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Medical Forum / General / Pharmacy / January 2006Ketoprophen Cream
I've been using this by rx for a year w/great pain relief. There are valid reasons I can't take the pill. It's made at a compounding pharmacy. My insurance will no longer pay for it under any circumstances (!!!) And it will cost me about 40 per month, for a 30gm container, which I can't afford, to continue it. Without it, I'm in constant pain. My insurance will however PAY for oral Ketoprophen. So is there some way I can make this 'cream' from the Ketoprophen capsules??? Thanks in advance. > I've been using this by rx for a year w/great pain relief. There are > valid reasons I can't take the pill. It's made at a compounding [quoted text clipped - 10 lines] > > Thanks in advance. Maybe you could get a Rx for oral ketoprophen and then give this medication to the compounding pharmacist to make the 'cream' for you. Your cost would depend on his time and how much per hour he charges to make it. In Mississippi the State Medicaid system will pay for nothing that has to be compounded and I believe that is also true for my regular BC-BS insurance. Did your insurance company change a company wide rule such as no longer covering any compounded Rxs or did they just decide to save money by cutting your coverage? Forty dollars a month isn't very expensive compared to some of the medications that insurance companies pay for. I work at a compounding pharmacy and we make ketoprofen cream as well. The base this cream is made from, which most likely is some sort of PLO (which stands for pluronic lechithin organogel) is the key to its effectiveness. It is an emulsion base with penetration enhancers that allows ketoprofen to pass through the skin. Unfortunetely, the ingredients necessary to make this are not readily accessible. To maximize the penetration and effectiveness of the PLO, it must also be run through an ointment mill (which cost around $3000). Your best bet would be to talk to your pharmacist to see if you can get a price break for a larger quantity, which many pharmacies will offer. I don't think it is possible to make Ketoprofen PLO with an oral capsule or tablet and this would most likely not decrease the price. Ketoprofen is pretty inexpensive and the majority of the cost of the prescription is to cover the labor involved in making it, since this is a pretty labor intensive compound to make. > I work at a compounding pharmacy and we make ketoprofen cream as well. > The base this cream is made from, which most likely is some sort of PLO [quoted text clipped - 11 lines] > to cover the labor involved in making it, since this is a pretty labor > intensive compound to make. why is it dirt cheap in england then?? It is cheap because it is available as a mass-produced commercial product in the UK. In the US it is only available at compounding pharmacies who specially make it, usually in small batches, or specifially for each prescription (as my pharmacy does) which significantly drives the cost up due to the amount of labor involved vs the mass-produced commercial product. In Europe we have got for example Fastum gel. It is product of ketoprophen for external use. Don't you know this medicine in US? Petek > I've been using this by rx for a year w/great pain relief. There are > valid reasons I can't take the pill. It's made at a compounding [quoted text clipped - 10 lines] > > Thanks in advance. > In Europe we have got for example Fastum gel. It is product of ketoprophen > for external use. Don't you know this medicine in US? > > Petek It's the same in the UK. Oruvail gel or a generic equivalent is available for the equivalent of $5 or so. >It's the same in the UK. Oruvail gel or a generic equivalent is available >for the equivalent of $5 or so. NO!!! Here, at least in California, neither of these products have been approved for OTC, nor has the FDA approved it for 'topical' use! Therefore, it's no longer in the insurance companies 'formalary'. Can only be gotten at a 'compounding' pharmacy. And it is on prescription only. Cash. (although the strength I get is 10%) Absurd huh? But thanks for the info (& links), I'll see if I can order online. And will forward this info to my rheumatoligst; she was aware that it could be purchased in Mexico IF u have someone to go get it for you... |
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