lune 15. 2011 Steep co­ payments cause prescriptions to go unfilled Chemotherapy is now available in a pill, but if you have Medicare, you may not be able to afford it. That's what happened to Rita Moore when she took her prescrip­ tion for a medication to treat kidney cancer to her local drugstore. She was stunned when the pharmacist told her a month's supply of the pills would cost $2,400, more than she makes. Medicare prescription plans that cover seniors like Moore are allowed to charge steep copayments for the latest cancer drugs, which can cost tens of thousands of dollars a year. purttani» (Dbaertier About 1 in 6 beneficiaries are not filling their prescriptions, accord­ ing to recent research that suggests a worrisome trend. Officials at Medicare say they're not sure what happens to those patients — whether they get less expensive older drugs that some­ times work as well, or they just give up. Traditionally, chemotherapy has been administered intravenously at a clinic or doctor's office. Pills are a relatively new option that may rep­ resent the future of cancer care. Moore, 65, was operated on in February for an advanced form of kidney cancer. As she faced a life- and-death struggle, both her cancer and kidney specialists agreed a drug called Sutent offered the best chance. It's a capsule you can take at home. But Moore was unprepared for what happened when she went to fill her prescription. Page 19 Meds deliver the Medicare prescription benefit say the problem is that drug makers charge too much for the medications, some of which were developed from taxpayer-funded research. The pharmaceutical indus­ try fa u lts in su re rs, say in g copayments on drugs are higher than cost-sharing for other medical services, such as hospital care. Some experts blame the design of the Medicare prescription benefit itself, because it allows insurers to put expensive drugs on a so-called "specialty tier" with copayments equivalent to 25 percent or more of Rita Moore looks at a photo o th e r son and grandchildren at her the cost of the medication. home in California. Diagnosed with advanced cancer she could Drugs for multiple sclerosis, rheu­ not afford the prescription drug she needed to help stop the matoid arthritis and hepatitis C also spread o f the disease. (AP photo) wind up on specialty tiers, along "I cried," said Moore, who lives can maybe give you some quality of with the new anti-cancer pills. Medi­ in the small central California town life is unaffordable? I was devas­ care supplemental insurance — of Corcoran. "What can you do tated. I didn't know what to do." Medigap — doesn't cover those when the only thing out there that Private insurance companies that copayments. 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