So I'm suppose to start injections into my knee joint on Wednesday, one week apart, five in all. I got a very interesting and disturbing phone call today from a specialty pharmaceutical. They wanted me to authorize the order for the Supartz prescription for my knee injections, ordered by my Ortho doc. I asked who they were and where they were located, and proceeded to look online my insurance site, to verify if they were covered... Not.
I then told her before I could authorize the purchase & shipment I needed to know the cost of the drug. She started to say an estimated cost and I stopped her, telling her I need a verified cost of expense to ME. She put me on hold while she called my insurance company. She came back on and said, "Your portion of cost, according to your insurance company, will be $904.00". 😲 I about choked! I asked her if there were alternative meds for the injections, to which she had no answer. I then told her I needed to talk with my insurance company and with my doctor before authorizing anything, that she could put it on hold. I know that unless my insurance would agree to some type of alternative medicine or payment, there is no way I can pay $904.00 for one injection, let alone for five!
I was talking to my hubby about it and he asked what the purpose of the injx are for. I told him what the doc told me, "to provide more cushion and comfort for the arthritic joint and delay joint replacement surgery, until the damage is really bad." Then my hubby asked how many of my family members used the injx before getting TKR's; an uncle, aunt, & cousin. They ended up with their TKR's within 5 years but also were older with worse damage. So maybe I'd have a TKR sooner, but it's hard to swallow $904 x 5! Ugh, I feel faint! Lol 🙂💕🙏🌼