Insurance formularies change frequently and Vemlidy has been a hot button issue. Hepatitis B Foundation has been petitioning for insurances to keep it on formulary and recently CVS Caremark did put it back in.
BUT the good news is that generic baraclude and tenofovir (TDF, generic version of Viread) are much more affordable now and you DO NOT need to even have insurance to get them.
You do need a doctors prescription but you can use GoodRx.com, CostPlus Pharmacy (Mark Cuban’s pharmacy) or there are other nonprofit pharmacies to access great prices.
For example, Viread Prices, Coupons & Savings Tips - GoodRx can be about $20 a month if you go to Walmart, Costco or a grocery store pharmacy. (Don’t go to CVS or Walgreens, those are always more expensive).
At Costplus, you can get entecavir for about $28 Medications Details | Mark Cuban Cost Plus Drug Company (costplusdrugs.com), and Tenofovir is $15 for a month or $35 for 3 months Medications Details | Mark Cuban Cost Plus Drug Company (costplusdrugs.com)
So try your insurance and see how much it costs with them. If it’s more than any of these, just go outside of your insurance!
And remember, even if your pharmacy fills a prescription and you find out it’s too much when they ring you up, you can choose not to buy it. Just say no thanks and they will return it to the shelf.
Hope that helps!!
Su