Understanding Your Insurance Coverage for Relapsing MS

  • by Nancy S.
  •   May 22, 2017

Nancy S. is a paid employee of Teva Neuroscience, Inc.

Find out how a benefits investigation could help you!

Understanding your insurance plan benefits for COPAXONE® (glatiramer acetate injection):

Understanding insurance plan benefits can be helpful when it comes to specific prescription drug coverage. A clear understanding of your current benefits will be needed when:

  • Starting a therapy
  • New insurance is obtained
  • Existing plan benefits change
  • The in-network pharmacy changes
  • Financial assistance is needed

If you have any financial concerns or need help navigating your insurance plan benefits for COPAXONE®, there are several ways we may be able to help. There is a lot of helpful information available on www.copaxone.com, including an online Health Plan Tool. If you’d prefer to speak to someone about your concerns, Teva’s Shared Solutions® Benefits Specialists are available Monday through Friday from 8 a.m. to 8 p.m. CST at 1-800-887-8100.

Please have all of your insurance cards on hand to avoid any delays. You will be asked to provide healthcare and pharmacy card information, as well as any secondary insurance card information you may have. 

Once complete insurance information is received, a benefits investigation will be initiated. Please note: The services provided by Teva’s Benefits Specialists are only available to RMS patients currently taking or getting ready to start COPAXONE® (glatiramer acetate injection).

What will a benefits investigation include?

  • Help determining coverage for Teva’s COPAXONE®
  • Determining pharmacy benefits for convenience in filling Teva’s COPAXONE®
  • Assistance with understanding benefits for COPAXONE® and changes that have occurred to:

o   Co-pay or co-insurance

o   Deductible

o   Max out-of-pocket

o   Prior authorization (if applicable)

o   In-network pharmacies or pharmacy restrictions

  • Depending on your insurance coverage, additional support for financial needs
  • Assistance with navigating Medicare Part D coverage

Please note: Benefits are subject to eligibility at the time of the benefits investigation

What pharmacy can I use?

Insurance plan and/or benefit changes may affect how or where you fill your prescription or if an authorization is needed before filling your prescription.  

Some plans have no retail restrictions and can be filled at the pharmacy of your choice; however, others may require that you use a specific pharmacy for specialty medications. Your benefits investigation will help identify what pharmacy is in network with your plan. Register today to learn more about the program.

Nancy S.

Shared Solutions® Sr. Benefits Specialist

About The Author

Nancy S. has been working in the healthcare and insurance industry for over 33 years and specialized in multiple sclerosis for 18 years.

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1 Comment(s)
  • Ellen | May 27, 2017
    In part d of Medicare do they allow copaxone 40 mg? Also if one takes 20 mg and want to switch to 40 mg will Medicare still allow that? Or do you have to be on 40 mg of copaxone before one goes on medicare?
    • Teva's Lift MS Team | June 01, 2017
      Thank you for reaching out, Ellen. Teva’s Shared Solutions® Benefits Specialists are a good resource for this question. You can reach them at 1-800-887-8100 Monday through Friday from 8 a.m. to 8 p.m. CST. You can also learn more about this program for those on COPAXONE® (glatiramer acetate injection) here: https://www.liftms.com/action/insurance-coverage. We hope this helps.