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RE: how much do you Rxs cost per month~ ? - 9/27/2008 5:31:10 PM   
bipolarber


Posts: 2792
Joined: 9/25/2004
Status: offline 		I have Type II aquired diabetes...

Well, let's see... I'm on Metformin, which is about $120 a bottle of 60 pills.... cut down to $10, thanks to my state supplied medical coverage.

Then I also use Glipizide, which runs about the same... $120... down to $10.

And then there's the test strips which run $100 a month, but a re free under the plan.

So, I could be paying $340 a month for my meds. As it is, I pay $20. As you can imagine, this makes for a good incentive to keep my job!

Thanks "socialisim!"

(in reply to Lynnxz)
Profile   Post #: 21
RE: how much do you Rxs cost per month~ ? - 9/27/2008 5:36:00 PM   
Lorr47


Posts: 862
Joined: 3/13/2007
Status: offline 		Pharmaceutically equivalent, bio-available, and bioequivalent.

Pharmaceutically equivalent has taken it in the chin since the FDA cannot inspect the new plants in say China, India and the like.  So in the first analysis generics may not be the equivalent of a brand name, and worse yet, one generic may not be the equivalent of another generic.

Bioavailable appears to relate to the rate of absorption.  The rate of absorption may not be clinically relevant to a clinical study but make the medication unacceptable to a particular patient.  

In bioequivalence studies, the goal of testing is to determine if the drugs are
functionally equivalent. The FDA requires that any approved drug be effective within
a 20% range of the original patented or brand name drug. This means that the
effectiveness may be 20% greater or 20% less effective than the brand name so that
two generic drugs could contain as much as a 40% difference from each other.
Therefore, a drug may be legally chemically equivalent but not at the same time
clinically equivalent. A study run on a generic of the anti-seizure, Tegretol,
found the generic allowed breakthrough seizures. 

Since there can be a 40% difference in the drugs just on the bioequivalence issue, I would think that the assumption should be that the drugs will not act the same, especially when you add the absorption and pharmaceutically equivalence issues.

My father took a pain killer called whiskey.  I wonder if whiskey is whiskey.




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Profile   Post #: 22
RE: how much do you Rxs cost per month~ ? - 9/27/2008 6:07:17 PM   
Lorr47


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

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.
quote:

ORIGINAL: Lynnxz

I do not have any health insurance either.  All I do is work to pay medical and perscription bills.  Good luck to you.

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Profile   Post #: 23
RE: how much do you Rxs cost per month~ ? - 9/27/2008 6:12:45 PM   
christine1


Posts: 6155
Joined: 12/15/2007
From: i'm headed to HIM...
Status: offline 		okay, i do have insurance...and i'm counting my blessings that i'm not on any medication at the moment.  a few aspirin here and there at work and i'm good.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 7:47:25 PM   
RumpusParable


Posts: 1923
Joined: 7/7/2005
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Status: offline 		I'm a Category 1 disabled veteran, I pay zero for health care and meds since a couple years after my discharge.

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 8:25:06 PM   
pahunkboy


Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
Status: offline
quote:

ORIGINAL: windchymes

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
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. 


quote/
CLINICAL PHARMACOLOGY). Based on these limited data, it is not known whether or not the dose of Effexor/Effexor XR needed for maintenance treatment is identical to the dose needed to achieve an initial response. Patients should be periodically reassessed to determine the need for maintenance treatment and the appropriate dose for such treatm http://www.rxlist.com/cgi/generic/venlafax_ids.htm

...{The hot tub belongs to my brother}

with the economy possibly bad and worse... meds may not always be there.

It seems that the price is 2x the cost of what it should be.  and there is no generic in the US.  SSRIs are funny and effexor is the only one that works for me

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Profile   Post #: 26
RE: how much do you Rxs cost per month~ ? - 9/27/2008 9:26:13 PM   
rexrgisformidoni


Posts: 578
Joined: 9/20/2008
Status: offline 		20 bucks for my parnate and lamictal
and 5 for my ambien

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Profile   Post #: 27
RE: how much do you Rxs cost per month~ ? - 9/27/2008 9:28:36 PM   
DustinFaust


Posts: 5
Joined: 9/23/2008
Status: offline 		I personally just really hate pills. I tend to take them at gunpoint only, though I've gotten better. Outcome of living with a hyperphobic mom.

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Profile   Post #: 28
RE: how much do you Rxs cost per month~ ? - 9/27/2008 9:31:43 PM   
rexrgisformidoni


Posts: 578
Joined: 9/20/2008
Status: offline 		I am not  a fan either, but they keep me going.

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Profile   Post #: 29
RE: how much do you Rxs cost per month~ ? - 9/27/2008 9:39:32 PM   
kittinSol


Posts: 16926
Status: offline 		Illegal opiates take care of most ailments and are available at bargain discount prices on the free market  .

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RE: how much do you Rxs cost per month~ ? - 9/27/2008 9:45:06 PM   
rexrgisformidoni


Posts: 578
Joined: 9/20/2008
Status: offline 		hahahaha....true, but they make me sleeeeeppppyyy. 

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Profile   Post #: 31
RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:10:20 AM   
OneMoreWaste


Posts: 910
Joined: 8/24/2008
Status: offline
quote:

ORIGINAL: pahunkboy

It seems that the price is 2x the cost of what it should be.  and there is no generic in the US.  SSRIs are funny and effexor is the only one that works for me



Effexor is not an easy one to try to kick/cut back on... I tried skipping my meds one day last week just to see what happened (I pay $75/month in co-pays), and the results were *not* pleasant.

Why can't they write you for three 75 pills/day instead of a 75 and 150?  Your doc may not even be aware that the two-dosage thing is causing problems, I know mine is clueless about stuff like that.


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RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:19:59 AM   
pahunkboy


Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
Status: offline
quote:

ORIGINAL: kittinSol

Illegal opiates take care of most ailments and are available at bargain discount prices on the free market  .


Hi Kit,  you seeee?   the free market system does work...  it is a market economy. I SO hear you girlfriend!!  :-)

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Profile   Post #: 33
RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:22:14 AM   
pahunkboy


Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
Status: offline
quote:

ORIGINAL: OneMoreWaste

quote:

ORIGINAL: pahunkboy

It seems that the price is 2x the cost of what it should be.  and there is no generic in the US.  SSRIs are funny and effexor is the only one that works for me



Effexor is not an easy one to try to kick/cut back on... I tried skipping my meds one day last week just to see what happened (I pay $75/month in co-pays), and the results were *not* pleasant.

Why can't they write you for three 75 pills/day instead of a 75 and 150?  Your doc may not even be aware that the two-dosage thing is causing problems, I know mine is clueless about stuff like that.



I only now asked the DR to do so.

I tried to kick 2x, and quickly stopped.  I thought tho what if 2-3 days a week I did 150 mg  instead of the 225.


I been on this now 7 years. I should be healed/fixed by now....

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Profile   Post #: 34
RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:44:05 AM   
lighthearted


Posts: 1165
Joined: 11/26/2006
Status: offline 		pahunkboy, until recently (6 mos or so) I took 225 mg of Effexor too, and at Target my cost was $90/mo...I do have insurance tho, but as far as I know it was not paying for any of it.  maybe time to comparison shop?

as an aside, I had to stop taking it because of the side effects...took a long time to find the right med/dose, but right now I'm taking Celexa which thankfully is generic and costs me $4/mo.

edited to add:  another reason I wanted to stop the Effexor was because after 4 yrs, I thought it was losing it's effectiveness (notEffexor lol).  I discussed that with my dr. and she said it was possible but difficult to know for sure. 

< Message edited by lighthearted -- 9/28/2008 7:46:16 AM >

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RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:46:53 AM   
sirsholly


Posts: 42360
Joined: 9/7/2007
From: Quietville
Status: offline 		think Target if you do not have insurance.....they are the lowest as far as i know.

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Profile   Post #: 36
RE: how much do you Rxs cost per month~ ? - 9/28/2008 7:56:33 AM   
atropa7


Posts: 72
Joined: 10/8/2006
From: Michigan
Status: offline
quote:

ORIGINAL: Hippiekinkster

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.


Are you aware of the dramatic differences R & S enantiomers can have? The R enantiomer of thalidomide, for example, is effective against morning sickness, while the S enantiomer causes birth defects. Different receptors can be very selective in whether or not they bind to the R or S enantiomer of a molecule, especially in neurochemistry. So to say that a racemic mixture containing equal amounts of both the R & S enatiomer is the same as a homogenous sample of just one enantiomer is just plain wrong. Separating enantiomers out isn't cheap or easy, either. Just keep that in mind.


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RE: how much do you Rxs cost per month~ ? - 9/28/2008 3:48:00 PM   
camille65


Posts: 5746
Joined: 7/11/2007
From: Austin Texas
Status: offline 		$1100.00 a month.



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Profile   Post #: 38
RE: how much do you Rxs cost per month~ ? - 9/28/2008 3:59:11 PM   
sub4hire


Posts: 6775
Joined: 1/1/2004
Status: offline 		For me its zero.  I'm healthy except for the occasional allergy flare up or cold.

Doug..he has a bad back that will never go away...so around 500 a month for co-pays.


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Profile   Post #: 39
RE: how much do you Rxs cost per month~ ? - 9/28/2008 4:04:26 PM   
KatyLied


Posts: 13029
Joined: 2/24/2005
From: Pennsylvania
Status: offline 		Check and see if your health insurance has a mail order option.  I take allergy medication and get three months for the price of two months.  

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