Yervoy-FDA approval–what stages??
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Yervoy-FDA approval–what stages??

› Forums › General Melanoma Community › Yervoy-FDA approval–what stages??

  • Post
    • August 31, 2011 at 7:49 pm
    killmel
    Participant

    Hi,

     

    I am stage 3c unresectable.

    I am concerned that if my doctor prescribes Yervoy for me, my insurance company, Blue Shield Of CA. will not approve it??

    Has the FDA approved Yervoy for stage 3C unresectable??? Anyone get approval from their insurance co. for Yervoy that are Stage 3C.

    Thank you so much for taking the time to post a reply.

    Nancy

    Hi,

     

    I am stage 3c unresectable.

    I am concerned that if my doctor prescribes Yervoy for me, my insurance company, Blue Shield Of CA. will not approve it??

    Has the FDA approved Yervoy for stage 3C unresectable??? Anyone get approval from their insurance co. for Yervoy that are Stage 3C.

    Thank you so much for taking the time to post a reply.

    Nancy

Viewing 5 reply threads
  • Replies
      • August 31, 2011 at 10:59 pm
      lhaley
      Participant

      Read NYKaren's profile. It looks like she was stage 3 when she did Yervoy.

      • August 31, 2011 at 10:59 pm
      lhaley
      Participant

      Read NYKaren's profile. It looks like she was stage 3 when she did Yervoy.

        • August 31, 2011 at 11:04 pm
        Dynasysman
        Participant

        Yervoy is approved for Stage 3 unresectable.  I am aware of situations where it has been approved; unaware of any where it has not.  Hope this helps.

        • August 31, 2011 at 11:04 pm
        Dynasysman
        Participant

        Yervoy is approved for Stage 3 unresectable.  I am aware of situations where it has been approved; unaware of any where it has not.  Hope this helps.

        • September 1, 2011 at 10:33 pm
        NYKaren
        Participant

        Sorry, meant to say 3C.

        • September 1, 2011 at 10:33 pm
        NYKaren
        Participant

        Sorry, meant to say 3C.

      • September 1, 2011 at 12:20 am
      washoegal
      Participant

      Nancy,

      I have BC/BS and  I have been denied for a few different thing and each time I and the doc took the time to appeal Bc/BS backed down.   Once on basis of medical necessity; the other on the fact that I had already tried all the cheaper alternatives they suggested and they had failed.  So even if they deny you request, which I have not heard of, don't take no for an answer.  They like to toss it out there and see if it works.

       

      Mary

      Stage 3

      • September 1, 2011 at 12:20 am
      washoegal
      Participant

      Nancy,

      I have BC/BS and  I have been denied for a few different thing and each time I and the doc took the time to appeal Bc/BS backed down.   Once on basis of medical necessity; the other on the fact that I had already tried all the cheaper alternatives they suggested and they had failed.  So even if they deny you request, which I have not heard of, don't take no for an answer.  They like to toss it out there and see if it works.

       

      Mary

      Stage 3

      • September 1, 2011 at 1:39 am
      JerryfromFauq
      Participant

      Without looking it up again, My memory says stage 3c unresectable, and Stage IV.   I seem to have  lost the FDA approval URL.

      • September 1, 2011 at 1:39 am
      JerryfromFauq
      Participant

      Without looking it up again, My memory says stage 3c unresectable, and Stage IV.   I seem to have  lost the FDA approval URL.

        • September 1, 2011 at 3:57 am
        JerryfromFauq
        Participant
        • September 1, 2011 at 3:57 am
        JerryfromFauq
        Participant
        • September 1, 2011 at 10:31 pm
        NYKaren
        Participant

        Hi, yes, exactly what Jerry said.  Stages III unresectable and IV.

        Empire BC/BS must have a negotiated price w/Sloan Kettering for the Yervoy, because of the $40,000+ charged per infusion, they paid $23,000 and I was not responsible for any.  There was no issue, as when the hospital first went for prior-approval, they were told "no prior-approval necessary for chemo."  this was when it was first FDA approved, I wonder what they say now?

        Best of luck,

        karen

        • September 1, 2011 at 10:31 pm
        NYKaren
        Participant

        Hi, yes, exactly what Jerry said.  Stages III unresectable and IV.

        Empire BC/BS must have a negotiated price w/Sloan Kettering for the Yervoy, because of the $40,000+ charged per infusion, they paid $23,000 and I was not responsible for any.  There was no issue, as when the hospital first went for prior-approval, they were told "no prior-approval necessary for chemo."  this was when it was first FDA approved, I wonder what they say now?

        Best of luck,

        karen

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