The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.

medicare prescription drug quandry

Forums General Melanoma Community medicare prescription drug quandry

  • Post
      i am on medicare as of last month. i have my 3rd and last scan for stage 3a next month. likely NED but who knows.

      i have to chose a prescription drug plan, teh cheapest at $6.90, the most expensive $68.20 /month

      my question: if i am NOT NED and need to go nivo + ipi are there other drugs that go along with that regime that are not covered by Part A and B medicare and that i would have to pay for. if so what are these likely drugs.

      if you can imagine the more esoteric the drug the more likley it would be Tier 3 under any precription drug plan and thus very expensive, thus i need to think about getting the higher priced plan

    Viewing 0 reply threads
    • Replies
          Hi Tkoss,
          Your oncologist or nurse may be able to guide you on potential treatment plans, but if you are pressed to make a decision I would recommend reading Celeste’s links to her library of research articles on treatments for those progressing to stage 4 (which I hope you are not)! I didn’t have to make the drug plan choice as it is part of my retiree Medicare Advantage. I think those immunotherapy drugs are under specialty drugs, my Keytruda needed auths through Evicore, a utilization management company.
              thanks, under medicare anything infused is covered by Part A & B.

              i was thinking about the other drugs that might be invovled if you are treated for Stage 4. pain or nausea or swelling or other palliative or complimentary drugs.

        Viewing 0 reply threads
        • You must be logged in to reply to this topic.
        About the MRF Patient Forum

        The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

        The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

        Popular Topics