

I can tell you, having gone through the CVS specialty pharmacy stuff for chemo medication specifically, it is absolutely not covered in the way you or they have said, and you absolutely do not pay $0.
Have you ever had cancer or had a family member go through cancer treatments? Because if you haven’t, you probably shouldn’t speak from a position of authority on things for which you have no direct personal experience with.
I have both had very close family members go through this and am going through something similar myself personally.
My copay is absolutely not $0 from CVS specialty pharmacy. Usually, for a $9k-12k prescription (Depends on the dosage they decide I need), I end up needing to cover around $2k/month, after insurance. And that’s with having double insurance providers. Some of that can be helped out with from other assistance programs from the manufacturer, such as a manf. co-pay card, but the money I pay towards it does not count towards my out of pocket deductible, so I’m forced to also hit my OOP maximum from normal procedures that aren’t related to the specialty pharmacy medication.
Additionally, health insurance has been covering less and less of my medications and procedures each and every year. So it keeps getting worse for me, and I assume everyone else, including those in the SAG.





It was his real mom.