Understanding Your Insurance Coverage for Relapsing MS Therapy
- by Nancy S.
- May 22, 2017
Nancy S. has been compensated by Teva Pharmaceuticals USA, Inc.
Find out how a benefits investigation could help you!
Understanding your insurance plan benefits for COPAXONE® (glatiramer acetate injection):
Understanding insurance plan benefits can be helpful when it comes to specific prescription drug coverage. A clear understanding of your current benefits will be needed when:
- Starting a therapy
- New insurance is obtained
- Existing plan benefits change
- The in-network pharmacy changes
- Financial assistance is needed
If you have any financial concerns or need help navigating your insurance plan benefits for COPAXONE®, there are several ways we may be able to help. There is a lot of helpful information available on www.copaxone.com. If you’d prefer to speak to someone about your concerns, Teva’s Shared Solutions® Benefits Specialists are available by phone at 1-800-887-8100.
Please have all of your insurance cards on hand to avoid any delays. You will be asked to provide healthcare and pharmacy card information, as well as any secondary insurance card information you may have.
Once complete insurance information is received, a benefits investigation will be initiated. Please note: the services provided by Teva’s Benefits Specialists are only available to relapsing multiple sclerosis (RMS) patients prescribed COPAXONE® (glatiramer acetate injection).
What will a benefits investigation include?
- Help determining coverage for Teva’s COPAXONE®
- Determining pharmacy benefits and where you can have prescriptions filled for Teva’s COPAXONE®
- Assistance with understanding benefits for COPAXONE® and changes that have occurred to:
o Co-pay or co-insurance
o Max out-of-pocket
o Prior authorization (if applicable)
o In-network pharmacies or pharmacy restrictions
- Depending on your insurance coverage, additional support for financial needs
- Assistance with navigating Medicare Part D coverage
Please note: benefits are subject to eligibility at the time of the benefits investigation.
What pharmacy can I use?
Insurance plan and/or benefit changes may affect how or where you fill your prescription or if an authorization is needed before filling your prescription.
Some plans have no retail restrictions and can be filled at the pharmacy of your choice; however, others may require that you use a specific pharmacy for specialty medications. Your benefits investigation will help identify what pharmacy is in network with your plan. Register today to learn more about the program.
About The Author
Nancy S. has been working in the healthcare and insurance industry for over 33 years and specialized in multiple sclerosis for 18 years.
COPAXONE® (glatiramer acetate injection) is a prescription medicine that is used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.
Do not use COPAXONE® if you are allergic to glatiramer acetate or mannitol.
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Ellen | May 27, 2017In part d of Medicare do they allow copaxone 40 mg? Also if one takes 20 mg and want to switch to 40 mg will Medicare still allow that? Or do you have to be on 40 mg of copaxone before one goes on medicare?
Teva's Lift MS® Team | June 01, 2017Thank you for reaching out, Ellen. Teva’s Shared Solutions® Benefits Specialists are a good resource for this question. You can reach them at 1-800-887-8100 Monday through Friday from 8 a.m. to 8 p.m. CST. You can also learn more about this program for those on COPAXONE® (glatiramer acetate injection) here: https://www.liftms.com/action/insurance-coverage. We hope this helps.
Candy | November 19, 2019I am newly diagnosed with MS and am uninsured. I cannot get on my workplace insurance until September. I feel like I'm shooting in the dark as far as finding an insurance company/plan for the short term. Any advice?
Teva's Lift MS® Team | November 20, 2019You're not alone when it comes to insurance questions, Candy. The National Multiple Sclerosis Society has many resources to help you better understand your healthcare, which you can check out here: http://www.nationalmssociety.org/Resources-Support/Insurance-and-Financial-Information. We hope this helps.