Cimzia, PDP and PAP's

New client, takes Cimzia injectable for Crohn's. Out of 30 or so PDP's in his area only 3 include Cimzia.

Month supply $7948 retail, $2675 on formulary.

PAP for Cimzia says no to coupon if you have a PDP.

Quote:

Not valid for prescriptions that are reimbursed, in whole or in part, under Medicare (including Medicare Part D)
If he bought a PDP that did not include Cimzia on their formulary could he qualify for the PAP?

Have you ever had a client who did something like this with any drug?
Source of insurance-forums.net

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