Just got devastating news - UPDATE

[Ms. Toad]

156. Different issues

Cost of the medication - Anti-rejection drugs are expensive - part of qualifying is to make sure that you will be able to pay for them going forward. The cost is around $100,000 a year.

How the medication is paid for - PCIP (other insurance, Medicare, Medicaid are ways to pay for the medications). Those will each have their own rules about what your out of pocket portion of the cost will be.

If you have PCIP insurance (or whatever follows, since PCIP vanishes in 2014), most of the cost will be paid by the insurance company. How much will vary depending on the plan. PCIP benefits under the federal plan (if the state didn't enact one) are here: http://www.pciplan.com/forms/pdfs/2012BenefitsSummary.pdf The costs range from $10 for a 90 day supply to $500 for a 90 day supply. Generally more than one anti-rejection drug is required and I would not be surprised if more than one were classified as specialty drugs (the $500/90 days cost) - but you'd have to check each drug.