My new pharmacy coverage is no longer covering my Lyumjev insulin. Through GoodRx it’s running $300/vial. Any suggestions?
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Can you get your dr to appeal for coverage? I’ve done that a couple times when my preferred insulin wasn’t covered.
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Check the formulary, mine replaced Lyumjev with Fiasp. Fiasp works equally fast or better than Lyumjev for me.
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I had the opposite problem and Lyumjev is much better than Fiasp for me.
I don’t think the insulin matters, we just want to make it work so each time we are forced to swap we get better.
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Toast worked for about 45 days, the stopped being any different than Novolog. Lyumjev has worked fine since it was released for me.
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We have done that too. However, for Lyumjev, we used manufacturers coupons to get it ar a reasonable price, $35 per month because not covered.
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As @Michel stated, Lilly does have a mfr coupon program here to bring down the cost for most patients to as low as $35 per Rx. Not sure if this program is right for you or not, but it’s worth exploring.
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Have MD write a letter for approval / appealing it. The denile are automatic now.
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Sometimes it’s step-therapy, i.e. it won’t get approved until you’ve tried something, or somethings, else. It’s pretty difficult to prove, maybe impossible, for the lyumjev/fiasp crowd because showing a benefit over humalog/novolog/apidra is difficult if not impossible. Fiasp is probably the easiest to avoid because of the skin reaction.
I suspect if you really want to stick with it then go with the manufacturer’s coupon. It’s the same as I will be paying on my new US insurance per month (in fact for 3 vials) but I selected the new insurance because they cover Lyumjev; next year I will probably have to change either the insulin or the insurance.
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Lyumjev is too painful for me-I’d gladly swap my supply out for Novolog or even Fiasp. At this point I’d take the risk of occlusions in the X2 over the pain from Lyumjev.
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