UPDATE: I called OptumRx back to get a price on Insulin Lispro. The rep I got this time told me I wasn’t in the donut hole & didn’t know where the other rep got $2500. My cost for my 9 vials is $400
I called OptumRx (my Medicare pharmacy benefit) to check on an order of Humalog vials for my OmniPod. I need approximately 3 vials per month because I’m terribly insulin-dependent (CF 1:15, CR 1:5). They told me they hadn’t shipped because my 3-month cost was $2,500. I just got a 90-day supply of OmniPods, which while cheap for me, put me into the donut hole and they’re claiming a cost to them of $10,000 for 9 vials (donut hole price is 25% for brand name).