Great job by Innovative’s Jeannine Bandiera, who found a way to make a member’s medication affordable! Recently one of our members was made aware of a tier change for the medication that she needs to treat her condition. The insurance carrier moved the medication to the Specialty Drug list from the Third Tier Formulary list, making the medication unaffordable to the member at $250 per month. After contacting the insurance carrier, who said there wasn’t anything they could do, Jeannine decided to contact the manufacturer, Glaxo, Smith & Kline directly. Jeannine discovered that Glaxo Smith & Kline has a co-pay assistance program that bases the cost of the medication on means. For this member the drug cost was reduced to $75, a savings of $175 monthly. Way to go Jeannine, that’s the Innovative way!
There are similar programs offered by other manufacturers as well. If you would like to learn more about this particular program follow this link to the Glaxo website:
http://www.rxassist.org/pap-info/company_detail.cfm?CmpId=125
