Are they following the lead of this anus?






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Its not their jurisdiction.

Stock fraud or embezzlement not sure which

since I just have regular Medicare w/o any other supplemental or drug plan. Also, the box says the expiration date is May 2017. It's tough trying to survive on Social Security and just the regular Medicare plan with no extra policies.

I know a couple of people on Medicare that have switched to syringe and vial to save costs.

So far, I haven't had to use one, but it's scary not to have one just in case.

to go find the vials and syringe, alcohol the top of the vial, pull up the proper dosage and then inject. It's hard enough for a doctor who doesn't do it often to be adept at this. One can do it, but it ain't easy.
That's the reason epi-pens are so valuable.
The price increase is unconscionable.

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He said with proper storage it could last two or more years.


But, like with anything on the web... ask your own personal doctor for their advice.


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has to keep one handy. There are SO MANY people dependent on these things in a life or death emergency.

These companies know they can get away with it because they sell a specialized product that most people don't need. The small segment of the population in need of these epi-pens aren't influential enough to bring about change.

The people responsible for this are simply despicable and have no conscience. They simply see human lives as a means to enrich their bank accounts. They'll happily squeeze people for all they're worth.

Which shows how very much is wrong with them. Fatcats, Like Trump, making money at any cost is just fine with them. (Unless of course it affects them directly, then they whine, sue, bear arms, etc.)

and would take on extortionate drug pricing. They're toothless, just like all the other government agencies that have been systematically underfunded, positions left vacant, and laws gutted.

Have your doc write for a generic. There are other brands out there that might not have ridiculous pricing.

In the 80's we had some damned good antitrust prosecution going on. Where's the AG for fucks sake?

This way, there's not enough resources to go after the profiteers and monopolists.

Lovely, right? I wonder how that 85% market share looks now, now that their competition is out.

That was their closest competitor.

I honestly don't suggest getting multidose vials of epinephrine and syringes because in a panic situation, when you are having trouble breathing, it's just going to be too difficult to draw up accurately to inject.

Anaphylaxis is terrifying and the panic can be really frightening. Especially if its quick reaction like from a bee sting. Having a vial of epinephrine lying around for self-dosing in an emergency is a really really bad idea.

company this disgusts the hell out of me.

I can also say, after talking with a lot of other scientists in my company and in the industry as a whole it disgusts damn near all of them too.

Most of these companies aren't "pharma" as we use the term in that they don't actually make medicine, at least not new medicine. They can't use the "R&D is expensive" line because they don't have R&D. Generics used to be all about saving money and producing in quantity but they figured out that if not enough companies are making a product they have a captive audience. Scumbags plain and simple. It's not enough to make money, they have to always make more money.

This is marketing and business departments run amok. I know it's been brought up at a couple of our company wide meetings and the bosses at least know that we don't want to be in the same field as these dirtbags.

Now, that being said, you might be able to help yourself if you use the savings card. I haven't looked into this one specifically but I use one for a different medicine and it's reduced my copay to zero.

https://www.epipen.com/copay-offer/

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But you'd have to convince the Jesus following right wingers who are stubbornly sticking to their "if you can't afford medicine you should just die" ideology.

Oh, wait...

my out of pocket went from 30 to 100 dollars and I had to buy two.

At least you didn't have to pay 600 smackers!

They wanted $395 from me (last I recall it was like $25 for 1 of them). I told them to cancel it. Good thing I live close to an ER.

not a decision I'm personally having to make but many, many are.

Greedy son of beaches ,,,,,,,,,!

they are cannibals.

who needed those EpiPens. No School Nurse on Duty after school hours. Nobody there. Yes, we had some Emergency Medical Training but if those kids didn't have those EpiPens because of cost? All we would be able to do was call 911 to help them. How long would that take as opposed to having those EpiPens right there on school premises for an emergency? Call 911 AFTER their use.

I had an epipen here that expired about a year back, so asked my Doc for a new prescription last month. WITH my insurance, it was $395.

I told them to cancel it, and when the insurance company called to ask me why I cancelled the prescription, I told them I'd haul it to the ER if I got stung by a bee or ate anything that causes me anaphalaxis.

"Oh, you can't? Too bad. Well, just die then, and the quicker the better."

Just saying.

Let the exorbitant profits be made on luxuries.

I've no objection to soaking the rich - let's Hoover the $$$ *down*!

Tolinase is an old, inexpensive oral diabetes drug, perfect for people like me, who have steroid-induced diabetes with non-diabetic kidney disease. Metformin, a newer and more expensive drug, is very harmful to the kidneys and I can't take it.

So what happened when the one oral medicine I could take was unavailable? Well, first I could started on another oral agent that gave me pancreatitis. What was left? Insulin.

The cheapest, low-tech insulin is about $120/vial. The one that is right for me, Lantus, is over $200/vial.

Actually this ended up being to my advantage; the Tolinase was causing very mild pancreatitis as well, and I feel much better on insulin ... and though the shortage ended up being a good thing for me, I wonder how many people are paying for insulin when Tolinase is still a good choice for them.

(a typical dose - 1000 grams/day) ranges from $0 to $10 for 30 days. (In contrst, Tolinase is still available - and costs $85 - $130 at the reasonably priced pharmacies.) [Prices from GoodRX.com, and the Metformin price is in the range I pay - the total cost of my prescription is never as high as my copay.]

Metformin not significanty harmful to healthy kidneys - and recent studies suggest that it may even be safe for people with kidney disease. You might want to check with your doctor, again.

I get 12 vials of Lantus for $40. Tolinase is now available - it wasn't for awhile - and 100 days cost $20. It's worth the extra $20 per 100 days not to feel like shit I have very good insurance, though; not everyone does.

By definition, diabetics don't have healthy kidneys though. Nearly 100% of all diabetics show signs of diabetic nephropathy, either on UA or biopsy.

Yes, kidney disease is common - and far more people with diabetes have undiagnosed kidney disease than are aware of it, acording to recent studies. But it is not universal (or "by definition&quot - particularly among individuals who are able to maintain normal blood glucose levels.

I am very protective of my kidneys - and have substituted fat for protein to provide the calories I'm not getting via carbohydrates because processing fat is easier on kidneys than processing excess protein. That said, multiple tests over the past few months, have confirmed that I have kidney disease. (I also have cancer; since many of the diagnostic tests are dangerous if you have impaired kidney funciton - so the state of my kidneys is well documented.)

You're absolutely right about insulin v. sunfonylurea - I'd make exactly the same choice. I wouldn't take tolinase (or any other sulfonylurea) if you paid me to. If it get to that stage, I will switch immediately to insulin - which will permit the pancreas to continue with its normal function as long as it is able. There is ample research that sulfonylureas accelerate the death (or long term damage) to the beta cells that produce insulin (not to mention the life-threatening side effect of pancreatitis).

(My biggest reaction was to the suggestion that metformin was more expensive - since both my spouse and mother got metformin for years for free - and it is still available for free from at least one vendor. I've never paid more than $10 for a 90 day supply (below my copay, so I'm paying the full cost of the drug).

While anecdote isn't the plural of data, I'm an example. Before being overdosed on steroids, my HbA1c was 4.6; at diagnosis (two weeks after a previous HbA1c, too) 9.3; since diagnosis; 6 (highest 7.1).

I have secondary diabetic nephropathy as well as neuropathy. The good news is my retinas seem okay, knock wood!

If I hadn't undergone a kidney biopsy around the time I became diabetic (for what turned out to be primary idiopathic focal segmental glomerulosclerosis - say that five times fast!), the diabetic nephropathy probably wouldn't have been discovered until years later, when my nephrotic syndrome became less pronounced and albumen was able to be detected in my urine (previously, I was excreting 10+ g/protein so not only did I not have a protein restriction, I had to add protein).

At the time I was OD'd into diabetes, I got transferred to the care of one of the leading diabetes specialists in my region, and my nephrologist's reputation is even better. I'm pretty sure that I'm doing as well as I am with a disease with as dismal a prognosis as FSGS is because of their aggressive management

Best wishes as you treat your cancer. I did that in my 20s, and was very surprised when 5 precancerous polyps were removed from my colon last year - I was in for something completely different. There are few things more frustrating and terrifying.

https://www.epipen.com/copay-offer/

I got into a big fight with the pharmacist, who refused to substitute a generic (pharma nonsense keeps a bio-available equivalent from being treated as a generic because of the delivery mechanism), before I found the coupon for my daughter.

Turns out her allergist had given her one, but she didn't understand what it was. . . . gee, I wonder where her allergist got the coupon from, and why he insisted that she carry epipens for her desensitization therapy in the first place (since she's never - even at the testing phase - come close to needing it). (My personal opinion is that any allergist engaging in desensitisation therapy should keep a supply on hand for administration during the mandatory 20 minute waiting period, rather than demanding that each of his patients carry one (now 2) with them at a throw-away cost of $600 per pair every year or so. If they're used - charge them to the patient, just like they do everything else they keep on hand and charge as used.)

rather than sacrificing it to punish your face.

I was offering a practical personal solution for anyone personally burned by what I clearly labeled an unconscionable (systemic) practice.

I made no suggestion that it was a systemic solution.

deserve a nice dose of Karma.