When I see 4.30 M shares traded in the 1st hour of trading today, that tells me a short attack is underway and has been for over a week now. MNKD will bounce back from this. Script counts will rise later this year. Aloha.
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Post by rockstarrick on Aug 30, 2016 10:15:57 GMT -5
Follow up...
Was able to do a spirometry, get samples and a prescription is a single day. That's the good news.
Initially, doc was leaning towards something else until I mention my insurance would cover (I looked it up before hand). Doc was only able to give me some 4u samples as that's all he had along with a stack of the SNY discount cards. Per my doc, the cost w/o insurance would have been in the $300-$400/mo range. It was $115/mo w/insurance. I can handle that but I can see where cost could be a problem.
This is one of the docs on the AfrezzaUsers list so am surprised he wasn't supplied with samples out of the gate. How do you forget to supply your star performers? Another embarrassment of glitches. It doesn't matter to me that Mannkind hasn't raised their price in two years. I am sitting on 100k shares at 10.80 and now renting a room from someone a few years from retirement. The reality is price does matters and as wonderful as the drug may be, if insurance companies won't cover it, it seems to me the docs won't prescribe it...
Thanks for sharing, here is a clip from a response from Mike C that talks about coverage. If you haven't already, I would read the entire response, it's pretty solid IMO. Finally, regarding what Matt may or may not have said about the payor space is in the past. We have deep expertise in this area and are focused on removing barriers for patients to get access to our product. Afrezza has not had a price increase in 2 years, but many insurance companies still penalize patients by putting us on a higher copay/tier despite us holding the price of this product. We know the payor space well and unfortunately these things take time to make changes and I am confident we will share our value proposition with our payor colleagues and enhance access to Afrezza. However, at the current time we have created a reimbursement center to help patients get access to our product as efficiently as possible. It should also be noted that we have significant coverage for commercial plans, but Medicare is a challenge which is ironic because these are government insured patients/voters and the price increases in the insulin market are being paid for by all of us as taxpayers given this is the #1 expense category for payors and healthplans. We should be demanding Medicare open up access for Afrezza so that we can give patients another option that can help them control their disease. Read more: mnkd.proboards.com/thread/6124/castagna-manifesto#ixzz4IpRdSNkGPlease se let us know how Afrezza works for you. Best of luck. |
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Post by therealisaching on Aug 30, 2016 10:18:13 GMT -5
applogic
is that pre or post the discount card?
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Post by kc on Aug 30, 2016 10:28:34 GMT -5
Follow up...
Was able to do a spirometry, get samples and a prescription is a single day. That's the good news.
Initially, doc was leaning towards something else until I mention my insurance would cover (I looked it up before hand). Doc was only able to give me some 4u samples as that's all he had along with a stack of the SNY discount cards. Per my doc, the cost w/o insurance would have been in the $300-$400/mo range. It was $115/mo w/insurance. I can handle that but I can see where cost could be a problem.
This is one of the docs on the AfrezzaUsers list so am surprised he wasn't supplied with samples out of the gate. How do you forget to supply your star performers? Another embarrassment of glitches. It doesn't matter to me that Mannkind hasn't raised their price in two years. I am sitting on 100k shares at 10.80 and now renting a room from someone a few years from retirement. The reality is price does matters and as wonderful as the drug may be, if insurance companies won't cover it, it seems to me the docs won't prescribe it...
Good luck and good health to you. We all feel your pain regarding the share prices. |
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Post by kball on Aug 30, 2016 11:05:27 GMT -5
Follow up...
Was able to do a spirometry, get samples and a prescription is a single day. That's the good news.
Initially, doc was leaning towards something else until I mention my insurance would cover (I looked it up before hand). Doc was only able to give me some 4u samples as that's all he had along with a stack of the SNY discount cards. Per my doc, the cost w/o insurance would have been in the $300-$400/mo range. It was $115/mo w/insurance. I can handle that but I can see where cost could be a problem.
This is one of the docs on the AfrezzaUsers list so am surprised he wasn't supplied with samples out of the gate. How do you forget to supply your star performers? Another embarrassment of glitches. It doesn't matter to me that Mannkind hasn't raised their price in two years. I am sitting on 100k shares at 10.80 and now renting a room from someone a few years from retirement. The reality is price does matters and as wonderful as the drug may be, if insurance companies won't cover it, it seems to me the docs won't prescribe it...
I wanted to thumbs up this post, but would rather wish you well with treatment and the way the investment has changed your situation. One tough investment for many |
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Post by applogic on Aug 30, 2016 11:48:11 GMT -5
$115/mo was pre-discount card. I can grab off the website but I would have thought Mannkind reps would have distributed them to the doctors that were known prescribers first - low hanging fruit.
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Post by Deleted on Aug 30, 2016 12:16:28 GMT -5
$115/mo was pre-discount card. I can grab off the website but I would have thought Mannkind reps would have distributed them to the doctors that were known prescribers first - low hanging fruit. He might have prescribed it to 1 person on the patient's insistence with no other rx may be ? |
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Post by oldfishtowner on Aug 30, 2016 13:34:26 GMT -5
Follow up...
Was able to do a spirometry, get samples and a prescription is a single day. That's the good news.
Initially, doc was leaning towards something else until I mention my insurance would cover (I looked it up before hand). Doc was only able to give me some 4u samples as that's all he had along with a stack of the SNY discount cards. Per my doc, the cost w/o insurance would have been in the $300-$400/mo range. It was $115/mo w/insurance. I can handle that but I can see where cost could be a problem.
This is one of the docs on the AfrezzaUsers list so am surprised he wasn't supplied with samples out of the gate. How do you forget to supply your star performers? Another embarrassment of glitches. It doesn't matter to me that Mannkind hasn't raised their price in two years. I am sitting on 100k shares at 10.80 and now renting a room from someone a few years from retirement. The reality is price does matters and as wonderful as the drug may be, if insurance companies won't cover it, it seems to me the docs won't prescribe it...
Pricing a 30-day supply is not always the best way to look at cost. CVS/Caremark is the PBM for the insurance plan I have, which is one of the federal employee plans. I looked up the cost of Afrezza for my insurance plan some time ago on the Caremark site and the cost (i.e., copay) of a 30-day supply of 4-unit cartridges is $135.82 (or $1652.48/year) while a 90-day supply of 4-unit cartridges is only $80 (or $324.44/year). The difference is that the 30-day supply is priced for a prescription filled at any retail pharmacy, but the 90-day supply is priced for a prescruption filled through the mail order service or a CVS pharmacy (the only way "maintenance" drugs can be purchased on this plan). |
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