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smullen
LARUEMINATI
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Posted: 7/17/2012 9:31:50 AM EST
Not sure what it called, guessing it treats the liver condition she recently developed...

My sister who lives with her just txted me...

I dunno what they are going to do...


Thats messed up, thats more than my house car and ATV togther...

There is no way they can afford that...
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paul1911
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Posted: 7/17/2012 9:46:53 AM EST
Depending on the drug, many drug companies have programs to help out people who can not afford it. They have programs called Patient Assistance Programs. If you find out the name of the drug, the company will have a web site with info.

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cbr954
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Posted: 7/17/2012 9:51:32 AM EST
[Last Edit: 7/17/2012 9:55:32 AM EST by cbr954]
Find out the name, and check Canadian pharmacies....

That's all I've got..

Eta: Even if they don't cover it, maybe they can/will negotiate a lower price on your parents behalf? Like a ppo would do...
GUNGUY148
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Posted: 7/17/2012 10:07:22 AM EST
Thats bullshit.....I am a free market anti obamacare guy but something has got to change with health care prices. I have no idea what the solution is but I am sure what these jackasses in Washington come up with wont be it.

Check with overseas sources when you find the name......it sounds scary but I know people that save a TON of money buying from India
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steelwarrior26
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Posted: 7/17/2012 11:33:17 AM EST
discuss the issue with the hospital. they have people that can help. I have a drug that costs 1000.00 each month. the hospital contacted them and they supply it to me free. there is no way I could afford it otherwise.wich hospital was she in?
ds762
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Posted: 7/17/2012 11:55:45 AM EST
sorry man .. prayers inbound

praying that your mom will find the help from The Lord to help her obtain the medicine she needs and the cost will be affordable!
smullen
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Posted: 7/17/2012 1:39:51 PM EST
Well I was wrong about that medicine, it wasn't 1000, its 1600 a month...

My sister has calls in to the Insurance company and someone at the hospital that may be able to help. She is calling the company that makes the drug as soon as she gets the contact info from the hospital folks...



I'm not holding my breath, but I am hopeful...




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Rob_xiix
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Posted: 7/17/2012 2:01:07 PM EST
Express scripts here in the STL area also has a patient assistance program where you can get meds much cheaper, if nothing else pans out let me know and ill talk to a guy i know that used to work there and get details.
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Posted: 7/17/2012 4:09:02 PM EST
Prayers for you and your familly.
lambo
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Posted: 7/17/2012 4:36:43 PM EST
Originally Posted By paul1911:
Depending on the drug, many drug companies have programs to help out people who can not afford it. They have programs called Patient Assistance Programs. If you find out the name of the drug, the company will have a web site with info.



This. Go directly to the drug company first. If it is an Eli Lilly drug IM me.
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Posted: 7/17/2012 4:52:53 PM EST
How old is your Mom and what kind of insurance does she have?
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Fantomas
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Posted: 7/17/2012 5:50:46 PM EST
boy that sucks

I hope it works out for her and she can get the Meds she needs

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bjtraz
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Posted: 7/17/2012 6:06:07 PM EST
I say go to the Canadian pharmacies. When my wife fell into the "donut hole" last year, that is what we did. The drugs are manufactured here, shipped to foreign lands, and then shipped to you at heavy discount. If you're interested, PM me, and I'll get you the web sites she uses. What's nice, if customs confiscates your drugs, they're guaranteed to ship another shipment, free of charge. That happened to her, at least once.

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Posted: 7/17/2012 7:41:35 PM EST
Also check with county health services.
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SShockwave
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Posted: 7/17/2012 7:53:28 PM EST
You can only do the Express Scripts program if you currently have coverage through Express Scripts. Same for any other insurance company.

Is her insurance through her employer or is she on some government program like Medicaid? As long as she doesn't have some fly by night insurance that she bought on her own, there's probably a good reason this drug is not covered. Usually it's because there are cheaper versions of it available that do the exact same thing. Problem is Doctor's don't know this and only prescribe what the drug reps "sell" I mean tell them about. Tell her to talk to her doctor about clinical alternatives, her insurance company can also provide this info. If all else fails and this coverage is through her employer, she needs to contact her HR rep and request an exception due to financial hardship. Most companies will allow the drug to go through as long as the case is presented to them in the right way. Now if the drug is $1600 because your mom chose a high deductible health plan setup vs. a higher cost standard plan, well you're SOL as that's the down side to choosing those. I've been in this industry a very long time, if you need help with questions and what do to let me know.
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Posted: 7/17/2012 11:56:01 PM EST
Wow....Sorry to hear about this. I certainly hope your mothers' health improves.
Something has got to be done about these drug manufacturing companies........They have stopped the business of helping people who need it and are now taking advantage of people who are in need.
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lambo
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Posted: 7/18/2012 3:54:29 AM EST
You wouldn't believe how much money it takes to bring a drug to market. There are three clinical phases a drug must go through and on some drugs it can take a decade or longer before the FDA approves it. If it is a specialty drug that will not sell as much as something that treats a common problem, it is going to cost more. The company is in business to make money. The company has exclusive use of their drug until the patent is up. Once that happens it can be manufactured in generic form and the cost will be significantly reduced. The original maker of the drug has to make it's money back and profit in that time period.

There is even more to factor in than just that one drugs costs. Most drugs that start clinical trials never make it to market, the cost must be absorbed by the products that do, that's just the way business works regardless of the product, any business.

Our healthcare system is broken no doubt, drug companies are just one part of it. Allowing anybody into an emergency room to access healthcare for any reason they want regardless of their ability to pay or if they are even a citizen in the US drives everything up exponentially. And now that we are paying for everyone's healthcare expect everything to continue to go up, not down as the new law was sold to us. This includes drugs. Now you are paying for yours and theirs.

You can't force a company to invest 1 billion dollars in a product over ten years (yes, 1 billion) and then sell it for a loss because people can't afford it. If that was the case there would be no new drugs for anybody. All the drug companies have some type of program for those that cannot afford drugs, whether this drug is available needs to be determined. But the drug companies do their fair share of charity work. They flat give away a large amount of their product here and abroad.

This is getting way off the subject though. Smullen, there may very well be a program for those who's insurance doesn't cover this drug and cannot afford it. I would contact the pharmaceutical company directly first. If not there may be other drugs to treat the problem that your mothers insurance does cover, or the cost is less or does have an assistance program. Good luck brother....



ErikO
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Posted: 7/18/2012 4:15:24 AM EST
Smullen, I'll see what I can find out through my contacts. County does have some programs that may help.
http://armedliberalinmo.blogspot.com/
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smullen
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Posted: 7/18/2012 11:02:59 AM EST
***Update***

Some good news...


My sister went up to the Hospital and her and the Docs called the my mothers Insurance company and I do not know what the doc said, other than, this is the only option, there are no generics, this is needed for her to stay alive and they aggred to cover it...


The 1st 90 days they will fill at Wal-greens pharmacy then they will need to do it mail order and it will cost them 60.00 a month... Even that adds up, but its a whole lot easier to swallow than 1600 a month...


So, hopefully she will continue to improve and this will take care of it...


Big, Big Thanks everyone for the thougths, advice and potential resources on this help my mother.


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Stitches1974
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Posted: 7/18/2012 11:23:09 AM EST
Glad you got some good news, finally.
GUNGUY148
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Posted: 7/18/2012 11:45:35 AM EST
Awesome!
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ErikO
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Posted: 7/18/2012 11:48:39 AM EST


Good deal.
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Posted: 7/18/2012 11:52:54 AM EST
Originally Posted By ErikO:


Good deal.


Very cool. I'm sure it takes a load off everyone's mind. Good luck and I hope everything goes as easy as it possibly can for you and your family.
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Posted: 7/18/2012 12:04:24 PM EST
thats great to hear!
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Posted: 7/18/2012 12:31:03 PM EST
Originally Posted By lambo:
Originally Posted By ErikO:


Good deal.


Very cool. I'm sure it takes a load off everyone's mind. Good luck and I hope everything goes as easy as it possibly can for you and your family.



+1
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Posted: 7/18/2012 12:40:10 PM EST
Outstanding, glad to hear her meds will be covered.
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