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Medical Forum / Diseases and Disorders / Epilepsy / June 2005

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Generic Clobazam (Frisium)

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G.Ross - 07 Jun 2005 22:53 GMT
I just picked up my next 100 day's pills.
  The Insurer now pays 'only' 60% for the 'Patent Frisium' (Clobazam) since
there's apparently a Generic Form now available in Canada.   (Normally the
insurer paid 80% of pill costs (80% of $109.) through my Employer's
insurance plan.)
   Strangely,  they still pay 80% of the cost of Tegretol, which has been
in use since 1930s? and has had a Generic for more than 10 years ($64 of
$80 charge for 100  tablets paid by them).

   Has anyone here used a Generic Frisium in their travels? or have any
opinions versus the Patent version?  I realize comments are worth exactly
what I pay for them.  But I also recall our resident Dr. 'here' commenting
that he used to write 'no substitutions'  on his prescriptions.

   I had them fill the Patent Version for me, and haven't called my own
Doctor yet about this.  G./
Chris Lesurf - 08 Jun 2005 07:46 GMT
I think my clobazam has always, and still is, been called Frisium.
However, that's one advantage of living in the UK, those of us with
persisting problems like epilepsy don't have to pay prescription charges.
I think the logic is that we'd be more of a nuisance and cost the state
more if we didn't take them.

Chris l.

> I just picked up my next 100 day's pills.
>    The Insurer now pays 'only' 60% for the 'Patent Frisium' (Clobazam) since
[quoted text clipped - 4 lines]
> in use since 1930s? and has had a Generic for more than 10 years ($64 of
> $80 charge for 100  tablets paid by them).

>     Has anyone here used a Generic Frisium in their travels? or have any
> opinions versus the Patent version?  I realize comments are worth exactly
> what I pay for them.  But I also recall our resident Dr. 'here' commenting
> that he used to write 'no substitutions'  on his prescriptions.

>     I had them fill the Patent Version for me, and haven't called my own
> Doctor yet about this.  G./
Malcolm - 09 Jun 2005 21:28 GMT
>I think my clobazam has always, and still is, been called Frisium.

I got issued some French stuff called Urbanyl on the packet and sheet,
which was clobazam according to the (English!) insert about "Frisium".

And my Tegretol has come from Turkey before now. It all depends on where
the NHS can buy the stuff cheapest in bulk at any one time.

But as I only collect the pills to keep my crazy doctor happy rather
than for personal use, it didn't worry me.
Maybe I can sell them on e-bay?
Signature

Malcolm      

G.Ross - 08 Jun 2005 16:54 GMT
Part of the change that happened, below, *this refill vs. last (for those
who use Frisium->  Clobazam is Pharmacist's name for Frisium),  is the
*charge for 200 tablets x10mg went from $75.16 to $96.87 (increase of 21+
dollars = 29% markup).   The dispensing fee per prescription is fixed at
$12. each at this Pharmacy.
  It seems 'strange' that when a Generic Pill comes out, that the
Manufacturer of the Original would Bump up their 'Pill Cost' to the Drug
Store by 29%  (Pharmacy said that's set by the Manufacturer and they don't
control that cost here).

   After multiple calls to the Pharmacy, Dr. Office, Pharmacy , etc.  (Drs.
recep.-->  "we don't call pharmacies, I'd be on the phone all day... "  Not
like the 3 calls I made that had her 'on the phone all day' during the 20-30
minutes it took me to have the Pharmacy call her to get them together... )
********
   It appears that the start of 'this' was the Manufacturer's 29% "Markup"
above, that hit the Insurer's Computer yesterday, and it would only pay the
Generic or Older cost based on my last refill.  (Manufacturer here is based
in Montreal, and shall be nameless unless I get mad at them... )

   In Canada, 'the State' doesn't pay prescriptions unless someone is below
a massively low Income Threshold, but most Employers pay for Prescription,
Dental, Medical-aid *Plans, as part of their Benefits programs.  Then their
Insurer pays a percent of total prescription costs -- usually 60-80%, which
becomes a (Government) Taxable Benefit when we file annual Income Taxes.
  The particular Insurance Company which does my 'pills'  is the same
Insurer who also do our "Dental Plans"  who I've also had some run-ins with
when the computer throws out $10 here, $30 there, etc.  when % thresholds,
day of month,  phase of moon or other considerations conflict with what it's
processing that day.... :-<   That's why I went back to Dr. versus Pharmacy
etc. when the costs went up sharply, in case it was another 'error'  at the
insurer's site.

  Tegretol, which has had a Generic since 1950s? is filled without any
markdowns by the same company, for the 'real' Tegretol, or I would have just
paid the difference without chasing some of this.

  Anyway, I wondered if others using Clobazam might have run into a Large
Markup in their Pill costs (yet), or if it was unique to Canada.  I suspect
that since Patents are International that mine won't be a 'unique'
experience if there are others currently using Clobazam.   I'm just the
first to be within a week of 'running out'..    Thanks for replies.   G./

>I just picked up my next 100 day's pills.
>   The Insurer now pays 'only' 60% for the 'Patent Frisium' (Clobazam)
> since there's apparently a Generic Form now available in Canada.
  (Normally the  insurer paid 80% of pill costs (80% of $109.) through my
Employer's
> insurance plan, up from 80% of $87. last March).

>    Strangely,  they still pay 80% of the cost of Tegretol, which has been
> in use since 1930s? and has had a Generic for more than 10 years ($64 of
[quoted text clipped - 7 lines]
>    I had them fill the Patent Version for me, and haven't called my own
> Doctor yet about this.  G./
 
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