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how much do you Rxs cost per month~ ? - 9/27/2008 2:23:51 PM   
pahunkboy


Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
Status: offline 		Terms post on adrenal  glands got me thinking here.

I noticed my depression med- costs $444.  that is over 5k a year.

But that is just one of 7 meds...

I think the depression med could come down in price.  Get this; the normal doseage is 225mg.  Yet they make a 75mg and 150mg pill...but NOT a 225mg pill- which is the normal dose. So I asked the DR instead of 2 rxs, to make it for 90 of the 75 mg so that it would be 1 co pay- instead of 2 copays which have increased.

So how much do you cost?

(are you a cheap date?)

What cost is necessary...and what part is not a huge deal?

Have you ever seen a RX sales rep at the DR office?

I am greatful that meds can improve life.  Tho- it seems highly priced.  I am thinking of skipping days to save money.  Or taking only 1/2 the dose.

any thoughts?
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RE: how much do you Rxs cost per month~ ? - 9/27/2008 2:27:42 PM   
faerytattoodgirl


Posts: 5824
Status: offline 		meds cost nothing in canada.....on disability that is...well ok...$2 per prescription...i could get any i wanted if i had a particular simpton....hmm...interesting thought... naw...i cant do that...

a few years ago i tried paxil and then celexa...both made me vomit 3 times a day...no never had both at the same time...so i cant take dep meds.  i dont know what the actual cost is on them though..


< Message edited by faerytattoodgirl -- 9/27/2008 2:30:10 PM >

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 2:28:06 PM   
Raechard


Posts: 3513
Joined: 3/10/2007
From: S.E. London U.K.
Status: offline 		Is the internet cheaper? The problem is you might be getting horse sedatives online and there is always the risk of getting endless Viagra spam once you give you details to an online drug company. Though the benefits are you don't need a prescription so there is plenty of scope for experimentation.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 2:30:04 PM   
candystripper


Posts: 3486
Joined: 11/1/2005
Status: offline 		Don't mess with your depression meds; instead, tell your MD what the problem s and ask to try something less expensive...but be sure you're made aware of the side effects.  I take Nexium for my tummy; $157/month, which I will now be paying entirely on my own.
 
candystripper 

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 2:32:46 PM   
lusciouslips19


Posts: 9792
Joined: 9/8/2007
Status: offline 		I got everything switched to generic. So now I'm paying 43 dollars a month for 3 scripts. Much better than what i was paying. So now I always request a generic.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 2:38:50 PM   
windchymes


Posts: 9410
Joined: 4/18/2005
Status: offline
quote:

ORIGINAL: pahunkboy

Terms post on adrenal  glands got me thinking here.

I noticed my depression med- costs $444.  that is over 5k a year.

But that is just one of 7 meds...

I think the depression med could come down in price.  Get this; the normal doseage is 225mg.  Yet they make a 75mg and 150mg pill...but NOT a 225mg pill- which is the normal dose. So I asked the DR instead of 2 rxs, to make it for 90 of the 75 mg so that it would be 1 co pay- instead of 2 copays which have increased.

So how much do you cost?

(are you a cheap date?)

What cost is necessary...and what part is not a huge deal?

Have you ever seen a RX sales rep at the DR office?

I am greatful that meds can improve life.  Tho- it seems highly priced.  I am thinking of skipping days to save money.  Or taking only 1/2 the dose.

any thoughts?



I think you better get out of that hot tub, because your brain is getting pruny

Don't fuck around with your medications, especially ones for mental conditions.  I think you know better than that.  They prescribe a certain dosage for a reason.....like, SO IT WORKS!  Take the dosage you're supposed to take, every day.

225 mg is not a "normal dose", especially if they only make 75 & 150 mg pills.  It's the dose that works FOR YOU.   Asking your doctor to write the script differently so that you only pay one co-pay is a good idea, though, definitely worth a try.  Or, you might try ordering them through the mail, it's cheaper that way, and easier to get the 90-pill supplies. 

Check places like WalMart, Sam's Club, Costco, etc.  Even if you're not a member, I believe you can use their pharmacies for greatly reduced prices.  They don't advertise it, though, call and check.  Some drugs are cheaper there than the co-pays are. 

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 2:55:26 PM   
monywildcat


Posts: 452
Joined: 2/26/2008
Status: offline 		Me?  A puny 20 bucks a month for Zyrtec OTC.  But my mom's psyciatric meds were well over $800 per month and yes, we all know better than to fuck with your meds, especially the ones for your behavioral health.  But that is what my mom and dad had to do, it was a choice to either half the dose or something to make them stretch, or sit in the dark with no food.  And unfortunately, for some of the meds the generic just wouldn't work, even if you hide the fact that they are generic. 

It pisses me off to see the pharmaceutical rep at the doctor's office, and to use a $20 pen that has Cymbalta on it, and check the time on the Prozac clock.  No wonder meds are so damn expensive, its all the pharmaceutical swag that is driving up costs.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 3:08:50 PM   
Steponme73


Posts: 552
Joined: 11/9/2007
Status: offline 		I am on disability thanks to my government so they now pay my meds.  If i was paying for my own it would be about $75.00 per month.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 3:28:26 PM   
IvyMorgan


Posts: 729
Joined: 7/5/2007
From: Midlands, UK
Status: offline
quote:

ORIGINAL: monywildcat
It pisses me off to see the pharmaceutical rep at the doctor's office, and to use a $20 pen that has Cymbalta on it, and check the time on the Prozac clock.  No wonder meds are so damn expensive, its all the pharmaceutical swag that is driving up costs.
All the clocks on the accute ward I was on were nicely provided by Zyprexa.  (Good word for scrabble, not much good for anything else, vile drug).  Cynic that I am, I noticed that most of the patients were on it too.  Olanzpaine and Quetapine seeming to be drugs of choice.  I can't escape Cymblata stationery though, I think I might have some at home as well.

As far as paying for drugs goes, I make it my mission in life to get free prescriptions.  I have 8 regular scripts a month (plus bonus ones, like the three I picked up this week, just for kicks) and work a minimum wage job part time (health reasons - I spent upwards of 6 hours per day in a clinic).  I can't afford to buy my drugs (even at NHS prices of £7.10 per script).  I could get a pre pay certificate, but...  the government will get my drugs for me, I just have to keep figuring out which reason why.

(If they weren't free it would be £56.8*/month or ~$113)

At the moment, I'm category "M" - NHS tax exemption certificate. (people who work and qualify for working tax credit)
When I was a student, I was "Has a valid HC2 certificate" (person on low income/no income)
After I was a student, but before I was working, I was "claims income support". (not working, not job seeking, not claiming sick pay or incapacity benefit)

I have also been;

"Claims job seekers allowance" when I did that for all of a fortnight between contracts.  (It's all about the free drugs, remember.)
Category "X" - has been prescribed free contraceptives.  (My personal favourite here is, my GP will charge me £100 for three shots, no blood test, the hospital will give me the three shots and the blood test free... same treatment, the GP is doing it for travel, the hospital for contraception, I wonder at the NHS sometimes.)
"Under 16"
"18 or under and in full time education"  (yes, I did got to the pharmacy the day before my 19th birthday to stock up)

In fact, I think the only possible reasons for claiming I've not used are the ones about being old, being a widow, or being a veteran.  Technically, I might have qualifying medical conditions to get free scripts, I've just not had to use that as an excuse/reason yet.

I am relativly confident that most people in England, who need regular prescriptions, wouldn't have to pay if they could find the right hoop to jump through.  Sadly, the government make finding the right hoop hard.

In Wales, on the other hand, you get free scripts up to age 45 and from age 50.  They're thinking of extending this.  It would be so much simpler to live in Wales.

(And as far as opting out of meds goes... not really an option, they all do *something* useful, even if it's just lower my prolactin levels.)

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 3:57:44 PM   
Lorr47


Posts: 862
Joined: 3/13/2007
Status: offline 		We pay between $300 and $400 a month for her pain medication (broken back).  She was in the Medicare Prescription program but each time a doctor perscribed a different medication, the carrier eliminated that drug from the list of drugs it would pay.  The druggist told me horror stories about heart medication etc. being taken off the list of medications a carrier would pay and the patients litterally falling down in the aisles crying.  So much for the privitization argument, in my opinion.  I disenrolled her from the program and am paying the bills myself.  At least I do not feel as violent toward the carriers ...well that is really not true.  Rx sellers live in doctors' offices.  I see them all the time.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 3:58:05 PM   
VivaciousSub


Posts: 446
Joined: 9/7/2008
From: Tampa, FL
Status: offline 		My behavioral drugs cost an arm, a leg, and a firstborn child. I take 3 - Lexapro, Risperdal and Lamictal.

Risperdal is the only one right now that comes in a generic form - Risperidone - and even that is $150 a month.

Lexapro is another 100 or so.

Lamictal (300 mg, once a day) = 2 x 150 mg tablets = 60 tablets = $600 bucks.

I do not have the luxury to switching to other drugs with generics. Those simply do not work for me and I spent 6 years diddling around trying to find the right med combo. Now that I've got it, I ain't changing it.

Rumor has it that Lamictal's generic, lamotrigine, was supposed to come onto the market here this summer, but I haven't heard hide nor hair since I got the news from a drug rep. Not the best source of info generally, but she was so sad about it that I figured there might have been a grain of truth.

I used to work for the pharmaceutical companies, and a lot of the cost does get sunk back into R&D. Effexor, one of the drugs I worked on, went into Phase 1 testing when I was like...4. I was 20 or so when it went to market. It takes a long time to get a drug from intial development stages to market. Nonetheless, pharma companies charge that much because they can, and there's a demand for it. People always get sick...including "diseases" that we've made up simply to provide a cure. And more $.


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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:03:44 PM   
playfulotter


Posts: 2195
Joined: 6/27/2005
Status: offline 		I have two I take and it costs about $60 a month..one is a generic and only $10 a month and the one i pay big for is my birth control...over $50...so about $60-$70..depending on the time of the year....


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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:04:49 PM   
michaelOfGeorgia


Posts: 4253
Status: offline 		when i get meds, they generally only run me $1-2 dollars (co-pay) each


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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:16:50 PM   
Lorr47


Posts: 862
Joined: 3/13/2007
Status: offline
quote:

I do not have the luxury to switching to other drugs with generics. Those simply do not work for me and I spent 6 years diddling around trying to find the right med combo. Now that I've got it, I ain't changing it.
quote:

ORIGINAL: VivaciousSub


You also indicated that you once worked for a pharmaceutical company.  PJP cannot take the generic form of a certain pain killer.  The insurance company sneers at her and says that the generic is the exact same thing as the brand name.  I disagree.  She throws up all night on the generic while the brand name works.  Have you ever seen any documentation that explains why there is such a vast difference in effect?

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:18:45 PM   
sunshinemiss


Posts: 17673
Joined: 11/26/2007
Status: offline 		Two words for you...

Overseas pharmacies. 

< Message edited by sunshinemiss -- 9/27/2008 4:19:30 PM >

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:28:48 PM   
Lorr47


Posts: 862
Joined: 3/13/2007
Status: offline
quote:

Two words for you...

Overseas pharmacies.
quote:

ORIGINAL: sunshinemiss

Two words for you...

Overseas pharmacies. 
[ quote]
I tried the overseas pharmacies and never could find a legitimate one.  Each time they advertised the drug, it turned out to be the generic which she cannot take. 

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:40:27 PM   
VivaciousSub


Posts: 446
Joined: 9/7/2008
From: Tampa, FL
Status: offline
quote:

ORIGINAL: Lorr47

quote:

I do not have the luxury to switching to other drugs with generics. Those simply do not work for me and I spent 6 years diddling around trying to find the right med combo. Now that I've got it, I ain't changing it.
quote:

ORIGINAL: VivaciousSub


You also indicated that you once worked for a pharmaceutical company.  PJP cannot take the generic form of a certain pain killer.  The insurance company sneers at her and says that the generic is the exact same thing as the brand name.  I disagree.  She throws up all night on the generic while the brand name works.  Have you ever seen any documentation that explains why there is such a vast difference in effect?



Yes, I do. There is a bill - I think it's called the Bioavailability Act or some such - that allows generics to have +/- 20% the bioavailability of the drug compared to the original brand name. Also, generics of a drug aren't necessarily the EXACT same thing. For instance, let's look at Depakote.

Depakote is an anti-seizure medication that is also prescribed to control mood swings in manic-depression, as well as treat severe migraines (epilepsy, migraines and bipolar disorder's electrical imbalances all stem from the same small area of the brain). The brand name drug's active ingredient is sodium valproate, which is broken down by the liver into the active metabolite (the chemical that does the job) valproic acid. Generic Depakote is simply the metabolite, valproic acid. Straight valproic acid is much less tolerable to the human body as a whole and thus generic Depakote tends to cause many more nasty side effects than the brand name version - even though in the end, it's the same chemical at work.

The insurance company, therefore, can be - but isn't always - full of shit when they tell you it's the same stuff.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:40:27 PM   
Hippiekinkster


Posts: 5512
Joined: 11/20/2007
From: Liechtenstein
Status: offline 		Vivaious- " Escitalopram (trade names Lexapro, Cipralex) is the pure (S) enantiomer of citalopram and is a selective serotonin reuptake inhibitor (SSRI)."

Citalopram is Celexa. Citalopram is available as a generic.

This is yet another example of the bullshit "research" righties claim is so expensive.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 4:53:27 PM   
Lorr47


Posts: 862
Joined: 3/13/2007
Status: offline
quote:

Yes, I do. There is a bill - I think it's called the Bioavailability Act or some such - that allows generics to have +/- 20% the bioavailability of the drug compared to the original brand name. Also, generics of a drug aren't necessarily the EXACT same thing. For instance, let's look at Depakote.

Depakote is an anti-seizure medication that is also prescribed to control mood swings in manic-depression, as well as treat severe migraines (epilepsy, migraines and bipolar disorder's electrical imbalances all stem from the same small area of the brain). The brand name drug's active ingredient is sodium valproate, which is broken down by the liver into the active metabolite (the chemical that does the job) valproic acid. Generic Depakote is simply the metabolite, valproic acid. Straight valproic acid is much less tolerable to the human body as a whole and thus generic Depakote tends to cause many more nasty side effects than the brand name version - even though in the end, it's the same chemical at work.

The insurance company, therefore, can be - but isn't always - full of shit when they tell you it's the same stuff.
quote:

ORIGINAL: VivaciousSub

quote:

ORIGINAL: Lorr47

Thanks, I will find the statute.


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RE: how much do you Rxs cost per month~ ? - 9/27/2008 5:00:19 PM   
Lynnxz


Posts: 4813
Joined: 10/3/2006
From: Atlanta
Status: offline 		I had no idea common maintenence drugs were so expensive... then again- I have no health insurance so I never go to the doc to get percribed things.

You've probably already checked this out- but I think Walmart and Kroger have deals where you can get the whole percription for 4$, and a whole months supplies for 10$.


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