Will most HMO and PPO Insurance plans cover Tracleer?
Yes. To our knowledge all insurance companies are covering Tracleer for approved indications. However, that doesn’t mean that your specific pharmacy benefit will be adequate to cover your entire cost of the medication. For example, Patient A and Patient B are both members of XYZ Insurance Co. Both patients receive essentially the same medical coverage, but they have different pharmacy coverage. Patient A only has to pay a flat “co-pay” of $50.00 every time they get a prescription filled, regardless of how expensive the medication. While Patient B has to pay 20% of the prescription cost and the plan will pay the remaining 80%. With expensive medications, such as Tracleer, Patient A has the better coverage.