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Cost of Generic Imatinib just got higher!


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#41 Buzzm1

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Posted 05 November 2017 - 11:47 AM

To clarify, the rep from Novartis explained it this way: as long as you are buying private prescription drug insurance the co-pay card should be valid. This would be if you had a Medicare Supplement plan (not an Advantage plan where prescription coverage is included), and pay for a separate drug plan like SilverScript, Express Scripts, Envision, etc.. He said there were no income limitations. We will see if he knew what he was talking about. I'm checking into it further.

snowboots, it would be educational for us if you would contact your Medicare insurance plan to see how they handle the Novartis copay card.  The transaction wouldn't be processed through Medicare.  

 

Under Medicare Part D your 2018 cost of 400mg Gleevec priced at $10,887.86/mo. would be:

 

assumed nondeductible = $400

25% of next $3350 = $837.50

35% of $4426.47 = $1549.26 (50% manufacturer credit)

5% of $2711.39 = $135.57

Total for month 1 = $2922.33

 

Total for the year $2922.33 + (11 X $544.39) = $8910.62

 

https://www.rxpricequotes.com


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#42 r06ue1

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Posted 06 November 2017 - 06:36 AM

From my limited knowledge on the subject it should work like this:  

 

Medicare Part D pays the bulk of the expense

Supplemental Insurance (private insurance which you buy) pays X amount of what remains

You pay the rest

 

That last part that you pay after Medicare and your supplemental hit it would be covered by your copay card since it is hitting the private supplemental insurance, not the Medicare part.  Something worth looking into.


08/2015 Initial PCR: 66.392%

12/2015 PCR: 1.573%

03/2016 PCR: 0.153%

06/2016 PCR: 0.070%

09/2016 PCR: 0.052%

12/2016 PCR: 0.036%

03/2017 PCR: 0.029%

06/2017 PCR: 0.028%

09/2017 PCR: 0.025%

12/2017 PCR: 0.018%

 

 

Taking Imatinib 400 mg


#43 cmljax

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Posted 06 November 2017 - 11:17 AM

You can no longer use the Novartis or any other similar drug co-pay program once you are on Medicare.  They have other reimbursement assistance programs for people who are on Medicare and at or below 500% of the federal poverty level.  If you qualify, you should call them to get the details.


Dx 9/26/16 WBC 28800; platelets 749; FISH 97% PCR 43%

Tasigna 600MG per day

October 2016                     PCR 22% IS

November 2016                 PCR 5.8% IS

December 2016                 PCR 0.1% IS  MMR!!

March 10, 2017                 PCR 0.006% IS  MR 4.22

Tasigna 450MG per day

April 5, 2017                      PCR <.003% IS

June 5, 2017                     PCR <.003% IS (dose reduction validated!!!)

Tasigna 300MG per day starting June 15, 2017

6-day drug break starting June 20, 2017 due to multiple AE's

July 24, 2017                     PCR <.003% IS

September 18, 2017          Negative, AKA PCRU

Tasigna 150mg per day starting 9/18/17

October 30, 2017               Negative

December 11, 2017           Negative


#44 campanula

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Posted 15 November 2017 - 05:56 PM

https://www.reuters....n-idUSKBN1D0201

 

45 states plus D.C. are involved in this recently-expanded antitrust lawsuit against manufacturers of generic drugs, citing price-fixing.  Although the specific generic drugs mentioned in the lawsuit do not include imatinib, three manufacturers of generic imatinib are listed:  Apotex, Teva and Sun Pharmaceuticals.  (The drugs involved in the lawsuit are more widely used than imatinib: treatment of diabetes, blood pressure, anxiety, etc.) 

 

George Jepsen, Connecticut Attorney General says:  "A culture of collusion exists in the industry."

 

It sounds like it is definitely worth contacting your congressperson about this one

 

(Apologies if this has been referenced already.)


Dx 2/16: PCR = 59.4%

BMB showed second translocation.

400 mg generic Imatinib

5/16:  PCR = 0.88%

8/16: PCR = 0.04%

11/16 PCR = 0.01%

2/17 PCR < 0.01%

2/17 BMB results:  all translocations gone.

6/17 PCR = 0.03%

9/17 PCR = 0.01%

1/18 PCR = 0.01%

 

 


#45 ROMO

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Posted 15 November 2017 - 07:15 PM

I like r06uel idea.
 
TKI's only have several ingredients.
Referred to as molecules. The drug companies
patient these molecules and the sequence and their effect.
 
What's so hard about that?
 
If we can make meth, ecstasy, LSD, Synthetic Pot, and other complex
chemical formulations because we have the recipe, In our Home.
Then why not a simple formulation like a protein inhibitor.
Just make it pure. 
 
It's because not a lot of customers.
Fifty years from now this will be easy.
 
Now we are working on robots to take over our jobs.
 
I have no answers.
 
Romo

DX August 2016. WBC ~160K
PH+ Cells 36%
No Spleen enlargement
No Symptoms. Other counts ~Normal
BCR-ABL p210 (Detected)
BCR-ABL p190 (Not Detected)
 
Sprycel 100mg.
PCR   02/01/2017    0.146 IS
PCR   08/07/2017    0.022 IS
Next PCR:           12/XX/2017
 

#46 Buzzm1

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Posted 17 November 2017 - 06:38 PM

Hoping that Dom, shweflen, and Antilogical will continue to post on the current price of their generic imatinib mesylate prescriptions.  

 

I'll post that exorbitant price info on the Facebook pages and posts of the CML Society, LLS, Bernie Sanders, and where and whenever, it may do some good.


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#47 shweflen

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Posted 17 November 2017 - 08:16 PM

date       Rx                total cost         I paid      deductible YTD       phase 2 YTD       coverage gap YTD

 

1/24     imatinib           1593.82       698.45         400.00                     1593.82                   698.45

2/27     imatinib           1593.82       398.45                                         3187.69                 1096.90

3/9       misc                    10.00         10.00                                         3197.69                  1106.90

3/9       misc                    37.43         37.43                                         3235.12                  1144.33

3/28     imatinib           1593.82       691.96                                         3700.00                  1836.29

4/21     imatinib           1593.82       812.85                                                                        2649.18

4/27     misc                    18.85           9.62                                                                        2658.76

5/31     imatinib           1593.82       812.85                                                                        3471.61

6/12     misc                    10.00           5.10                                                                        3476.71

6/13     misc                    37.43          19.09                                                                       3495.80

7/3       imatinib           1593.82        812.85                                                                       4308.65

7/28     imatinib           1593.82        658.16                                                                       4950.00

8/3       imatinib           1593.82          79.69

9/9       misc                    47.43            6.60

9/27     misc                      6.57            3.78

9/28     imatinib           5044.87         252.24

10/31   imatinib           5643.55         282.18

11/4     misc                    17.14             3.30

11/7     misc                      3.95             3.30

 

On 10/31 I at first went to the WalMart pharmacy which I had used for the previous 9 months and the cost for 90 x 100 mg imatinib from Apotex was $6994 which would have made my share $349.70 so I called Express Scripts and they were able to check prices at various local pharmacies and found one for me where the cost of the drug was "only" $5643.55.  I can hardly wait to see what next month brings.


10/20/2016 BCR-ABL:ABL = 81.622

01/11/2017 BCR-ABL:ABL =   8.028

04/12/2017 BCR-ABL:ABL =   0.157

07/07/2017 BCR-ABL:ABL =   0.000

10/04/2017 BCR-ABL:ABL =   0.041

11/28/2017 BCR-ABL:ABL =   0.000

 

 


#48 chriskuo

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Posted 17 November 2017 - 08:20 PM

TEVA has just introduced a $0  copay card for its generic imatinib for commercial insurance customers.

It can be worth up to $700 per fill.

 

http://www.businessw...Program-Generic

 

 

As mentioned in the press release, drug companies do not provide copay support to anybody who has insurance that is in anyway paid for by the government (Medicare, Medicaid, Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, Government Health Insurance Plan ("Healthcare Reform"), or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program.

 

If you are on any of those programs, there are a few Federal programs that provide support, but in general you need to get support from an organization classified as a "charity".  The drug companies try to launder support by giving money to certain charities, but the government likes to investigate these arrangements to see if they are an evasion of the existing rules.



#49 Buzzm1

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Posted 17 November 2017 - 08:45 PM

Thanks for the update shweflen; what an adventure.  Does the manufacturer appear to make any difference on the price?


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#50 shweflen

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Posted 18 November 2017 - 09:50 AM

Thanks for the update shweflen; what an adventure.  Does the manufacturer appear to make any difference on the price?

When the price jumped from $1593 to $5044 on 9/28 the pharmacist told me that it was because they couldn't get the imatinib from Apotex and had to buy it from Sun Pharmaceuticals but then the next month the Apotex cost was even higher.  So, while there are price differences among suppliers, the significant jump in price seems to be common to all of them.


10/20/2016 BCR-ABL:ABL = 81.622

01/11/2017 BCR-ABL:ABL =   8.028

04/12/2017 BCR-ABL:ABL =   0.157

07/07/2017 BCR-ABL:ABL =   0.000

10/04/2017 BCR-ABL:ABL =   0.041

11/28/2017 BCR-ABL:ABL =   0.000

 

 


#51 Antilogical

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Posted 20 November 2017 - 01:23 PM

Once again, this month's copay for 300mg imatinib from Apotex was $318.  So far, I have not seen a jump in price.  The UHC rep called Apotex, who said that the pricing should be similar in 2018.  Not less, apparently.


Dx: Sudden severe anemia detected 07/2011, followed by WBC spike. CML Dx 02/2012.

Rx: 03/2012-Gleevec400.  Reduced 02/2013 to Gleevec300 due to side effects (low blood counts).

Response: PCR-Und within 7 mo. on G400. Maintained MMR4-MMR4.5 on G300. PCR-Und since 02/2016.


#52 Buzzm1

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Posted 20 November 2017 - 01:50 PM

Once again, this month's copay for 300mg imatinib from Apotex was $318.  So far, I have not seen a jump in price.  The UHC rep called Apotex, who said that the pricing should be similar in 2018.  Not less, apparently.

Antilogical, you are paying an even higher price for 300mg generic Imatinib mesylate than shweflen.  If my math is correct, you are paying 5% of $6,360.

 

 

date       Rx                total cost         I paid     

8/3       imatinib            1593.82           79.69

9/28     imatinib           5044.87         252.24

10/31   imatinib           5643.55         282.18

 


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#53 Red Cross Kirk

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Posted 20 November 2017 - 09:51 PM

Here's what CVS Specialty has charged this year:

 

Gleevec 15 x 400 mg: $5040.97 January - April

Sun imatinib 60 x 100 mg: $3529.72 May - September

Sun imatinib 60 x 100 mg: $3921.91 October - November (Note: the previous price is 90% of the new price, about an 11% increase.)


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#54 Buzzm1

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Posted 21 November 2017 - 12:13 PM

For Medicare recipients on generic Imatinib mesylate, it pays to shop around.


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#55 Gregda

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Posted 22 November 2017 - 07:17 PM

"Any suggestions as to what we survivors can now do?"

 

This piece increase is coming from the manufacturer, not from medicare.  As far as I know, the production of generic imatinib is restricted to one company.  Can anyone confirm this?  If it's true, that's the problem -- no competition.  And like I said, it means the increases won't stop.  It's going to get worse.

 

"this is another argument for further dosage reduction"

 

My oncololgist is not even considering dosage reduction.  I actually increased from 400 to 600.  And I can't use the other tki's since I have heart problems.

 

Dom, 

You ask good questions. I was a Sr Economic Development and Business Advisor for the city of Minneapolis MN. My hunch why more companies don't manufacturer imatinib is because only about 4,000 people a year in the US develop the illness. I am researching if Americans may buy it via Canadian, UK or Israeli pharmacists?  My other BIG concern is not that I start Medicare this Dec, 2017, I'm shocked that I'll have to immediately go into the catastrophic donought hole and then pay $300-$500/ month for the Imit. NOT doable for me. My Oncologist  who's part of FL Cancer Specialists is looking into this.

 

I have request into LLS.org asking what are they doing about this, and how might we survivors help?  I'm getting close to creating a list of people here who also are concerned about both the normal cost of Gleevec/Imatin and its cost for people on Medicare.  I'd like to thinks if we all do letter/phone call-ins to legislators , Chairperson of the Senate/House' Health Services, the NIH, American Cancer Soc, Medical Colleges, etc and start a campaign.

 

I know pharmaceuticals need to invest, do RnD into maybe 90 drugs before they hit pay-dirt. 

 

OH, I've been on 400mgs alternating with 600mgs the next day for 10 years.  All blood tests for 6 yrs have been undetectable. I will see a new Onc, for me, who was with Northwestern in Chicago for 28 yrs. I'll ask  him if I should reduce dosage; and of course his ideas what we can do to make this more affordable.

 

I find it ironic that people under 65 can get patient assistance, but us over 65 cannot.

Age discrimination ?? 

 

Continue to walk, exercise, eat healthily, drink lots of water.... practice being optimistic....

 

I'm open to your suggestions !

 

Have a blessed and meaningful Thanksgiving !!

 

~ Greg



#56 chriskuo

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Posted 22 November 2017 - 11:01 PM

There are 3 generic imatinib manufacturers  in the US market.  They charge less than the brand manufacturers but it is still more than half of the cost  of the patented drugs.

 

It is illegal to import prescriptions from outside the US.  Some people try to do it for various drugs but I have not heard anyone hear recommend breaking the law to import TKIs for CML.

 

States can offer financial assistance for those on Medicare, but the amounts are limited and the income threshold is low.  There are charities which operate in this space.  Every county has an office with Medicare counselors.  They should be aware of programs available to you.  If you are being treated at a large/academic medical center, they may have an office which can help you.  The doctors you see usually do not have much direct experience with these programs, but check around.

 

Most Americans believe in universal health care, but the majority of the representatives they elect subscribe to a philosophy that does not allow for translating that into more affordable drugs for cancer patients.  Writing letters and making phone calls may make YOU feel better, but the best way to effect change is to vote the incumbents who oppose Medicare drug negotiations out of office.



#57 ROMO

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Posted 23 November 2017 - 06:35 PM

Ran across this on a hunch.
 
 
Imatinib
 
Dasatinib
 
 
I'm not suggestion anything.
 
Different cultures different rules.
 
Romo

DX August 2016. WBC ~160K
PH+ Cells 36%
No Spleen enlargement
No Symptoms. Other counts ~Normal
BCR-ABL p210 (Detected)
BCR-ABL p190 (Not Detected)
 
Sprycel 100mg.
PCR   02/01/2017    0.146 IS
PCR   08/07/2017    0.022 IS
Next PCR:           12/XX/2017
 

#58 Buzzm1

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Posted 28 November 2017 - 10:48 PM

shweflen, while I'm waiting to hear this month's generic imatinib mesylate price, have you signed up with CIGNA for your 2018 Medicare Part D, and if so, have they given you an estimate for the cost of your drugs, particularly generic imatinib mesylate?

Hoping to hear from Dom too. 


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

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#59 shweflen

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Posted 29 November 2017 - 12:14 PM

shweflen, while I'm waiting to hear this month's generic imatinib mesylate price, have you signed up with CIGNA for your 2018 Medicare Part D, and if so, have they given you an estimate for the cost of your drugs, particularly generic imatinib mesylate?

Hoping to hear from Dom too. 

date       Rx                total cost         I paid      deductible YTD       phase 2 YTD       coverage gap YTD

 

1/24     imatinib           1593.82       698.45         400.00                     1593.82                   698.45

2/27     imatinib           1593.82       398.45                                         3187.69                 1096.90

3/9       misc                    10.00         10.00                                         3197.69                  1106.90

3/9       misc                    37.43         37.43                                         3235.12                  1144.33

3/28     imatinib           1593.82       691.96                                         3700.00                  1836.29

4/21     imatinib           1593.82       812.85                                                                        2649.18

4/27     misc                    18.85           9.62                                                                        2658.76

5/31     imatinib           1593.82       812.85                                                                        3471.61

6/12     misc                    10.00           5.10                                                                        3476.71

6/13     misc                    37.43          19.09                                                                       3495.80

7/3       imatinib           1593.82        812.85                                                                       4308.65

7/28     imatinib           1593.82        658.16                                                                       4950.00

8/3       imatinib           1593.82          79.69

9/9       misc                    47.43            6.60

9/27     misc                      6.57            3.78

9/28     imatinib           5044.87         252.24

10/31   imatinib           5643.55         282.18

11/4     misc                    17.14             3.30

11/7     misc                      3.95             3.30

11/24   imatinib           5461.22         273.06

 

For next year I have elected to go with Humana Walmart Rx Plan.  The CIGNA quantity limit and the fact that I couldn't get any assurance that they would grant a waiver plus the 2 star customer service rating convinced me to go with Humana even though the estimated price was somewhat higher.  I also take medicines for hypertension and high cholesterol but the price of those is insignificant.  In the Medicare Plan Finder I entered just the imatinib as my regular prescription.  Their estimate under the Humana policy was:   full price = $3834.32

 

                    Jan    deductible = $405  copay = $836.25 gap = $37.10           total = $1278.35

                    Feb   gap = $1687.10                                                                total = $1687.10

                    Mar   gap = $1687.10                                                                 total = $1687.10

                    Apr    gap =  $347.45  catastrophic = $152.23                            total =   $499.68

                    May thru Dec     catastrophic = $191.72                                      total =   $191.72

                                                                                                                                  $6685.99

 

All of which doesn't mean a lot since, apparently, the prices can triple, quadruple or whatever at any time without constraint.


10/20/2016 BCR-ABL:ABL = 81.622

01/11/2017 BCR-ABL:ABL =   8.028

04/12/2017 BCR-ABL:ABL =   0.157

07/07/2017 BCR-ABL:ABL =   0.000

10/04/2017 BCR-ABL:ABL =   0.041

11/28/2017 BCR-ABL:ABL =   0.000

 

 


#60 thatguy

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Posted 29 November 2017 - 12:30 PM


Ran across this on a hunch.


Imatinib
https://www.alibaba....Text=Imatinib


Dasatinib
https://www.alibaba....hText=Dasatinib


I'm not suggestion anything.

Different cultures different rules.

Romo


Romo, im not suggesting anything either, but if you give it a whirl please report the following pcr results. Lol
3/25/2015- Dx'ed by FISH : 85% of cells dual-fusion signals, 7% with tri-fusion signals, WBC 212,000. Started Gleevec 400mg.... Calculated .93 SOKAL

08/17/2015- 14.793 % I.S P210 (quest)
10/15/2015- 3.313 % I.S (quest)
12/23/2015- 1.891 % I.S (quest)
1/07/2016- Tasigna 300mg 2x daily
1/14/2016- 4.414 % I.S P210- City Of Hope lab, mutation negative.
1/26/2016- 1.589 % I.S (quest)
2/22/2016- 1.719 % I.S (quest)
2/29/2016- 1.133 % I.S (quest)
3/03/2016- Tasigna 400mg 2x daily.
3/29/2016- 0.663 % I.S (quest)
4/27/2016- 0.781 % I.S (quest)
5/04/2016- 0.652 % I.S.(quest)
5/24/2016- 0.501 % I.S (quest)
6/28/2016-0.534 % I.S (quest)
7/15/2016-0.881 % I.S (quest)
7/22/2016- Bosulif 500mg
7/28/2016- t315i test- Negative
8/22/2016-0.432 % I.S (quest )
11/15/2016-0.325 % I.S (quest)
2/1/2017- .0445% i.s (genoptix)
5/6/2017- .0968% i.s (genoptix)
5/12/2017- .12 % i.s (quest).
6/4/2017- .083% i.s (quest)
6/11/2017- .0295% i.s (genoptix)
8/5/2017- .0501% i.s (genoptix)
11/6/2017- .0270% i.s (genoptix)




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