The confusion may be coming in because Humana is looking at this as a drug prescription.
Tysabri CAN be dispensed by a "specialty pharmacy" as a prescription and shipped to your chosen infusion center, where you're charged just for the infusion.
I chose to have Tysabri dispensed this way because it was cheaper under my group insurance plan.
More commonly, it is prescribed as a "treatment" by your neuro, and the drug itself is furnished by the doctor's practice as part of your treatment. Then it doesn't come under part D, just part B and your supplemental. Or part C if you're going with HMO. I think. I don't have a great understanding of the B and C thing.
I'm going on Medicare in the spring and DREAD it. It's got to be the most confusing medical plan ever.
I'm off Tysabri now after 43 infusions (positive for JC virus).
Tysabri CAN be dispensed by a "specialty pharmacy" as a prescription and shipped to your chosen infusion center, where you're charged just for the infusion.
I chose to have Tysabri dispensed this way because it was cheaper under my group insurance plan.
More commonly, it is prescribed as a "treatment" by your neuro, and the drug itself is furnished by the doctor's practice as part of your treatment. Then it doesn't come under part D, just part B and your supplemental. Or part C if you're going with HMO. I think. I don't have a great understanding of the B and C thing.
I'm going on Medicare in the spring and DREAD it. It's got to be the most confusing medical plan ever.
I'm off Tysabri now after 43 infusions (positive for JC virus).
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