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Link Posted: 8/25/2016 4:30:35 PM EDT
[#1]
I have a two pack that I purchased on 11-07-2011 for my kid who was 9 months old at the time.

I originally asked for an epinephrine ampule prescription, but my pediatrician wasn't too keen on that even though I know what I'm doing.  I figured a $5 ampule that I could dose from for a child or an adult would be the most economical.  

Yeah, the EpiPens are great for ease of use, but a pre-loaded insulin syringe with the plunger chopped off and taped to the side is pretty damn convenient and easy to use.

Anyway, I was told 'no' and given a script for the Jr two pack.  

$50 later, and now almost five years later and they're not discolored.

My kid hasn't had a bad reaction to anything yet, including two bee stings this year, but I just don't have the heart to throw them away.  I would definitely bite the bullet and buy more if he needed them, but he's not in the risk category at the moment.  I'm not the least bit scared of hitting myself with both of them (even though lower than the recommended dose) if I were to ever have a reaction to something.

Any of you with fresh ones care to take a peek and see if the indication window looks similar to mine?  These are almost five years old.


Link Posted: 8/25/2016 4:31:03 PM EDT
[#2]
gotta love the shenanigans that Pharmaceuticals and the .gov play.

With my work recently going to the common high deductible insurance plan I know get to pay full price for my ADD medication. Due to the stuff I usually took (vyvanse) costing over 300$ I was forced to go to a cheaper alternative, Adderall, I

was surprised when they wanted 250$ for adderall and 240 for the generic version.  Looking into why it cost so much for a medicine that has been out forever I found out that the gov puts a quota on the amount of pill manufactures are allowed produce

per year (for schedule 2 drugs). whether is be from collusion or something else the gov is only allowing around 1/2 amount of the pills that are actually being prescribed per year thus creating an artificial shortage...supply/demand yadayada.  So not only

do I have to pay out the nose...I have to be lucky for my pharmacy to even have it in stock...
Link Posted: 8/25/2016 4:32:39 PM EDT
[#3]
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Thanks for your post, as I have two EpiPens from 2002 and 2003, with expiry dates a couple of years past those.

I never did need to use them, but I was wondering how bad they might be?

I guess I won't be putting them up on the EE and buying a new G19!

Chris
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Auto-injectors are very useful for those not medically trained and those who need to be able to self-rescue. They are fixed dosage and are able to inject through clothing and only require a bare minimum of gross motor skill.  IE its possible to self rescue when undergoing an anaphylactic reaction.  Is it possible to use an amp of epi and a syringe to draw up the correct dose sure it just will take significantly longer if someone is having a  reaction or if the administrator isn't trained.

IMPORTANT DO NOT Use an expired epinephrine auto-injector or expired ampules.
Epinephrine has relatively poor stability as it is. Heat or light can shorten that stability considerably.  If its discolored its not going to work. *Tough to tell as its glass packaging is amber to limit light transmission* Keep your auto-injectors or epiephrine vials/amps as cool as possible and away from light.  You need these to work. Your glove box is a bad idea
If your going to carry an ampule and syringe DO NOT PRE-DRAW the dose. Storing it in clear plastic syringe will degrade the stability to mere days.
If  your carrying an amp and syringe for a family member practice how to properly draw up and administer a dose.


Thanks for your post, as I have two EpiPens from 2002 and 2003, with expiry dates a couple of years past those.

I never did need to use them, but I was wondering how bad they might be?

I guess I won't be putting them up on the EE and buying a new G19!

Chris


You might as well be injecting distilled water into yourself if you're having in anaphylaxis.  Epinephrine loses it's efficacy extremely quickly when exposed to heat.  We carried them in our med bags as our medical director authorized us to administer them as Basic EMTs, but they were often exposed to high heat as a result.  The warning label said to chuck them if this happened, so we always did, but we also kept one to test.  One of the paramedics got hooked up to a 10 lead ECG and a pressure cuff, and we stuck him with two doses in the thigh.  No change in anything.  It's a vasoconstrictor and bronchodialator, so you'd expect an increase in BP, heart rate, respirations, but there was no response to the injections whatsoever.  Take my word for it, I wouldn't have believed it if I hadn't seen it, but an Epi-Pen will turn worthless in a heartbeat if not stored properly.
Link Posted: 8/25/2016 4:33:24 PM EDT
[#4]
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.
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I used to keep an epi pen in my dental office ER kit.  I went to buy one this year, and was quoted $350 for a single epi pen.  I decided that an ampule of epi 1:10,000 sounded good and that I would just administer it sublinguallly if needed
Link Posted: 8/25/2016 4:36:54 PM EDT
[#5]
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Don't disagree but at that price they have opened a market hole that a competitor can fill.

Its not like eippens are magical or contain magical stuff.  They contain epinephrine which isn't a drug that is novel or expensive.  The part that they made possible was self administration.

That company will be forced to drop the price when they lose their market after someone else puts a similar product out.
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Lol, this clown thinks pharmaceuticals resemble a 'free market'.

what a chump
Link Posted: 8/25/2016 4:38:08 PM EDT
[#6]
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When you're in the midst of anaphylactic shock...
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some desperate patients who  can't afford EpiPens anymore have turned to filling syringes with  epinephrine themselves — an extremely tricky and potentially  dangerous alternative.


LOL its not that hard to fill a syringe.

When you're in the midst of anaphylactic shock...


Before there were epi-pens there were kits with a vial and a needle in them. My sister was so allergic that we always had on in the kitchen cabinet.
Link Posted: 8/25/2016 4:39:52 PM EDT
[#7]
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I used to keep an epi pen in my dental office ER kit.  I went to buy one this year, and was quoted $350 for a single epi pen.  I decided that an ampule of epi 1:10,000 sounded good and that I would just administer it sublinguallly if needed
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.


I used to keep an epi pen in my dental office ER kit.  I went to buy one this year, and was quoted $350 for a single epi pen.  I decided that an ampule of epi 1:10,000 sounded good and that I would just administer it sublinguallly if needed


You may want to rethink that sublingual part...
Link Posted: 8/25/2016 4:41:26 PM EDT
[#8]
anyone calling this capitalism is a flat out moron.

Government mandated "Must buy EpiPen" from Congress
Government granted monopoly (FDA won't approve other competitors)
Government funded this being created

Yeah, totes free market bros
Link Posted: 8/25/2016 4:43:12 PM EDT
[#9]
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anyone calling this capitalism is a flat out moron.

Government mandated "Must buy EpiPen" from Congress
Government granted monopoly (FDA won't approve other competitors)
Government funded this being created

Yeah, totes free market bros
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Most wouldn't recognize a free market if it bit them in the ass...
Link Posted: 8/25/2016 4:43:47 PM EDT
[#10]
and you blame insurance (private or gov run) for the high cost of healthcare

bottom line is, something like healthcare that we just can't say no, and with no transparency or time or knowledge to shop around must be regulated, just like all other essential utilities like water and electricity
Link Posted: 8/25/2016 4:47:33 PM EDT
[#11]
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and you blame insurance (private or gov run) for the high cost of healthcare

bottom line is, something like healthcare that we just can't say no, and with no transparency or time or knowledge to shop around must be regulated, just like all other essential utilities like water and electricity
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You give 'em an inch, and they'll take a mile. And that would be giving them a mile to start off with.
Link Posted: 8/25/2016 4:49:09 PM EDT
[#12]
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You may want to rethink that sublingual part...
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.


I used to keep an epi pen in my dental office ER kit.  I went to buy one this year, and was quoted $350 for a single epi pen.  I decided that an ampule of epi 1:10,000 sounded good and that I would just administer it sublinguallly if needed


You may want to rethink that sublingual part...


Yeah, this isn't Xylocaine.  Your tongue might fall off!

Even EpiPens aren't fail safe.  There's numerous instances of people getting them backwards and injecting their thumbs, and having a second medical emergency.
Link Posted: 8/25/2016 5:00:39 PM EDT
[#13]
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My wife buys 4 of them for our son.  One for the school nurse to keep in their office.  One for my son to carry.  One to keep at home and one for her purse.  She likes to be prepared.
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I cringe every 3 years when I have to buy a new one.


My wife buys 4 of them for our son.  One for the school nurse to keep in their office.  One for my son to carry.  One to keep at home and one for her purse.  She likes to be prepared.


Cash or copay?         Expiration?
Link Posted: 8/25/2016 5:03:02 PM EDT
[#14]
FDA
Link Posted: 8/25/2016 5:10:40 PM EDT
[#15]
So are they available otc in other countries?
Link Posted: 8/25/2016 5:15:54 PM EDT
[#16]
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So are they available otc in other countries?
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They're .69 in Canada.  2.74 with a bag of milk.
Link Posted: 8/25/2016 5:39:34 PM EDT
[#17]
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Ummm... "put out?"

I've never received sexual favors from a drug rep.
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Hopefully Auvi-Q can get their shit straightened out.  That is a much easier product to use and carry.


Probably depends on if the the Auvi-Q reps are willing to put out more than the epi-pen reps.




Ummm... "put out?"

I've never received sexual favors from a drug rep.


$500 for a $10 vial of juice and you dont even get a reach around??? Your DR sucks.
Link Posted: 8/25/2016 5:44:20 PM EDT
[#18]
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You may want to rethink that sublingual part...
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.


I used to keep an epi pen in my dental office ER kit.  I went to buy one this year, and was quoted $350 for a single epi pen.  I decided that an ampule of epi 1:10,000 sounded good and that I would just administer it sublinguallly if needed


You may want to rethink that sublingual part...


Dentists and oral surgeons have been administering epi sublingually without consequence for years.
Link Posted: 8/25/2016 5:44:41 PM EDT
[#19]
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But you can't!

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Or you could just get a vial of epinephrine and a syringe and do it yourself for like $10.


But you can't!

Meanwhile, according to Consumer Reports, some desperate patients who can't afford EpiPens anymore have turned to filling syringes with epinephrine themselves — an extremely tricky and potentially dangerous alternative.


Back in the '60s my mom, who has sometimes severe asthma, did exactly that.  We always had vials of epinephrine in the refrigerator, and a box of syringes.

I don't recall her even needing to use it.
Link Posted: 8/25/2016 5:49:51 PM EDT
[#20]
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.
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And sting kits used  to come with a shot.

But can I get an ampule?
Link Posted: 8/25/2016 5:51:41 PM EDT
[#21]
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Neither does Mylan, they have a US Patent office lock on the delivery mechanism.  
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.
I can buy a broom and dustpan for ten bucks but Roomba still sells a ton of sweeping robots at $300 each.
 
Bad example. Romba doesn't have an FDA approved lock on brooms and pans.  
Neither does Mylan, they have a US Patent office lock on the delivery mechanism.  


Why does something invented in the 70's with tax payer money have a patent 40 years later?
Link Posted: 8/25/2016 5:52:26 PM EDT
[#22]
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Dentists and oral surgeons have been administering epi sublingually without consequence for years.
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.


I used to keep an epi pen in my dental office ER kit.  I went to buy one this year, and was quoted $350 for a single epi pen.  I decided that an ampule of epi 1:10,000 sounded good and that I would just administer it sublinguallly if needed


You may want to rethink that sublingual part...


Dentists and oral surgeons have been administering epi sublingually without consequence for years.


From epinephrine ampules?

I thought it was strictly in the amount associated with Xylocaine and the sorts.  

I believe actual epinephrine ampules are quite different when it comes to the actual percentage.  I've been wrong many times before though.

ETA:  Sorry, now I see that he said 1:10,000.  not the 1:1,000 ampules.
Link Posted: 8/25/2016 5:53:13 PM EDT
[#23]
Link Posted: 8/25/2016 5:54:58 PM EDT
[#24]
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  By direct links are you referring to the CEO who happens to be Manchin's daughter?




This cunt is as crooked as hillery's hind leg.

https://en.m.wikipedia.org/wiki/Heather_Bresch




That being said, price fixing snything is a bad idea.


See Venezuela.




 
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Direct links to Joe Manchin, and the DNC globalist machine.


  By direct links are you referring to the CEO who happens to be Manchin's daughter?




This cunt is as crooked as hillery's hind leg.

https://en.m.wikipedia.org/wiki/Heather_Bresch




That being said, price fixing snything is a bad idea.


See Venezuela.




 


So is paying full freight for that shit. When my Epi-Pen expires I am going to ask my doc to let me kit the syringe kit.
Link Posted: 8/25/2016 5:59:10 PM EDT
[#25]
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Well, since most of that is covered by insurance, and the typical family of four is going to be paying $1600-$2000 for a plan per month that typically only pays once they meet at $6,000 to $10,000 deductible, you tell me.

Then you realize the same medical devices sell for a fraction of the cost in Third World shit holes, like Canada.

We're paying higher because the drug companies know they can charge us out the ass so we can subsidize the cost of medical care and medical devices in other countries where they're not allowed to do this fuckery.

I didn't realize most of this website were socialist.
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Meh. The fact it even exists for you to buy is just this side of a miracle when you think about what's required to develop and make something like that.

If you put me in a lab for 1,000 lifetimes, I'll probably never be able to make an epipen. So I'll pay whatever it costs.


Bullshit

That isn't capitalism. It is just pure scalping. They were making and selling it for $100 now $550. No extra cost to manufacure. Same stuff. No new development cost.

They are sorry mother fuckers

Rx companies are propped up by the FDA. Do some research.
What cost should they be allowed to sell them for?
 

Well, since most of that is covered by insurance, and the typical family of four is going to be paying $1600-$2000 for a plan per month that typically only pays once they meet at $6,000 to $10,000 deductible, you tell me.

Then you realize the same medical devices sell for a fraction of the cost in Third World shit holes, like Canada.

We're paying higher because the drug companies know they can charge us out the ass so we can subsidize the cost of medical care and medical devices in other countries where they're not allowed to do this fuckery.

I didn't realize most of this website were socialist.


The above is socialism. We subsidize everyone else who gets it for 1/5th the cost or less and we get to pay extra for it. Yeah, that is capitalism all right......
Link Posted: 8/25/2016 6:02:55 PM EDT
[#26]
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  lol




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Start your own company. Profit by selling for less. It's easy. What's stopping you?

  lol





Raise the capital. Assemble a staff. Acquire manufacturing. Develop a similar but different device. Set up a clinical trial program. Conduct your trials. Compile your data. Assemble your packet. Sum it to FDA with their required fee of $1m. Await feedback. Make revisions. Resubmit. Gain approval. Initiate marketing and sales efforts.

Profit. Or buy Epi-pen for what amounts to $1 per day.

Seriously, what's stopping you?
Link Posted: 8/25/2016 6:08:33 PM EDT
[#27]
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I agree that's the root of the problem.  So why are we angry at this company?
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Didn't we do something similar in the past under a similar situation that resulted in what we used to call "Baby Bells"?

Monopolies are not to be allowed under capitalism as it defeats the purpose.

What you see here is a monopoly plain and simple.

Capitalism has fuck all to do with this.

  Yes, a government-enforced monopoly.

Which GD celebrates.


Because, capitalism.


Even though monopolies are anticompetitive.


And competition is a key feature of capitalism.

I agree that's the root of the problem.  So why are we angry at this company?


Because they are lobbying the Congress to mandate these pens on every commercial plane after lobbying to require schools to have them.
Link Posted: 8/25/2016 6:25:42 PM EDT
[#28]
Link Posted: 8/25/2016 6:26:40 PM EDT
[#29]
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TheGrayMan


I inject my own testosterone, I'm also highly allergic to bees, and have stopped carrying Epipens cause they cost so much.  I just figure i'll cram my mouth full of bendryll, head for the hospital and hope for the best.  


what are the odds I can get a doc to sign off on some epi and I can just learn to self inject?
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Considering I can get an ampule of epi for about five bucks, and administer my own damned SQ or IM injection with an insulin syringe?

Yeah... $600 for a two-pack of Epi-Pens just looks bad.



TheGrayMan


I inject my own testosterone, I'm also highly allergic to bees, and have stopped carrying Epipens cause they cost so much.  I just figure i'll cram my mouth full of bendryll, head for the hospital and hope for the best.  


what are the odds I can get a doc to sign off on some epi and I can just learn to self inject?


Try talking to your family doctor, all he can say is no. Then start calling around to other doctors.
Link Posted: 8/25/2016 6:27:31 PM EDT
[#30]
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Actually, that's is exactly what capitalism is. GTFO if you don't like it.  Venezuela is nice this time of year.
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Meh. The fact it even exists for you to buy is just this side of a miracle when you think about what's required to develop and make something like that.

If you put me in a lab for 1,000 lifetimes, I'll probably never be able to make an epipen. So I'll pay whatever it costs.


Bullshit

That isn't capitalism. It is just pure scalping. They were making and selling it for $100 now $550. No extra cost to manufacure. Same stuff. No new development cost.

They are sorry mother fuckers

Rx companies are propped up by the FDA. Do some research.


Actually, that's is exactly what capitalism is. GTFO if you don't like it.  Venezuela is nice this time of year.


No that is not capitalism and the fact that you think it is explains how you fail on other subjects.
Link Posted: 8/25/2016 6:33:29 PM EDT
[#31]
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Had a similar rage when I found out what happened to Primatine Mist, the OTC asthma inhaler.

CFC's? Fucking really?!?! Fuck affordable, accessible medicine when there's an ozone layer to worry about!
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The new asthma inhalers which are referred rescue inhalers do not have sufficient charge to meet the term rescue inhaler.
Link Posted: 8/25/2016 7:00:12 PM EDT
[#32]
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gotta love the shenanigans that Pharmaceuticals and the .gov play.

With my work recently going to the common high deductible insurance plan I know get to pay full price for my ADD medication. Due to the stuff I usually took (vyvanse) costing over 300$ I was forced to go to a cheaper alternative, Adderall, I

was surprised when they wanted 250$ for adderall and 240 for the generic version.  Looking into why it cost so much for a medicine that has been out forever I found out that the gov puts a quota on the amount of pill manufactures are allowed produce

per year (for schedule 2 drugs). whether is be from collusion or something else the gov is only allowing around 1/2 amount of the pills that are actually being prescribed per year thus creating an artificial shortage...supply/demand yadayada.  So not only

do I have to pay out the nose...I have to be lucky for my pharmacy to even have it in stock...
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The fuck?!?!?!?! Are you fucking serious!?  Holy shit.
Link Posted: 8/25/2016 7:05:59 PM EDT
[#33]

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Because they are lobbying the Congress to mandate these pens on every commercial plane after lobbying to require schools to have them.
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More concern for the symptom than the disease.  



 
Link Posted: 8/25/2016 7:09:26 PM EDT
[#34]
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Meh. The fact it even exists for you to buy is just this side of a miracle when you think about what's required to develop and make something like that.

If you put me in a lab for 1,000 lifetimes, I'll probably never be able to make an epipen. So I'll pay whatever it costs.
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The drug is no miracle (been around for 100 years) and the injector is not a big deal.

Doctors should stop prescribing these things, and teach patients how to draw up a 300 microgram epinephrine dose into a syringe and inject it without the aparatus. Cost? About $1.

If I were in a position to advise, I would also tell people to keep the "expired" ones, and if I were the FDA I would commence stability testing to prove the "expired" ones could still be used.

F them.
Link Posted: 8/25/2016 7:11:51 PM EDT
[#35]
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LOL its not that hard to fill a syringe.
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some desperate patients who  can't afford EpiPens anymore have turned to filling syringes with  epinephrine themselves — an extremely tricky and potentially  dangerous alternative.


LOL its not that hard to fill a syringe.


It is when you are going through anaphylactic shock
Link Posted: 8/25/2016 7:14:13 PM EDT
[#36]
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What cost should they be allowed to sell them for?
 
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Meh. The fact it even exists for you to buy is just this side of a miracle when you think about what's required to develop and make something like that.

If you put me in a lab for 1,000 lifetimes, I'll probably never be able to make an epipen. So I'll pay whatever it costs.


Bullshit

That isn't capitalism. It is just pure scalping. They were making and selling it for $100 now $550. No extra cost to manufacure. Same stuff. No new development cost.

They are sorry mother fuckers

Rx companies are propped up by the FDA. Do some research.
What cost should they be allowed to sell them for?
 


Lower the barrier to entry for competitors to come in and let it be sorted out. We should look carefully at the patent for the injector and make sure it is still valid.

As I understand it, the injector was developed for DOD for neostigmine injections (nerve gas antidote) during the Gulf War.

Maybe DOD can sponsor contract research for an injector, and then make the injector design public domain.

None of this is rocket science, and it is not really free-market capitalism, either. The government contributes to barriers to entry of competitors to the market at every turn.
Link Posted: 8/25/2016 7:16:56 PM EDT
[#37]
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The fuck?!?!?!?! Are you fucking serious!?  Holy shit.
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gotta love the shenanigans that Pharmaceuticals and the .gov play.

With my work recently going to the common high deductible insurance plan I know get to pay full price for my ADD medication. Due to the stuff I usually took (vyvanse) costing over 300$ I was forced to go to a cheaper alternative, Adderall, I

was surprised when they wanted 250$ for adderall and 240 for the generic version.  Looking into why it cost so much for a medicine that has been out forever I found out that the gov puts a quota on the amount of pill manufactures are allowed produce

per year (for schedule 2 drugs). whether is be from collusion or something else the gov is only allowing around 1/2 amount of the pills that are actually being prescribed per year thus creating an artificial shortage...supply/demand yadayada.  So not only

do I have to pay out the nose...I have to be lucky for my pharmacy to even have it in stock...



The fuck?!?!?!?! Are you fucking serious!?  Holy shit.


The DEA puts production quotas on several schedule 2 drugs. They DGAF what the actual demand or need is. Tough shit. This is how much you can make. On the retail side are purchase limits. You can buy X amount of the pills from wholesaler for various controlled substances. You have more legitimate scripts than pills to fill them with? too bad.  This is a separate issue though.

There is NO free market in pharma in this country period. Very high barrier to entry, heavy regulation, and pharma charges whatever the hell they want because they know your insurance will pick up the majority of the cost while raking in rebates not passed along and manipulating maximum allowable cost tables.  Why do you think drugs are cheap in Mexico? It's cash and no one will buy the dam things if they cost an arm and a leg.

I would welcome the free market. The majority of profit in pharma is made by insurance companies, not the manufacturer and not the retailer.
Link Posted: 8/25/2016 7:18:43 PM EDT
[#38]
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LOL its not that hard to fill a syringe.
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some desperate patients who  can't afford EpiPens anymore have turned to filling syringes with  epinephrine themselves — an extremely tricky and potentially  dangerous alternative.


LOL its not that hard to fill a syringe.


Not any more risky and dangerous than the epipen itself, which is injected through clothing, and becomes non-sterile.
Link Posted: 8/25/2016 7:19:38 PM EDT
[#39]
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Should the State regulate how much profit can be made off an item?
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Meh. The fact it even exists for you to buy is just this side of a miracle when you think about what's required to develop and make something like that.

If you put me in a lab for 1,000 lifetimes, I'll probably never be able to make an epipen. So I'll pay whatever it costs.


Bullshit

That isn't capitalism. It is just pure scalping. They were making and selling it for $100 now $550. No extra cost to manufacure. Same stuff. No new development cost.

They are sorry mother fuckers

Rx companies are propped up by the FDA. Do some research.


Should the State regulate how much profit can be made off an item?


No, but the State should get out of the business of creating barriers to entry of competitors into the marketplace.
Link Posted: 8/25/2016 7:21:49 PM EDT
[#40]
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But you can't!

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Or you could just get a vial of epinephrine and a syringe and do it yourself for like $10.


But you can't!

Meanwhile, according to Consumer Reports, some desperate patients who can't afford EpiPens anymore have turned to filling syringes with epinephrine themselves — an extremely tricky and potentially dangerous alternative.


If you are not willing to prescribe epinephrine ampules and syringes and alcohol wipes for patients like these, you should have your license taken away.

I would even go so far as to make this drug an over the counter, non-prescription item, for which insurance would no longer have to pay.

Same for many drugs like this.
Link Posted: 8/25/2016 7:22:37 PM EDT
[#41]
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When you're in the midst of anaphylactic shock...
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Quoted:
some desperate patients who  can't afford EpiPens anymore have turned to filling syringes with  epinephrine themselves — an extremely tricky and potentially  dangerous alternative.


LOL its not that hard to fill a syringe.

When you're in the midst of anaphylactic shock...


That is why you pre-fill them.
Link Posted: 8/25/2016 7:26:15 PM EDT
[#42]
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That is why you pre-fill them.
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Quoted:
some desperate patients who  can't afford EpiPens anymore have turned to filling syringes with  epinephrine themselves — an extremely tricky and potentially  dangerous alternative.


LOL its not that hard to fill a syringe.

When you're in the midst of anaphylactic shock...


That is why you pre-fill them.



PreFilled Syringe Case $16.99


Link Posted: 8/25/2016 7:26:31 PM EDT
[#43]
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You're right. That private company should have to sit through a review board to get a government approved price on their product. Free for blacks and illegals. $100 for Asians, $4,000 for white people due to our privilege.
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Meh. The fact it even exists for you to buy is just this side of a miracle when you think about what's required to develop and make something like that.

If you put me in a lab for 1,000 lifetimes, I'll probably never be able to make an epipen. So I'll pay whatever it costs.


Bullshit

That isn't capitalism. It is just pure scalping. They were making and selling it for $100 now $550. No extra cost to manufacure. Same stuff. No new development cost.

They are sorry mother fuckers

Rx companies are propped up by the FDA. Do some research.


You're right. That private company should have to sit through a review board to get a government approved price on their product. Free for blacks and illegals. $100 for Asians, $4,000 for white people due to our privilege.


No, that drug company should not be propped up by a patent system enforced by the government; it should not be propped up by a law that makes it a prescription item; that drug company should not be propped up by laws that prevent re-importation of the injectors from foreign countries where the cost is less, and the only "clever" thing is the injector, which the government could contract some inventor to develop a similar device and make it a public domain design (like the AR15 or 1911 .45).
Link Posted: 8/25/2016 7:29:31 PM EDT
[#44]
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You would be mind boggled at the number of auto injectors the military has to dispose of every month because they are expired.

Just imagine the money that gets flushed down the drain.
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Having worked at a three letter agency that regulates drugs, I can tell you that there is probably data that permits these injectors to be used WAY beyond the package expiration date. The companies have to show that a product is still good well beyond the date they put on a label.  

I think that three letter agency should probably do its own research on this point and publish it or tell consumers that the effective shelf life is actually probably a year or two beyond the expiration date on the label.
Link Posted: 8/25/2016 7:30:40 PM EDT
[#45]

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No, that drug company should not be propped up by a patent system enforced by the government; it should not be propped up by a law that makes it a prescription item; that drug company should not be propped up by laws that prevent re-importation of the injectors from foreign countries where the cost is less, and the only "clever" thing is the injector, which the government could contract some inventor to develop a similar device and make it a public domain design (like the AR15 or 1911 .45).
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Were I a betting man, I'd guess that the current patent is on the new design not the original one they don't make any more.



 
Link Posted: 8/25/2016 7:37:04 PM EDT
[#47]
I hope this helps those that need it.

https://www.planetdrugsdirect.com/drugs/epipen

https://www.planetdrugsdirect.com/drugs/epipen

PD saves me a lot of money
Link Posted: 8/25/2016 7:37:33 PM EDT
[#48]
Link Posted: 8/25/2016 7:41:50 PM EDT
[#49]
Link Posted: 8/25/2016 7:46:36 PM EDT
[#50]
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Well I'll just tote the ARFCOM line. If you don't like the price then find another product or invent your own medicine.  Their product their rules. Don't like the price?  You don't need to buy it either.

A pack of Altoids will do just as good of a job and leave you with a minty breath. (/sarcasm).
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Many Arfcommers don't want to acknowledge how much the government does to artificially prop up Big Pharma.

1. Patents that get extended too easily; Constitution can be honored, but terms of patents can be adjusted.
2. Prescription drug laws
3. Regulatory agencies making it extremely hard to enter the market
4. R&D that is done for the government that benefits the device maker who gets a patent on something they did for the government.
5. Bans on re-importation of prescription drugs/devices, thereby making us the suckers who fund the lion's share of drug development cost. Putting up a barrier to re-importation means that an artificial gradient in price is encouraged or allowed.
6. Precluding the negotiation of prices for drugs/devices by Medicare and other agencies (besides the VA).
7. Enforcement of liability laws that add unduly to the cost of medical devices and drugs (the drug companies don't pay those claims; the users pay for it in the price of the product).

Drop the duration of patents (that is a Congressional pre-rogative)
Make this kind of product OTC. Once insurance companies stop paying for this stuff, the price will fall.
Let Americans buy this stuff from overseas (it will not drop the price to $5, if the Canadians are getting it for that and we are paying $500, but maybe a price of $150 will prevail for all.
Allow Medicare to negotiate for prices of these and other items. We are suckers if we don't.
Hold harmless laws so that if the thing malfunctions, the liability is capped. No punitive damage, just actual damages.

Not just for this drug, for all drugs/devices.

I have heard the injector was developed as a contract for DOD to inject nerve gas antidote, and if so, I think DOD should make the injectors available or make the design public domain.
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