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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2005Caverject, TriMix costs?
I discussed going the shot route with my Uro and he agreed although he's anti-TriMix and insists on Caverject -- but that's another issue. When I got home I checked my drug insurance and discovered it doesn't cover Caverject, Edex or Prostin VR or any other drug in the alprostadil family. My out of pocket cost would be $26 per shot!! Gulp...... My drug plan does provide 100mg Viagra for $2.30 a pill but it doesn't do anything for me right now. I'm wondering what other without coverage for these alprosatdil drugs or TriMix are paying. Don C At the hospital pharmacy, where my doctor practices, the trimix costs me somewhere around $60.00, and that includes ten insulin type syringes. At the commercial compounding pharmacy (the retail stores do not make this up) is cost me $119.00, so needless to say I get it at the hospital pharmacy. Be sure to buy a box of alcohol wipes too. You will need those to clean the top of the bottle before taking out a dose and to clean the area where you do the injection. That cost me something like $4.00 for a couple hundred. Be sure to get clear instructions on how to make the injection. Done correctly = it does not hurt. Try to avoid veins. > I discussed going the shot route with my Uro and he agreed although he's > anti-TriMix and insists on Caverject -- but that's another issue. [quoted text clipped - 10 lines] > > Don C Just picked up my first dose(s) of Caverject. My insurance picked up most of the tab but the non-insurance cost for the 8 doses is $226.65. Yikes. It's interesting that the same insurance will also pay for Levitra but not Viagra. They claim there is no difference between the two so they pay for the least expensive. Dave Perry Hello Dave, Wish you luck with the injection. It worked well for me, and I was given prostaglandin, and it was mixed in a small vial, and had to be refrigerated. I also bought diabetic needles, and used those. Use on, throw it away.... I think when I purchased the drug, it cost about 200.00. I did not even want to deal with Blue Cross, since they do not even pay for viagra, and or give you less dose than the Dr. Anyway, injection worked great for me, and sometimes the meds was painful. At night, if I used the injection, I would be up for hours afterwards waiting for things to subside... I finally found out that a.m. was the best, the injection worked marvelous, and after getting up, showering, and walking, there were no signs of pain and such, like in the evening... I believe it is because your body starts working and moving things out of your body in the morning. At night, you are ready for bed, and using an injection, and laying there, takes time for it to (go away) Use the medicine of choice, and it will help. I do not need that, and use about 1/3 of 100mgs viagra once in a bit for what they call a "Blue Hardon" sometimes, without anything I do fine... Wish you best, John Loomis > Just picked up my first dose(s) of Caverject. My insurance picked up > most of the tab but the non-insurance cost for the 8 doses is $226.65. > Yikes. It's interesting that the same insurance will also pay for > Levitra but not Viagra. They claim there is no difference between the > two so they pay for the least expensive. > Dave Perry Don C, A couple of ideas: Buy the alprostadil (Caverject or Edex) in 20mcg vials, and not as the Caverject Impulse system (the one with the prefilled syringe.) It is cheaper, you can use smaller needles, and depending on the dose, there can be more than one dose per vial. You need to keep any leftovers in the refrigerator. Works great! Try Bimix. The ingredients are generics (papaverine and phentolamine) you get 20-40 doses for about $120. Works great and needs no refrigeration. Get a new doctor. Dr. Mulhall, the head of the Sexual Medicine section at Cornell and Sloane Kettering, uses trimix almost exclusivly because it works for most people. There is no excuse for not trying it. Alprostadil is the only FDA approved one for erection by injection, so some less informed docs are reluctant to use bimix or trimix. The doctor works for you! The preceeding is all based on my personal experience. Steve U Steve, > Don C, > A couple of ideas: [quoted text clipped - 3 lines] > can be more than one dose per vial. You need to keep any leftovers in > the refrigerator. Works great! $27.45 per 20mcg vial. Isn't 20mcg the normal dose? Interesting that the 40mcg vials (in 6 packs) cost $34.72 each which is the equivalent of $17.36 per 20mcg. Edex costs about the same. Prostin VR P is sold only in 500mcg vials for $400. Maybe we can start a coop : ) > Try Bimix. The ingredients are generics (papaverine and phentolamine) > you get 20-40 doses for about $120. Works great and needs no > refrigeration. > Get a new doctor. That thought has come to mind. But since Caverject in 40mcg vials is only $4 more per dose than TriMix, it's not a big enough issue to dump him. So far this entire 18 month process from biopsy, through RRP and quarterly PSAs has cost me less than $100 out of pocket. > Dr. Mulhall, the head of the Sexual Medicine section > at Cornell and Sloane Kettering, uses trimix almost exclusivly because [quoted text clipped - 4 lines] > experience. > Steve U Thanks for the information! DonC, The doses vary a lot. I was using alprostadil day 13 post op. Back then I needed 5-7.5mcg. A few months latter it was lasting too long so I started cutting back. Now 2mcg is enough, and 4.4 is enough to have sex twice with the same erection. So you may find it works better after some time. My requirements with bimix also dropped. Now I can function without drugs, but with the pills is very good. Dose requirements can drop with those too, once they start to kick in. I still use shots sometimes because they are so good, and with insurance, they are cheaper than pills. I think that frequent use of these drugs helped me get my natural erection back. The rehab can be fun, but takes a little effort at the beginning. > Steve, > [quoted text clipped - 35 lines] > > Thanks for the information!
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