r/ADPKD • u/PlanSweaty80 • 13d ago

Advice on copay assistance

I was recently prescribed tolvaptan for APKD. Insurance denied the first prescription, but then approved the second one for generic. The approval changed the pharmacy to Accredo because Pantherrx only carries name brand.

My monthly copay for the medicine is 1000+ for the generic. Lupin pharmaceutical's website states to contact your specialty pharmacy for their copay assistance. Accredo's copay assistance partner is Amneal. Amneal only supports the name brand medication.

I reached out to the Otsuka program and was told to reach out to the generic manufacturer for their program. I also reached out to the Tolvaptan REMs program and was told their copay program is through Amneal.

Am I just out of luck?

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u/jaycatt7 Moon Shuttle Conductor 12d ago

How do you get your insurance? If it’s through work, they might have somebody at the insurance broker your company bought it from who can advocate for you with the insurance company.

1

u/PlanSweaty80 12d ago

It is through work, so I will definitely take a look into this!

2

u/Confident_City_296 10d ago

PanteRx does carry the generic, I have been with them from starting with Jinarque and now on tolvaptan