$63>$5

When I got my stents, they put me on Effient, which is now $63 a month for my copay. At the time, we asked why that versus Plavix, which is $5, and the hospital cardiologist thought it possible, even likely, that my regular cardiologist (a funny description for someone I have seen once) would switch after a month of “and we mean it” treatment at the hands of the newer drug. I understand they have slightly different mechanisms, but the main thing is the result.

It’s been a month. Took my last Effient today, and have to get one or the other today, for morning. I am still waiting for a call back from cardiology. She is not in today, so they were leaving my cardio a message. We are so strapped this week, it borders on being not possible to fill the prescription, but not doing so could be deadly. Lovely situation. And one I’ll have to start planning around, so as not to be in it again.

Even if we get that drug this month, it’s a huge hit to the budget if we can’t switch, which is already hundreds a month in the hole. That’s a big kick in the balls, being worse off in real terms than before we increased our income hundreds per month this year, to the point where we are poised at the edge of the donut hole. Get into the donut hole, and suddenly costs are more than what you make extra, between tax effects and loss of income-based benefits of the sort we’d prefer not to need.

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