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Jul 18, 2020 02:57PM
If a drug is available as both a pill and an infusion, then it's generally covered under Part B, not D. The pills don't have to be administered in a doctor's office or a clinic. The only thing that has to be administered in a doc's office, etc., is something akin to an infusion or a shot (e.g., faslodex) and that falls under Part B then.
I'm shocked by what mac5 writes about 2k a month. My copay for Ibrance is higher until I go into the donut hole then catastrophic, so the first payment of the year is very high. After that, I pay $594 a month. I haven't been able to qualify for any Pfizer or private foundation assistance bc I just retired.
However, you should look around and use the medicare part d tool at medicare.gov. During the open enrollment period each fall (I think Oct 1- to about Dec 1) you can switch your Part D program. I have express scripts, which seemed to work out the best for me, but in other states (I'm in Maryland) it may be different.
11/2003, ILC, Left, Stage IIIC, ER+/PR+, HER2-
6/2006, ILC, Stage IV, metastasized to other, ER+
5/2019, ILC, Stage IV, metastasized to liver, ER+/PR+, HER2-
8/1/2019 Ibrance (palbociclib)
Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap
Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Lymph node removal; Mastectomy; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap