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rustysgurl

(1,040 posts)
Mon Mar 4, 2019, 08:46 PM Mar 2019

My Pharmacy Story

I am a non-insulin-dependent diabetic. I inject Trulicity once a week, and it works. I have been using it over a year. I get a 90 day supply, and with insurance, typically pay $275 for 3 months. More than I'd like to pay, but it's swingable.

I went to the pharmacy today to pick up this year's 1st 90 day supply (I last picked it up in December). My copay?

$1,600.

Why? Because my wonderful insurance company (name starts with C, ends in IGNA), made a teeny-tiny fine print change to our benefits. Instead of our $4,000 deductible applying only to medical expenses, it now applies to medical AND pharmacy expenses. So, I get to pay $4,000 out of pocket this year before I get ONE FREAKING BENEFIT DOLLAR from our insurance (for which we are paying $195 every two weeks). And the $1,600 copay includes utilizing a manufacturer's coupon that max pays $450 for 3 months. So if I didn't have that, it would be over $2,000.

I am beyond upset. I finally find a drug that works, and now I have to go back to my doctor and ask her to prescribe me something I can afford (which will include no new drugs or anything similar to what i am now taking). I know others are worse off -- I cannot imagine how diabetics pay for their insulin.

Seriously considering purchasing out of the country, if I can find it cheap enough. Big Pharma makes me sick; the greedy bastards just want more and more. I'm calling my rep (Sharice Davids) to register my outrage. Will it do any good? I don't know. All I can do is try.

95 replies = new reply since forum marked as read
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My Pharmacy Story (Original Post) rustysgurl Mar 2019 OP
I was in line at Walgreens, behind a guy who was paying for his inslin Miigwech Mar 2019 #1
But "WE" gave the senate and WH to the GOP. Hortensis Mar 2019 #62
Thank you for sharing the details of this heist and highway robbery... magicarpet Mar 2019 #2
My husband gets his insulin from Canada. It's a fraction of the cost he'd pay in the U.S. Vinca Mar 2019 #3
I've bought medications through two Canadian PatSeg Mar 2019 #14
what are the company names orleans Mar 2019 #30
The first one I used PatSeg Mar 2019 #32
thank you so much. orleans Mar 2019 #35
You're welcome PatSeg Mar 2019 #42
Thanx for sharing that, Pat. n/t Lucid Dreamer Mar 2019 #38
You're welcome PatSeg Mar 2019 #43
Thank you for that info. I'll look into them. JustABozoOnThisBus Mar 2019 #83
You're welcome PatSeg Mar 2019 #86
Drs. Banting and Best, after several years and many trials luvtheGWN Mar 2019 #19
I know, its disgraceful PatSeg Mar 2019 #33
This message was self-deleted by its author geralmar Mar 2019 #82
Can you share the name of the Canadian company your husband is buying ooky Mar 2019 #37
My Dad died because he couldnt afford his insulin. Eko Mar 2019 #4
I am so sorry. This should never happen. Glimmer of Hope Mar 2019 #7
Thanks, Eko Mar 2019 #8
I am sorry ... rustysgurl Mar 2019 #10
I hope he does also. Eko Mar 2019 #11
Try this Ms. Toad Mar 2019 #5
I have that card ... rustysgurl Mar 2019 #9
I am so sorry. Glimmer of Hope Mar 2019 #6
are you on a group plan via your employer? TalenaGor Mar 2019 #12
Through my husband's employer rustysgurl Mar 2019 #24
If you've been eligible for Medicare for any time at all, PoindexterOglethorpe Mar 2019 #54
This is why I prefer candidates with real solutions to these types of affordability issues ooky Mar 2019 #13
I was recently diagnosed with type 2 diabetes and COPD dingosatemyusername Mar 2019 #15
I am sorry about your diagnoses ... rustysgurl Mar 2019 #29
I have Type 2 myself -- may I ask why your doctor put you on such an expensive drug? Did he Nay Mar 2019 #85
I'm on metformin as well as jardiance dingosatemyusername Mar 2019 #91
Very Sad. I am so sorry... What is wrong with this country?.. Stuart G Mar 2019 #16
What is wrong with this country? GREED! SammyWinstonJack Mar 2019 #84
Don't just write us! Jane Austin Mar 2019 #17
I am writing and calling everyone I can think of ...n/t rustysgurl Mar 2019 #25
That's great. Jane Austin Mar 2019 #40
Yeah my work's insurance is with the same company 47of74 Mar 2019 #18
Believe me, I share your frustration and experiences. BigmanPigman Mar 2019 #20
That is horrible ... rustysgurl Mar 2019 #27
Because of the cost for the Botox Heartstrings Mar 2019 #45
Well, except sometimes you have to get up and about anyway kcr Mar 2019 #50
Mine are the classic type... BigmanPigman Mar 2019 #60
I tried CBD oil and a zillion other things. BigmanPigman Mar 2019 #58
I am glad you found relief.... Heartstrings Mar 2019 #64
There are a lot of "triggers" I have been told by my specialist. BigmanPigman Mar 2019 #73
I've eliminated any known triggers such as food, drink, etc. that I'm able to.... Heartstrings Mar 2019 #76
Yes, my doctor said that it IS a brain disease. BigmanPigman Mar 2019 #78
Talk to you Drs about Aimovig. Nevilledog Mar 2019 #46
I was told it has unpleasant side effects in some patients. BigmanPigman Mar 2019 #61
Only side effect I've had is slight muscle pains for a few days after injection. Nevilledog Mar 2019 #66
My doctor said that is one of the side effects that she has heard about BigmanPigman Mar 2019 #74
I weighed the aches against the devastating migraines.....no migraines was an easy decision. Nevilledog Mar 2019 #75
I know. Once you have suffered through migraines BigmanPigman Mar 2019 #77
You're absolutely right about the pain. Nevilledog Mar 2019 #79
My (late) granddad's pharmacy story... mwooldri Mar 2019 #21
We are America. Everything is for profit here. We are viewed as consumers, not citizens. -nt CrispyQ Mar 2019 #53
Go overseas. Now. localroger Mar 2019 #22
I hear you ... rustysgurl Mar 2019 #26
Never ends the greedy bastards. Pepsidog Mar 2019 #23
Deductibles are insane. area51 Mar 2019 #28
Try this Olafjoy Mar 2019 #31
I love your rant. Lucid Dreamer Mar 2019 #39
this buys government favorable to them Hermit-The-Prog Mar 2019 #34
and the coupons don't work with Medicare. Why's that? Hamlette Mar 2019 #36
Officially, coupons cannot be used with government payer insurance due to the anti-kickback statute. Liberal Veteran Mar 2019 #44
ah, that actually makes sense. Hamlette Mar 2019 #57
For an "advanced country" that is appalling. People should hound reps who bow to pharma companies. I OnDoutside Mar 2019 #41
During the bush years they have a " donut hole " in Medicare for prescriptions kimbutgar Mar 2019 #47
They still do. Jane Austin Mar 2019 #59
I don't mean to spam this thread, area51 Mar 2019 #81
As a former Australian (now US citizen) I can tell you this country is a mess for health care. BSdetect Mar 2019 #48
Check to See if Your Plan was Switched to a High Deductible HSA Plan Indykatie Mar 2019 #49
Try certified Canadian drugs? empedocles Mar 2019 #51
I looked into that ... rustysgurl Mar 2019 #67
Look up Pharmacy Checker.com. They can give many supplier prices for a given drug, as well empedocles Mar 2019 #80
Thanks ... that's a good resource ... rustysgurl Mar 2019 #89
No generic? You can talk to a pharmacists at one of the Canadian pharmacies for help. empedocles Mar 2019 #90
Northwest Pharmacy Timewas Mar 2019 #52
$817 a month ... even Canada is expensive n/t rustysgurl Mar 2019 #70
Fortunately there is a way to stop feeding BigPharma Doremus Mar 2019 #55
Thanks for your suggestion ... and your judgment rustysgurl Mar 2019 #68
Type II diabetes is absolutely curable through diet. Doremus Mar 2019 #87
Type 2 Diabetes ... rustysgurl Mar 2019 #88
You're reading things that aren't there. Doremus Mar 2019 #92
My husband also cured his kidney disease. athena Mar 2019 #94
Thanks for sharing that. Doremus Mar 2019 #95
Doremus is right about the WFPB diet. athena Mar 2019 #93
I wonder wryter2000 Mar 2019 #56
If this helps? Maxheader Mar 2019 #63
Thanks ... I actually found that place during my Googling last night n/t rustysgurl Mar 2019 #69
Healthcare for profit is immoral. RedSpartan Mar 2019 #65
If this trend continues, quality healthcare will be available only to the wealthy. VOX Mar 2019 #71
"If they would rather die ... rustysgurl Mar 2019 #72
 

Miigwech

(3,741 posts)
1. I was in line at Walgreens, behind a guy who was paying for his inslin
Mon Mar 4, 2019, 09:01 PM
Mar 2019

the pharmacy worker said "140 dollars for one month." The poor man said, "but it usually costs $40." WTF is going on??? Dem's jump on this crisis and fix it. We need you. Real people are suffering !!!!

Hortensis

(58,785 posts)
62. But "WE" gave the senate and WH to the GOP.
Tue Mar 5, 2019, 03:59 PM
Mar 2019

That means elected Democrats CAN'T fix it. Yet.

Guessing some of those people with their heads up their asses, who didn't see the connection between their drug refills and their votes or not-votes, are now hoping to find medication refills there.

On the plus side, Miigwech, our house Democrats are beginning formal work on drug price legislation. At least WE belatedly did that right. Of course, the Republicans are also already at work to make sure nothing comes of it while they have the senate and WH.

But on November 3, 2020, "only" 609 days away, WE will have another chance to do OUR job right. Stay well until then.

magicarpet

(14,175 posts)
2. Thank you for sharing the details of this heist and highway robbery...
Mon Mar 4, 2019, 09:04 PM
Mar 2019

.... dumped on you door step by big pharma.

Like you said their intent is to wring every last dime out of our wallets.

Vinca

(50,309 posts)
3. My husband gets his insulin from Canada. It's a fraction of the cost he'd pay in the U.S.
Mon Mar 4, 2019, 09:19 PM
Mar 2019

It's obscene what the drug companies have done. Insulin was discovered a hundred years ago and it's always been affordable . . . until now. It's a drug I think the government should produce and dispense for nothing. People are dying because they can't afford it.

PatSeg

(47,608 posts)
14. I've bought medications through two Canadian
Mon Mar 4, 2019, 10:33 PM
Mar 2019

companies. The drugs can come from various countries, but the companies work out of Canada. I was able to get a $500 long acting inhaler (one month supply) for $150, rescue inhalers for as low as $14 (they retail here for $65-$75), and another long acting inhaler that sells for $385 in the U.S. for about $30. The last medication has been around for many years and has not changed in anyway. A little over ten years ago I paid less than $20 for it.

There appears to be no apparent reason for these drastic price increases that repeatedly occur overnight, aside from greed. Needless to say, I would not have been able to afford some of the medications if I hadn't found them overseas. I researched Medicare Part D insurance plans, but with the premiums, deductibles, and co-pays, it still would have been much more expensive than going through Canada.

People are literally dying and it is getting worse every day.

PatSeg

(47,608 posts)
32. The first one I used
Tue Mar 5, 2019, 01:34 AM
Mar 2019

is called Global Pharmacy Plus. Their prices were very reasonable, but they were a bit flaky to deal with. I ordered from them twice.

The other one is called Canada Pharmacy. Their prices are a little higher, but they seem more organized and professional.

The medications do take a long time to arrive. The ones I've received were shipped from England and Germany.

Both of them carry the medications that I use, but not all prescription drugs are available. Payment through Global Pharmacy was by either Mastercard (which I don't have) or personal check. Canada Pharmacy is by check, but they take the info over the phone when they verify your order.

Check out their sites and see what you think. Meanwhile, there are probably others out there. I came across the first one on a message board. At the time I had no idea that you could do this legally. It has made a big difference in my life.

If you have any more questions, feel free to send me a message!

PatSeg

(47,608 posts)
42. You're welcome
Tue Mar 5, 2019, 07:53 AM
Mar 2019

It was a little more complicated than I'm used to, but in the end it was worth and I was able to stock up on inhalers.

JustABozoOnThisBus

(23,369 posts)
83. Thank you for that info. I'll look into them.
Wed Mar 6, 2019, 06:50 AM
Mar 2019

I'm only a half hour drive from Canada, but sometimes it takes longer than half an hour just to get through the customs/immigration lines, in each direction.

PatSeg

(47,608 posts)
86. You're welcome
Wed Mar 6, 2019, 10:49 AM
Mar 2019

Like I said, it does takes weeks to get the medication, so its not good for immediate needs, but I've been able to stock up on several drugs without going broke.

luvtheGWN

(1,336 posts)
19. Drs. Banting and Best, after several years and many trials
Mon Mar 4, 2019, 11:01 PM
Mar 2019

on young patients who would otherwise have died, finally discovered insulin and how it could work best.

They sold their patent to Connaught Laboratories (at U of Toronto) for just $1.

They could never, EVER have imagined what is happening in the US today.

I'm glad that some of you are able to purchase your drugs through Canadian companies.

PatSeg

(47,608 posts)
33. I know, its disgraceful
Tue Mar 5, 2019, 01:37 AM
Mar 2019

They only wanted to save lives, not get rich. We have sunk so low in this country, everything seems to be about money.

Response to luvtheGWN (Reply #19)

Eko

(7,360 posts)
8. Thanks,
Mon Mar 4, 2019, 09:52 PM
Mar 2019

its saddening and haunts me to this day. But that one case is not a tragedy. The tragedy is that this happens so often in our country.
https://beyondtype1.org/people-are-dying-from-insulin-rationing/
https://www.npr.org/sections/health-shots/2018/09/01/641615877/insulins-high-cost-leads-to-lethal-rationing
https://tonic.vice.com/en_us/article/ezwwze/the-high-price-of-insulin-is-literally-killing-people

https://www.news4jax.com/health/insulin-crisis-skyrocketing-prices
A diabetic himself, Hirsch has studied insulin prices for decades. He said Humalog went from $24 a vial when it came out in 1996 to $300 full retail now. People can get Humalog in Canada for $32 Canadian.

rustysgurl

(1,040 posts)
10. I am sorry ...
Mon Mar 4, 2019, 09:54 PM
Mar 2019

... my sister-in-law's son from a former marriage is having to ration his insulin right now, hoping to get in their local county program that will help him (the wait list is 3-6 months long). She hopes he makes it.

Ms. Toad

(34,093 posts)
5. Try this
Mon Mar 4, 2019, 09:31 PM
Mar 2019
https://www.trulicity.com/diabetes-treatment-savings-card-and-support/#savings-card

I've used similar discount cards for other specialty drugs. The manufacturers known when their drugs are classified as specialty drugs, so they often offer discount cards to got you hooked on their brands.

GoodRx.com is also a good source for drug savings (generally) - but it doesn't look like it will do much good for trulicity.

Glimmer of Hope

(5,823 posts)
6. I am so sorry.
Mon Mar 4, 2019, 09:40 PM
Mar 2019

Some pharms offer co-pay assistance and there are some co-pay assistance foundations that might be able to help.

rustysgurl

(1,040 posts)
24. Through my husband's employer
Mon Mar 4, 2019, 11:29 PM
Mar 2019

Yes. I am considering adding Medicare and Medicare Part D (I am eligible), to see if I can get the prescription drug costs down. Of course, that means more premiums. Number crunching appears to be in my very near future.

PoindexterOglethorpe

(25,902 posts)
54. If you've been eligible for Medicare for any time at all,
Tue Mar 5, 2019, 01:48 PM
Mar 2019

and didn't add Part D or an Advantage Plan, keep in mind you will be penalized for delaying that. Unpleasant news, alas.

But yeah, you should be on them at the earliest possible date.

ooky

(8,929 posts)
13. This is why I prefer candidates with real solutions to these types of affordability issues
Mon Mar 4, 2019, 10:19 PM
Mar 2019

as opposed to candidates who push half solutions for people "over 50". What are the 32 year old Trulicity users supposed to do? Who has enough disposable income to afford $1600 for 90 days?

As the parent of a type 1 diabetic son you have my heart felt sympathy. We are scared. He was unable to afford his prescribed insulin and luckily, he was able to try the Relion brand Walmart sells and it is working so far. If that source dries up and we still don't have a solution from our government I don't know what we are going to do. The only candidate I have heard mention insulin cost so far is Amy Klobachar. She was on TV tonight, talking about how she supports improving the ACA and lowering drug costs and specifically insulin. I now support her.

Good luck with your search for a solution.


15. I was recently diagnosed with type 2 diabetes and COPD
Mon Mar 4, 2019, 10:36 PM
Mar 2019

I have no insurance, I fell into the void left by the red states not taking the medicare expansion. If it wasn't for free samples I would be untreated
The jardiance they have me on is $17.50 per pill, my spiriva inhaler is close to $20 per 1.25 microgram puff, making it the most expensive anything I have ever consumed

rustysgurl

(1,040 posts)
29. I am sorry about your diagnoses ...
Tue Mar 5, 2019, 12:09 AM
Mar 2019

Those are some high priced meds for sure. I hope you can find some resources soon.

Nay

(12,051 posts)
85. I have Type 2 myself -- may I ask why your doctor put you on such an expensive drug? Did he
Wed Mar 6, 2019, 10:01 AM
Mar 2019

even try inexpensive pills like Metformin first? If not, I would call him up and ask to try it. I believe that Costco/Walmart sells Metformin for about $10 a month.

Jane Austin

(9,199 posts)
17. Don't just write us!
Mon Mar 4, 2019, 10:38 PM
Mar 2019

Write your congressmember, both of your senators and all of the candidates for President.

That is really outrageous.

 

47of74

(18,470 posts)
18. Yeah my work's insurance is with the same company
Mon Mar 4, 2019, 10:51 PM
Mar 2019

It's a fucking joke too.

My work's insurance used to be really good. They used to take care of their people. But it's been getting worse every year since they switched over to this company.

BigmanPigman

(51,630 posts)
20. Believe me, I share your frustration and experiences.
Mon Mar 4, 2019, 11:07 PM
Mar 2019

My meds are costing me more and more. I get Botox for daily migraines and that is $13,000 a year alone. I have a ton of other meds and the costs of my insur and meds are keeping me from being able to spend money on frivolous things like utilities, food, clothes, transportation, etc. If I could get the Botox injections in Mexico I would do it. The only thing I know of that will stop this ridiculous situation is dying, which I will within a few years. Presto, no more burdens of medical bills and having to choose between my health and eating. I am sure the greedy GOP and Big Pharm lobbyists are very happy I will die...one less Dem polluting the country with our socialist agenda.

rustysgurl

(1,040 posts)
27. That is horrible ...
Mon Mar 4, 2019, 11:39 PM
Mar 2019

... my nephew gets Botox injections for his migraines for post-concussive syndrome from his time in Iraq. Fortunately (I can't believe I am saying this), he is disabled vet and gets his treatment from the VA at no cost.

Heartstrings

(7,349 posts)
45. Because of the cost for the Botox
Tue Mar 5, 2019, 09:45 AM
Mar 2019

I opted to try daily CBD drops....those have been a life saver at a fraction of the cost. The THC level is .03% and legal here in my state. My neurologist has said from day one she would write me a script for cannabis without hesitation if it was legal here. Her studies have proven its affectiveness. My son gets frequent migraines as well (and has since he was in 6th grade) and has also had great results with CBD. Unfortunately my 9 year old grandson has had a few but he's too young for the CBD. It's definitely a genetic "family thing"....and they suck days from our lives.

I hate it when people state "I have a migraine" but are up and about....no, you have a headache. If you had a migraine you would be in bed in the dark, desiring nothing but quiet.

If you don't GET migraines, you don't GET migraines.....

kcr

(15,320 posts)
50. Well, except sometimes you have to get up and about anyway
Tue Mar 5, 2019, 12:34 PM
Mar 2019

Enough people doubt migraine sufferers without this: ""I have a migraine" but are up and about....no, you have a headache. If you had a migraine you would be in bed in the dark, desiring nothing but quiet." adding to it. Believe me, there have been times when I needed to be in a dark room but I had no choice.

BigmanPigman

(51,630 posts)
60. Mine are the classic type...
Tue Mar 5, 2019, 03:46 PM
Mar 2019

even a dark room only helps slightly. It takes about 9 months for the Botox to really kick in but any relief was greatly appreciated.

BigmanPigman

(51,630 posts)
58. I tried CBD oil and a zillion other things.
Tue Mar 5, 2019, 03:43 PM
Mar 2019

I was ready to jump off a bridge they were so bad. I was vomitting, could see under my skin, hallucinated, my sense of smell and taste disappeared, etc. Botox saved me.

Heartstrings

(7,349 posts)
64. I am glad you found relief....
Tue Mar 5, 2019, 05:11 PM
Mar 2019

Everyone is different and not every "cure" works....

Barometric pressure changes are my biggest triggers, what are yours?

BigmanPigman

(51,630 posts)
73. There are a lot of "triggers" I have been told by my specialist.
Tue Mar 5, 2019, 09:08 PM
Mar 2019

She told me it can be humidity. Also, ANYTHING out of the ordinary can do it. When I had one for almost two weeks (even with Botox) I told my doctor and she said that my fever probably caused that one. I had an infection that made me sick and then got the migraine on top of it...it was Hell. She said any change in hormones can be a trigger too. That is one reason why women get more of them. I always thought it was too much testosterone in the room that caused headaches (ha ha).

Heartstrings

(7,349 posts)
76. I've eliminated any known triggers such as food, drink, etc. that I'm able to....
Tue Mar 5, 2019, 09:24 PM
Mar 2019

Smells are a big trigger, can't go near a Bath and Bodyworks, or tolerate many perfumes. Also flashing lights such as strobes aren't tolerated. I can't control barometric pressure so that's my biggest challenge. Lack of sleep, delayed stress or stress in general can also produce one....my longest was also 2 weeks, pure hell! The nausea is a side effect as well...strangely yogurt settles my stomach...

We are dealing with an invisible disease which is finally being acknowledged as such....a disease.

BigmanPigman

(51,630 posts)
78. Yes, my doctor said that it IS a brain disease.
Tue Mar 5, 2019, 09:40 PM
Mar 2019

I didn't start to get them until about 4 years ago when I was 52. My dad stopped getting them when he was that age. Food (choc., red wine, cold beverages) were his triggers.

Nevilledog

(51,201 posts)
46. Talk to you Drs about Aimovig.
Tue Mar 5, 2019, 10:11 AM
Mar 2019

Suffered from chronic migraines for over 25 years. Nothing worked, not even Botox. Now I give myself a shot in each leg (painless auto injectors) once a month. Aimovig has massive discount programs through their site. I pay a total of $5 a month. Now it's a bad month if I have even a couple migraines and even those are not close to as bad as I used to get.

BigmanPigman

(51,630 posts)
61. I was told it has unpleasant side effects in some patients.
Tue Mar 5, 2019, 03:49 PM
Mar 2019

Also, I would take it with the Botox, not instead of. And the price was almost as high as the Botox. I wonder why your stuff is so cheap. You must have better insurance.

Nevilledog

(51,201 posts)
66. Only side effect I've had is slight muscle pains for a few days after injection.
Tue Mar 5, 2019, 07:15 PM
Mar 2019

Have Blue Cross COBRA. Without the Aimovig co-pay program it would cost me $150. With the
co-pay it's $5. Aimovig also has a program for non-insured although I'm not sure of its details.

BigmanPigman

(51,630 posts)
74. My doctor said that is one of the side effects that she has heard about
Tue Mar 5, 2019, 09:10 PM
Mar 2019

the most from her patients...muscle aches.

Nevilledog

(51,201 posts)
75. I weighed the aches against the devastating migraines.....no migraines was an easy decision.
Tue Mar 5, 2019, 09:23 PM
Mar 2019

I know different things work for different people, but I had tried everything with no relief....until now. I also saw an ad recently for another drug like Aimovig..... Started with an E.

BigmanPigman

(51,630 posts)
77. I know. Once you have suffered through migraines
Tue Mar 5, 2019, 09:34 PM
Mar 2019

everything else pales in comparison...pain-wise. I used to watch videos of natural childbirth since it made me feel better (misery loves company I guess). The 32 injections into my scalp are a picnic compared to the pain I had experienced.

Nevilledog

(51,201 posts)
79. You're absolutely right about the pain.
Tue Mar 5, 2019, 10:11 PM
Mar 2019

If you've never had one you just can't imagine it. I use to get the whole lose eyesight, throw up, assume the fetal position in a pitch black room brand of migraines. My biggest trigger was florescent lights...... which totally sucked because I was a trial attorney and all the courtrooms were completely fluorescent. I remember turning to a client during a trial and asking him if I had blood coming out of my eyes because it hurt so fucking bad.

I still have days where I wake up and lay there thinking something's not right... then I realize it's just that my head doesn't hurt.

mwooldri

(10,303 posts)
21. My (late) granddad's pharmacy story...
Mon Mar 4, 2019, 11:12 PM
Mar 2019

My aunt would go to the doctors office once a month to pick up prescriptions. Then she would take them to the chemists (as they call drug stores in England). Then she would walk out with two shopping bags full of medication for my grandfather. He had an awful lot of medications for a bad heart, and had to have a nebulizer for his emphysema. Eventually he was put on oxygen.

At no time did any ££££s get exchanged between my aunt and the doctor, and nothing between my aunt and the chemists. Had my grandfather been under 65 and working he would have about a $10 copay per medication, or he could pay for a year certificate for meds ... around $150 a year. Had he been living in Scotland or Wales he wouldn't pay anything for medication at all.

America has the best healthcare that money can buy. The UK has great healthcare in a creaky underfunded system that still delivers better results than America on average.... and still manages to do this with being mostly free at the point of service.

America needs a radical overhaul of its medical system. Doctors should not be saddled with horrendous debt for going through med school. Hospitals should never be for profit. There needs to be drug price control, and the threat of nationalizing big pharma if it doesn't comply.

localroger

(3,631 posts)
22. Go overseas. Now.
Mon Mar 4, 2019, 11:19 PM
Mar 2019

You are now officially in "it is worth the airfare" territory.

Drug companies practice a lovely policy called "differential pricing," by which they determine that a fair price in Mexico is much lower than a fair price in the much wealthier USA, and price accordingly. This makes for dramatic price differences even for recently patented drugs like Trulicity. Back in the 1990's, not long after the "three month supply of anything" rule had been created (and which still applies), we visited Mexico and just offhandedly decided to bring back 3 months of her birth control pills since, hey, it's legal to do that.

Price in the US: $40 per month. Price in Mexico: $2.50 per month.

Exact same pills made by the exact same company in the exact same packaging, just with Spanish instead of English labeling. If you are closer to Canada they are also an option, although the price differential is not quite as obscene. From New Orleans, in 2003 I flew to San Diego and took the Blue Line Trolley to the border to get what would have been $40K worth of dental work done for $8K. And I would do it again in a heartbeat in a situation like yours.

rustysgurl

(1,040 posts)
26. I hear you ...
Mon Mar 4, 2019, 11:35 PM
Mar 2019

I have been researching Trulicity costs outside the US. Canada is a little better. Instead of $700-800 (no insurance cash price) per month, it is about $385. I don't know about other countries ... Googling like a madwoman.

I have friends in Canada with whom I have a standing invitation ... might be a worthwhile road trip. I have many friend who have availed themselves of both Canadian and Mexican pharmacies and services. One who went to India for surgery. It is just freaking sad in this day and age what is going on with healthcare in this country.

area51

(11,922 posts)
28. Deductibles are insane.
Mon Mar 4, 2019, 11:47 PM
Mar 2019

Our tax dollars are already paying for the R&D on medications and we're getting gouged by virtually unregulated big pharma. It'll be interesting to see what happens with Rep. Jayapal's bill.

Olafjoy

(937 posts)
31. Try this
Tue Mar 5, 2019, 01:29 AM
Mar 2019

Hi rustysgurl,

I would like you to try going balls to the wall with Eli Lilly, the marvelous company that makes Trulicity. I would like you to call their Trulicity number tel:1-844-878-4636 9am to 8 pm Eastern time and very very firmly explain to them that you cannot afford the exorbitant price of their medication and their “discount” card is not helping enough. Explain to them that you noticed how they spent $713 million in advertising in 2017 alone. Also mention how you noticed all the CEOs of the big Pharma companies were up on Capitol Hill testifying about high drug prices. Mention how drug prices are going to be the major issue of the next Presidential campaign and you will personally go to every candidate forum you can and tell your story about Trulicity. Mention that perhaps if direct to consumer advertising of pharmaceuticals became illegal again like it is in virtually every other country they could spend that almost billion dollar advertising budget lowering drug prices. You and your friends will lobby for that as well. I think we can all get behind banishing boner pill ads from TV during the games we watch. Also tell them that you are going to talk to your doctor about the fact that patients simply can’t afford Trulicity and he/she really shouldn’t prescribe it anymore. Tell them all this calmly and firmly. Tell them you will write letters to the editor of the Wall Street journal, New York Times and Washington Post and you will post on every diabetes message board and website you can find and you are going to organize an angry mob of diabetics and the people who care about them and you are going to demand action like those MSD kids did. Then ask them what their compassionate coverage plan is for people who cannot afford Trulicity and if they would be interested in helping you. You might not be quite as mad if they would help you get your medication for little to no cost. Sorry for the rant.

Hermit-The-Prog

(33,442 posts)
34. this buys government favorable to them
Tue Mar 5, 2019, 01:39 AM
Mar 2019

Pharma extracts from you (us) to buy more favorable government for them.

We need to fix this mess.

Liberal Veteran

(22,239 posts)
44. Officially, coupons cannot be used with government payer insurance due to the anti-kickback statute.
Tue Mar 5, 2019, 08:21 AM
Mar 2019

Essentially, drug makers are not allowed to offer an incentive to buy a certain product that is that paid by government insurance, so the end result is that manufacturer coupons cannot be used with Medicare part D.

Hamlette

(15,412 posts)
57. ah, that actually makes sense.
Tue Mar 5, 2019, 02:38 PM
Mar 2019

so why is Medicare won't buy oxy concentrators and only rents them at high prices?

asking for a friend.

OnDoutside

(19,973 posts)
41. For an "advanced country" that is appalling. People should hound reps who bow to pharma companies. I
Tue Mar 5, 2019, 04:32 AM
Mar 2019

know we have our problems with the Health Service here in Ireland, but anyone who has a long term illness (and I'm told that diabetes, CF etc qualify under this scheme), is entitled to free prescription drugs. There is no means test for this either. The only time the Health Service Executive baulks at certain drugs, is if the individual cost for the drug over a year is 100K+.

People should be angry with pharma companies in the US. Best of luck.

kimbutgar

(21,206 posts)
47. During the bush years they have a " donut hole " in Medicare for prescriptions
Tue Mar 5, 2019, 11:26 AM
Mar 2019

You spent up to a certain amount the prices went up. My mom had a prescription I needed to fill it was $15 usually when I went to get a refill it was $1600. I almost passed out in the pharmacy over sticker shock. Luckily my mom had enough money at the time to cover the cost. I'm glad it was me who paid and filled it otherwise my mom would died from a stroke if she had to pay at that moment. Being a child of the depression she was careful with her money. Buy what you can afford or save up for it.

Jane Austin

(9,199 posts)
59. They still do.
Tue Mar 5, 2019, 03:43 PM
Mar 2019

My prescription benefit runs out about May, not because I am sickly, but because a couple of my meds cost more that $400.

That's one thing they'll have to change if we go to Medicare for all.

area51

(11,922 posts)
81. I don't mean to spam this thread,
Tue Mar 5, 2019, 11:53 PM
Mar 2019

but the new House bill doesn't mean just adding everyone onto Medicare; it will expand coverage.

BSdetect

(8,999 posts)
48. As a former Australian (now US citizen) I can tell you this country is a mess for health care.
Tue Mar 5, 2019, 11:39 AM
Mar 2019

When we came here we planned to go back if we ever needed affordable health care for something serious.

Rather than go bankrupt even if we had "decent coverage".

Its a shameful situation that medical care is exploited for the benefit of a few.

Indykatie

(3,697 posts)
49. Check to See if Your Plan was Switched to a High Deductible HSA Plan
Tue Mar 5, 2019, 12:24 PM
Mar 2019

Those plans include Rx and medical services for the deductible BUT most have a preventive drug list (PDL) that waives the deductible for "preventive drugs" as defined by the government. Diabetic medications are one of the class of drugs included on the PDL so you would only pay the co-pay or coinsurance that applies. Another feature is that your medications will be paid at 100% if you spend enough to get to the maximum out of pocket amount with this plan design. These HDHSA plans are quite common now unfortunately.

empedocles

(15,751 posts)
80. Look up Pharmacy Checker.com. They can give many supplier prices for a given drug, as well
Tue Mar 5, 2019, 11:45 PM
Mar 2019

as ratings, etc.

rustysgurl

(1,040 posts)
89. Thanks ... that's a good resource ...
Wed Mar 6, 2019, 08:19 PM
Mar 2019

... unfortunately Trulicity isn't even listed on their site. Apparently it is expensive EVERYWHERE ... lol.

empedocles

(15,751 posts)
90. No generic? You can talk to a pharmacists at one of the Canadian pharmacies for help.
Wed Mar 6, 2019, 08:42 PM
Mar 2019

Or look up the ingredients to try and match. Many brands are rebranded in other countries - same product.

Timewas

(2,196 posts)
52. Northwest Pharmacy
Tue Mar 5, 2019, 01:28 PM
Mar 2019

Not sure what the replacement may be but this site has good prices for most prescriptions

https://www.northwestpharmacy.com :you can go there and check prices without logging in

We get some from them and they beat the hell out of prices here..Advair (we use a generic) here is 500 month get 2 months supply of the generic for 108... Main thing to remember is time from order to delivery can take 3 or 4 weeks but as long as you keep on top of it it works fine

Doremus

(7,261 posts)
55. Fortunately there is a way to stop feeding BigPharma
Tue Mar 5, 2019, 01:48 PM
Mar 2019

For Type 2 diabetes there is a cure. Eating right. It's as easy and as hard as that.

Sure would look into it if I had to pay $1600 ... or even $275.

rustysgurl

(1,040 posts)
68. Thanks for your suggestion ... and your judgment
Tue Mar 5, 2019, 07:25 PM
Mar 2019

I have a very healthy diet. I control my intake of carbs and sugar, eat lots of vegetables and lean meats. I exercise daily. Unfortunately, diabetes runs in my family, and simply eating a healthier diet is NOT going to make my pancreas secrete insulin the way it should to the point I won't need medication. I am fortunate in that my pancreas makes insulin at all, else I be insulin-dependent.

Not everyone's situation is the same. Not all diabetics are stuffing candy bars in their faces or swilling 2-liter bottles of pop. Some of us do the right thing and still draw the short straw. Over generalization is NEVER a good thing.

Doremus

(7,261 posts)
87. Type II diabetes is absolutely curable through diet.
Wed Mar 6, 2019, 06:06 PM
Mar 2019

There is no question about it, scientifically or otherwise.

People don't like to hear that because they want to keep popping their pills so they can eat like they always have.

Look up WFPB. (It's not the sugar that's getting you, it's the fat.)

rustysgurl

(1,040 posts)
88. Type 2 Diabetes ...
Wed Mar 6, 2019, 08:17 PM
Mar 2019

... can go into remission, but it's not 'curable'. So again, be careful with the words you use.

I do not appreciate you backhandedly lumping me into whatever group you have pictured in your mind, eating mass quantities of sugar, carbs and fat. I'd list all the things I have done to reduce my A1C, but I don't have to justify myself to a keyboard.

The post was about the high cost of prescription drugs, which is a fact. You hijacked it and made it about my lifestyle. Your vegetarian proselytizing is not appreciated. And before you go off on that, I have lots of vegan/veggie friends. The difference here is they are nice -- you're not.

Doremus

(7,261 posts)
92. You're reading things that aren't there.
Thu Mar 7, 2019, 02:56 PM
Mar 2019

My posts have been to educate, not vilify. You are internalizing what I've said when my only interest is in telling you the FACT that diabetes is 100% CURABLE through diet. (Btw, there is no such thing as "remission." One is either diabetic or isn't. You can debate opinions but not scientific fact.)

You have two choices: 1) learn and educate yourself about curing diabetes through diet and pay $0 to your drug store, or 2) continue to eat as BigPharma would like you to so that you have to keep paying them hundreds of dollars.

Believe me, my husband was equally skeptical. He's a 15-yr Type II. I often told him about changing to a wfpb diet, which I had been eating for years. He was quite content with his normal diet and pill popping. Until his dr told him there was protein in his urine and he was going to refer him to a kidney specialist. All of a sudden "my" way of eating didn't look so bad. He joined me finally last February. Now 50 lbs. lighter, he's off all meds and has lowered his A1C to the 7's from the 10's and up. Still has a ways to go but he's working on it. Best thing is his last appt. there was no protein and the dr told him to keep doing whatever he's doing.

There's all kinds of info available online about it. Check it out. If you'd like me to give you some good links just let me know. You don't have to be a prisoner of the medical establishment.

athena

(4,187 posts)
94. My husband also cured his kidney disease.
Thu Mar 7, 2019, 04:30 PM
Mar 2019

He wasn’t diabetic, but at one point, he had so much protein in his urine that his doctor didn’t think he would live more than twenty years. Then, six years ago, we went vegan for the animals. At the time, we didn’t know about the health benefits. But our cholesterol went down, and my husband no longer has any protein in his urine! We’re not even low-fat vegan. We eat mostly whole foods, along with some processed vegan foods, and the occasional high-olive-oil Mediterranean dish.

I am so happy to hear about you and your husband. No one should have to suffer from these first-world diseases.

More people would switch their diet if they knew how easy it is. People think they’ll never be able to eat anything tasty again, but in fact, one’s taste buds regenerate every ten days or so. When you lower your saturated fat intake, vegetables suddenly taste a lot better, and you simply don’t feel like eating meat any more.

Doremus

(7,261 posts)
95. Thanks for sharing that.
Thu Mar 7, 2019, 08:27 PM
Mar 2019

Wonderful to hear about your hubby. Thank goodness there is a way for us to heal ourselves through eating right.

I understand why people are skeptical. Ten years ago I wouldn't have believed something so simple can do such wonders. It's a shame it's not mainstream information but I feel the tide turning every year. Kaiser Hospital has recently added wfpb to their patient meal choices -- wooohoo!

athena

(4,187 posts)
93. Doremus is right about the WFPB diet.
Thu Mar 7, 2019, 04:18 PM
Mar 2019

You’re reading much more into her posts than is actually there. She’s not saying you’re responsible for your diabetes; she’s saying there is information out there that could not only save you money but could save your life. It’s not your fault that you’re not aware of this; multiple industries in the U.S. that have much more power than they should are doing their best to keep this information from the public, and they’re succeeding.

Please take a look at this article:
https://nutritionfacts.org/2018/09/20/how-to-reverse-type-2-diabetes/
and watch this video:
https://nutritionfacts.org/video/diabetes-reversal-is-it-the-calories-or-the-food/

wryter2000

(46,082 posts)
56. I wonder
Tue Mar 5, 2019, 02:36 PM
Mar 2019

if it would be cheaper for you to fly to someplace like Canada to get your medicine.

My brother and his wife live not too far from Mexico and get dental care and other types of care there.

VOX

(22,976 posts)
71. If this trend continues, quality healthcare will be available only to the wealthy.
Tue Mar 5, 2019, 07:46 PM
Mar 2019

We’re almost there already, gauging the current signs:

-The skyrocketing cost of prescription drugs
-Private insurance premiums increasing, while simultaneously reducing benefits
-Quality physicians migrating to “concierge” practices, with an annual out-of-pocket fee of $5,000 or more
-Emergency rooms overcrowded with people who can’t even afford treatment for the flu
-More front-line primary-care docs with MD degrees cranked out from Caribbean medical schools

Something has to CHANGE.

rustysgurl

(1,040 posts)
72. "If they would rather die ...
Tue Mar 5, 2019, 08:15 PM
Mar 2019

they had better do it, and decrease the surplus population."

Ebenezer Scrooge

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