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Real members of MyMSTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyMSTeam Member asked a question 💭
Canvas, WV

I have a question. My Neuro told me that insurance doesn't like paying for the pills until you try the shots. Is this the truth?

January 26, 2015
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A MyMSTeam Member

@A MyMSTeam Member the Techifdura cost us same amount. We have insurance & use the assistance programs thru the drug makers. But the amount billed yearly is over 50grand.
Sorry the med is not offered for ppms.

January 26, 2015
A MyMSTeam Member

I went right on pills, never took the shots. I assume every insurance company is different.

January 27, 2015
A MyMSTeam Member

It's good to call your insurance company or go to their website to find out. I don't think you have to start with shots. You can go on pills as long as it's a first line of therapy. I think drugs like Tysabry are considered a second line of therapy. It also depends on what teir the drug is. Some drug companies give good better deals thAn others to the insurance companies.

January 26, 2015
A MyMSTeam Member

I was denied Gilenya at first b/c my insurance wants to see to other meds (mainly shots) tried first. I did Copaxone in the past and they have since gotten approval.

January 26, 2015
A MyMSTeam Member

I wouldn't call you don't wount them to know if doc thinks you have pp ms most insurances wont pay on meds for pp tey give up on you with no cure or hope,if like me it was a slow worsening from start cant say there where any relapses

January 26, 2015

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