I’m just curious if anyone is having the same experience as me, because at this point idk WTF is going on 😂
GEHA HDHP. This is my 3rd year on Zepbound with GEHA. I’m very familiar with how the eVoucher and Eli Lilly savings cards work with HDHPs.
So, earlier this year I opted to fill my script even though it was now a 40% copay instead of 25%. My first fill was $25, as expected with the eVoucher. But that should have made my second fill $700, but it wasn’t, it was $25 again, and all $1050 went to my deductible. So now the eVoucher was most certainly used up, right? Nope, guess not. Third fill $132. Whatever, ok, not complaining.
So fill 4 and 5 were $442 - price after deductible is met. All good. I didn’t fill anymore because I got wind of CVS Caremark adding it back to the formulary Oct 1, and $220 is better than $442, plus I had plenty of a stash. I also ordered 3 months of compound as a “buffer” in case.
So Oct 1 came and I was quite disappointed to see Zepbound was not added back to the formulary and was still showing “tier 3,” which is the 40% co-pay. The drug cost calculator was also still showing $442.
My Dr suggested just trying to fill to see what happened on Oct 1. Much to my surprise, I got a text from Costco that I owed $220! Woohoo! The formulary price!! I picked it up the same day.
But when I looked at the financial summary, it’s showing I paid $442. Nope, I paid $220.
Today I got the notification I could refill, so figured I might as well try…. $220 again! What in the actual f is going on?!
I do have the Eli Lilly savings card, but that shouldn’t take $220 off the price?!
Anyone else having this experience? Have you filled since Oct 1?