unable to pay for all my meds & drs due to being uninsured

Diabetics often have some of the greatest needs for a wide variety of medications and medical supplies on an ongoing basis.
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unable to pay for all my meds & drs due to being uninsur

Postby Diabetic for 62 years » Wed May 20, 2009 4:17 pm

[list= Humulin N insulin
Apidra insulin
Lipitor
Enalapril Maleate
Synthroid
Hydrochlorothiazide
Fosamax
Cenestin
Prometrium

Endocrinologist, retina specialist, ophthamologist, primary care, gynocologist, gastroenterologist, dentist, periodontist
Diabetic for 62 years
 

Postby jimithy » Wed May 20, 2009 10:32 pm

62 years and counting!

First... yes, there are many methods we can show you to reduce your medication and to some extent... your medical costs.

Thanks for posting. It is great to hear that someone has survived diabetes for so long! Diabetes affects so many of the systems in the body (as you well know) it becomes much more expensive to deal with the damage caused by diabetes than it does to treat the diabetes itself.

My Dad worked very hard to control his Type 1 diabetes but he died after 2 decades of fighting it. Thanks to better ways to test and control blood sugar levels, I am doing much better than he did... but even under decent control... diabetes causes havoc with the body.

I see that you do not list any standard diabetes supplies such as syringes, lancets, glucometer & test strips, ketone test strips, alcohol swabs, etc.

These can be purchased quite inexpensively and therefore you will be healthier if you use the correct supplies as often as recommended.

If you are using diabetic supplies then if you list them in the same manner as we request you list your meds... we will see what we can do to help with them also.

We can better help you if you provide as much information as possible about your meds. Such as what are your "out of pocket" costs for each med, your approximate income, the state you live in, how many people live in your household , & how long do you plan to take the same dose of each drug (some are short term and some conditions require medications for the rest of your life... buying in quantity only makes sense for meds you will be using for many months).

It helps us to know where you are currently getting your drugs, and what prescription insurance/Medicare/Medicaid you might have. If you want us to recommend specific local pharmacies then an approximate location (such as a zip code near you) and what transportation you have to get to a pharmacy.

If you do not give us any location data then we cannot recommend assistance programs or tell you the local pharmacies that have ways of drastically reducing your costs. Without a general location we can give you generic information though. You could use the ideas/methods we present to search out local solutions for yourself.

We will go ahead and look at ways to cut costs based upon the info you have already provided.

Thanks,

jimithy
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Postby dlcnurse » Wed May 20, 2009 11:36 pm

Thanks for posting. I see that you comment that you are uninsured. Have you registered for any state help or with any of the medication assistance programs? If not we can also steer you in that direction. Also, if you would post the dosages that you take as well it will help to narrow it down regarding cost. Different dosages may and do have different costs. Any information that you would care to share with us is greatly appreciated so that we can get the right information for your state, city etc.
You do not have to be exact however, it can be somewhere that is within a radius of 20 miles as most chain stores have major locations usually within a range. State however does make a difference in assistance that we may be able to help you with. I will get some generalized info for now regarding your medications.
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Postby dlcnurse » Thu May 21, 2009 3:59 am

Hello again. I reviewed the specific medications that you are on regarding price ranges but I can only give you ranges of prices as I do not have your specific dosages to be able to narrow down the cost. The costs quoted here reflect having NO coverage.

Lipitor (Atorvastin) comes in dosages of 5 mg to 80 mg. Depending on the dose, at the 5 mg, cost is .99/per pill and at the highest dose of 80 mg, the cost is 1.10/per pill. at the Lowest price it will cost 89.00 to 99.00.

Vasotec comes in dosages from 2.5 mg to 20 mg. This is one of the prescriptions that can be found at the major chain stores such as Walmart, Kroger's, Walgreen's, Target, etc.. that is on the 4.00 list for a 30 day supply or 10.00 for a 90 day supply. Cost elsewhere ranges from .14/per pill to .18/per pill. Cost range is from 12.60 to 16.20 for generic brand. Buying brand name cost ranges from .88 to 1.40 per pill. (79.20 to 126.00 for a 90 day supply)

Cenestin (Premarin) Dosages come in .3 mg to 1.25 mg This particular medication only comes in generic dosage of .45 mg. Brand name cost ranges from 1.65 to 2.05/per pill. Giving you a cost of 148.50 to 184.50 for a 90 day supply.
Premarin is a cheaper way to go with this medication. You may want to ask your doctor about using generic premarin, which comes in dosages comparitive to the Cenestin. The cost however is much different. Generic premarin in the .625 mg is .20 to .75 per pill. Cost range is 18.00 to 67.50 for a 90 day supply, with the higher dose of 1.25 mg a few cents higher at .25 per pill. Brand name cost is .35 to .80 per pill.

Synthroid (Levothyroxine) This also is covered under the 4.00 plan at the major chain stores. If you require the brand name, your doctor can plea to these stores to fill at the lower cost of 4.00 if you are unable to take the generic version.

HydroChlorthiazide also is a prescription covered under the 4.00 plans found at Walmart, Kroger's. If you do not have access to these locally, they can be purchased online.

Fosamax (Alendronate) Dosage ranges from 5 mg to 70 mg. Depending on the dose, can also be purchased at Kroger's under their 4.00 prescription list for 30 days or 10.00 for 90 days supply. Buying otherwise, cost will run from .75 to 2.56 for the 5 mg dosage up to as high as 1.48 to 8.25 for the highest dose of 70 mg. The best way to go is to buy from those stores that offer the 4.00/30 day and 10.00/90 day supplys. Walmart and Kroger both offer this.

Prometrium, dosages also varie and will cost as low as .75 for generic , 1.95 for brand name, highest cost could be 3.00 for generic and 3.50 for brand name. The Generic dosages run in 100 mg , 200 mg and 400 mg.
The Brand name cost is 1.95 to 3.40 per pill (Cost will be 177.50 to 306.00 , again knowing the dosages and the cost for yor actual medications will help us to have a better idea of your needs.
dlcnurse
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Postby jimithy » Thu May 21, 2009 7:38 am

If you have questions about using generics then it is important to realize the drug companies lose tens of billions of dollars of profits to generics every year. This is why they will pay huge dollars to the best ad agencies in the world to convince people that generics do not have the same medication as their brand name drug (even though the FDA ensures that generics use the same medication.)

This conditioning works in two ways. First it gets you to doubt stringent government testing that insures the active ingredient is identical (the expired drug company patent has to give EXACT directions on how to correctly manufacturer the drug or the patent is not valid.) In fact, over half of all generic drugs are made by the same drug companies (in the same manufacturing plants) that make the brand name drugs.

Second, this doubt created by the ads can create a "reverse placebo effect". If your mind is convinced the generic will not work then often this can affect the effectiveness of the medication. If this is a problem with you then get someone to set up a week's worth of medication at a time for you... and make sure they do not tell you which pills are generic.

You might want to look at Why Generics are just as good as Brand Name Drugs and What is the difference between Brand name and Generic Drugs?.

Why pay up to 10 or 20 times the price for the same medication? It makes no sense to use a brand name drug when the exact medication is available as a generic medication.
Last edited by jimithy on Thu May 21, 2009 7:42 am, edited 1 time in total.
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Postby dlcnurse » Sun May 24, 2009 12:38 am

Would love to hear from you again so that we can help you obtain information regarding your medications and also how we might help you in cutting your costs for doctor visits and possibly give you some info on clinics in your area that could be of assistance to you. In the meantime, here is some helpful information on some assistance through clinics.

Some helpful sites for lowering costs are to use clinics. Clinics are located all over in all the states. In todays economy, many of us are experiencing difficulty in affording healthcare.

one site is http://www.freeclinics.us Which is sponsored by the National Association of Free Clinics. They are a non-profit organization.

http://findahealthcenter.hrsa.gov Another site that is sponsered by the Human Resources of America, a government site. These are federally funded health centers in which you pay what you can afford. Yes, it is based on income. They provide check-ups, treatments for illness, immunizations, presciption medications, mental health care and also care for substance abuse.

Another helpful site that gives a list of clinics is http://rxassist.org/patients/res-free-clinics.cfm

One other site that many people don't think about and that is eye care. 80% of blindness is curable and preventable. 36 million people are needlessly blind. This site is dedicated to saving eyes and lives. You can find help here: http://www.uniteforsight.org

I hope that some of this information will be of help to you.
dlcnurse
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Postby dlcnurse » Sat May 30, 2009 2:04 am

In checking on the insulin costs, I have not found any that is really reasonable. You might also try looking under the diabetes section and some of the resources that we have there to assist in the cost of insulin. One site in particular has a Patient Assistance Programs that does supply over 250 generic brands of medications, diabetes supplies at 50% of the cost and with medicare may even obtain those supplies for free. Look at http://www.xubex.com for more information on it. They also have meters that you can obtain for free if that is also needed.
Purchasing in vials is the most cost effective means of obtaining insulin. The cartridges/pens are almost double the cost that you would pay for the vials. If you have medicare or medicaid, they do cover costs for preventive care, not supplies but every little bit counts in regards to cost. You might also look into that area for saving some expenses for preventive care. I hope that we hear from you again so that we can be of further help to you but without specific information I cannot bring your costs lower than what I have quoted. Please contact again. You may also contact the moderators personally if you do not want to put anything public on the sites.
dlcnurse
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Location: Ohio

Postby dlcnurse » Fri Jun 05, 2009 2:52 am

Apidra does have a savings card that you can save up to $100.00 on your prescription.

You can print the savings card and find more information on it here:

http://www.apidra.com/apidra_100_offer.aspx
dlcnurse
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Re: unable to pay for all my meds & drs due to being uninsur

Postby dlcnurse » Thu Sep 22, 2011 12:33 am

Links edited and updated. 9/22/11 dlcnurse
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