We recently received great news regarding Effer-K’s formulary status with Humana. According to the PDE Process Consultant at Humana, Effer-K is a preferred pharmaceutical on Humana’s formulary.
Humana is the third-largest pharmacy benefit network in the United States. Patients who currently have Humana as a provider can get Effer-K at a low cost or co-pay. Humana has designated Effer-K to be a Tier-1 for all plans except the Wal-Mart plan, in which case it’s a Tier 2. (The Wal-Mart Tier 1 is reserved for $4 drugs.)
Here’s how the tiers work.
- Tier 1- This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
- Tier 2- This drug is available at a middle level co-pay. Most commonly, these are “preferred” (on formulary) brand drugs.
If you are not part of the Humana plan, do not be dismayed. We are always working with other health insurance companies to obtain more comprehensive coverage for Effer-K. Also – keep in mind that the cash price of Effer-K may be lower than your co-pay, so always ask about paying cash for Effer-K.
If you are a resident of the state of Missouri and currently using Effer-K®, we have great news for you. Effer-K® is now part of the Missouri Drug Card Program.
The Missouri Drug Card is a FREE program that any resident of the state of Missouri can use.
This card will provide you with Rx medication savings of up to 75% at more than 56,000 pharmacies across the country including Schnucks, Kmart, CVS/pharmacy, Hy-Vee, Dierberg’s, Shop ’n Save, Pamida, Target, Walmart, Walgreens, and many more.
Go online to www.missouridrugcard.com and register for your drug card in 1 minute. The card is pre-activated and can be used immediately!
Information provided from www.missouridrugcard.com.
We are always curious to hear what patients are paying for Effer-K at the pharmacy. Since Effer-K 10 mEq and 20 mEq are relatively new drugs, coverage from insurance company varies widely. It takes time to get listed on different formularies and recognized by the insurance companies. Fortunately Effer-K is not an expensive drug and in some cases, the patients insurance co-pay is more than paying outright for Effer-K.
Anyway, we were pleased to hear this week from a U.S. veteran from Sun City, Arizona who takes Effer-K. His health insurance is provided by Tricare, a company that provides health insurance to military personnel and veterans. This patient paid just $9 for a 1 month supply of Effer-K. So it appears that Tricare recognizes the benefit of Effer-K and covers our product for their members. Thanks!