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Post by lakers on Nov 25, 2015 18:11:10 GMT -5
Attachment DeletedMedicare Advantage Plan 2016 Harvard Pilgrim is excited to present our StrideSM (HMO) Medicare Advantage Plan. A plan that offers more coverage than Medicare. You can join StrideSM (HMO) if you permanently reside in certain counties in Massachusetts, Maine and New Hampshire and are entitled to Medicare Part A and enrolled in Medicare Part B. Please choose the state in which you reside. Massachusetts
Maine
New HampshireThe Centers for Medicare & Medicaid Services (CMS) contract with Medicare-approved HMOs, such as Harvard Pilgrim, to offer all Medicare benefits and, in some cases, additional benefits to people eligible for Medicare. Harvard Pilgrim is an HMO plan with a Medicare contract. Enrollment in StrideSM (HMO) depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Medicare Advantage contracts between the Federal government and Harvard Pilgrim are valid for one calendar year. The benefits, premium and/or copayments/co-insurance may change on January 1st of each year. Afrezza 4 & 8 unit single strength kits, Max. 180 cartridges/30-day supply. 4 & 8 unit combo product, Max. 450 cartridges/30-day supply.
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Post by lakers on Nov 25, 2015 17:32:08 GMT -5
There are more than meet the EYES. I'd rather have Al doing the negotiation of the fate of the company. He is the heavyweight, majority shareholder. The company observes Thanksgiving Thurs and Fri 11/26-27/15, hence 8K today. At this juncture, Mnkd needs a great leader, negotiator, entrepreneur with public speaking charisma, who is able to charm Wall Street, friends and foes alike. Hakan fits better as a COO somewhere else.
BTW, Mnkd has been run as a private company anyway. Why not let the proprietor owner run it. My rec'd is still Dr. James Shannon as Al's long-term successor if the co. remains independent.
Let's see if Al accepts $1 annual salary plus stock option, and/or RSU based on pps.
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Post by lakers on Nov 25, 2015 16:51:21 GMT -5
Matt said just more than a year ago, Sanofi could have provided a free Spirometer to all MDs who wanted it. They can't do it anymore due to bribery, kickback investigation in the Pharma industry by many countries. Had Afrezza been released 1.5 yrs ago, free Spirometer wouldn't be a problem. Martin S., hedgies, BPs really impeded Afrezza success.
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Post by lakers on Nov 25, 2015 15:23:39 GMT -5
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Post by lakers on Nov 25, 2015 15:09:29 GMT -5
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Post by lakers on Nov 25, 2015 15:03:38 GMT -5
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Post by lakers on Nov 25, 2015 14:51:16 GMT -5
Someone needs to make a table of all the info, and make it sticky on top. Will be difficult to dig through the results after a few more pages. For the skeptical crowd, they need to see a link to pdf, and pictures,... |
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Post by lakers on Nov 25, 2015 14:44:54 GMT -5
Attachment DeletedHealthSpan Medicare Core 2 2016 Formulary www.healthspan.org/uploads/forms/H6298_15_032_Final_01_Core_2_Comprehensive_Formulary.pdfPg. 37 No Restriction. AFREZZA INHALATION CARTRIDGE, W/INHALATION DEVICE 4 UNIT, 4 UNIT (30)/ 8 UNIT (60), 4 UNIT (60)/ 8 UNIT (30) HealthSpan’s Formulary The formulary below provides coverage information about the drugs covered by HealthSpan. If you have trouble finding your drug in the list, turn to the Index that begins on page I-1. The first column of the chart lists the drug name. Brand name drugs are capitalized (e.g., ALBENZA) and generic drugs are listed in lower-case italics (e.g., amoxicillin). The information in the Requirements/Limits column tells you if HealthSpan has any special requirements for coverage of your drug.
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Post by lakers on Nov 25, 2015 14:34:08 GMT -5
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Post by lakers on Nov 24, 2015 20:29:44 GMT -5
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Post by lakers on Nov 24, 2015 20:17:28 GMT -5
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Post by lakers on Nov 24, 2015 20:05:25 GMT -5
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Post by lakers on Nov 24, 2015 19:58:37 GMT -5
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Post by lakers on Nov 24, 2015 19:40:30 GMT -5
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Post by lakers on Nov 24, 2015 18:08:49 GMT -5
Express Scripts Medicare 2016 Formulary: Afrezza, No PA, ST ben.omb.delaware.gov/script/documents/medicare/esm-covered-formulary.pdfpg. 69. Afrezza Tier 3: No PA, ST, QL. Are there any restrictions on my coverage? Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include: Prior Authorization: You or your doctor is required to get prior authorization for certain drugs. This means that you will need to get approval from the plan before you fill your prescriptions. If you don’t get approval, the drugs may not be covered. These drugs are noted with “PA” next to them in the formulary. Some drugs may be covered under Part B or under Part D, depending on your medical condition. Your doctor will need to get a prior authorization for these drugs as well, so your pharmacy can process your prescription correctly. Quantity Limits: For certain drugs, the amount of the drug that will be covered by the plan is limited. The plan may limit how much of a drug you can get each time you fill your prescription. For example, if it is normally considered safe to take only one pill per day for a certain drug, we may limit coverage for your prescription to no more than one pill per day. These drugs are noted with “QL” next to them in the formulary. Step Therapy: In some cases, you are required to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B. These drugs are noted with “ST” next to them in the formulary. List of abbreviations LA: Limited Availability. This prescription drug may be available only at certain pharmacies. For more information, contact Customer Service using the information provided on the front and back covers of this formulary. MO: Mail-Order Drug. This prescription drug is available through our home delivery service, as well as
through our retail network pharmacies. Consider using home delivery for your long-term (maintenance)
medications, such as high blood pressure medications. Retail network pharmacies may be more appropriate for short-term prescriptions, such as antibiotics. Tier 3: Non-Preferred Brand Drugs This tier includes non-preferred brand-name drugs as well as some generic drugs. Many non-preferred drugs have lower-cost alternatives in Tiers 1 and 2. Ask your doctor if switching to a lower-cost generic or preferred brand-name drug may be right for you. AFREZZA INHALATION CARTRIDGE, W/INHALATION DEVICE 4 UNIT, 4 UNIT (30)/ 8 UNIT (60), 4 UNIT (60)/ 8 UNIT (30) Drug Tier: 3 Requirements /Limits: MO |
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