100 mcg Fentanyl Patches and "Doughnut Hole" Insurance?
- 4 Jul 2012 by HeadStarter
- 4 June 2015
- fentanyl, insurance, prescription
I am a little concerned here when I hit the doughnut hole in September when some of my prescription meds are full retail price. Wonderful to have SSDI but that doughnut hole nonsense is killing me financially. I haven't been on the patches long enough to even know what I can expect to pay. I have a feeling it is going to be in excess of $450.00 per month by itself. I currently pay $42.00 for it. I started it last August but I cannot remember what I paid after September... I do remember the doctor I was seeing at the time that I had better find the money because I was having such great results. Now that is a doctor who has no compassion for someone who is on SSDI. And, yes he knew that. The point isn't that I could afford it... the point is I cannot any longer because of the other stuff I am on.
Is there a generic for Fentanyl or another patch that has generics? The doctor I have now is a lot easier to work with and is agreeable to change. Do I have options for Fentanyl??? 100mcg every 3 days change it.
Hey Mary (yes, I'm still here. I found this on the Walgreens community site, I hope it helps:)
"Yes, there are generic versions of this drug in lozenge, patch and injectable form. The lozenge version of fentanyl is sold under the brand names of Actiq; the skin patch version is sold under the brand name Duragesic; the injectable form is sold under the brand name Sublimaze. There are not generic versions for the bucal tablet, the sublingual tablet and the disolving film. The buccal tablet is sold under the brand name Fentora; the sublingual tablet was sold under the name Abstral; the dissolving film is sole under the brand Onsolis."
I'm on the 75 mcg patch and change it every other day. I used to be every 3rd day like you are and I tried every brand I could find. When none of them seemed to give me good pain control I decided I wanted to try the name brand thinking maybe it would work better. Can you believe I couldn't get them at Walgrerns, CVS or my local "mom and pop" pharmacy.
When I asked Walgreens about it they said that although my insurance would cover the name brand that most insurance companies will not so they never have the name brand in stock. Therefore I'm thinking you may already be on a generic. It is very hard to tell because all the different brands I've used all said "fentanyl" on the box and some of them it is hard to even figure out what brand they are by looking at the box and instead I had to ask the pharmacy what they are.
Changing my patch every other day is what has worked the best for me but I will say the generic brand I get from the mom and pop place in town is the best generic and it is made by Mallinckrodt. I asked them once if they ever get any other brands and they said no. They said that the Mallinckrodt brand is the cheapest brand out there and that is all they carry because there are a lot of families that don't have insurance in our area and need to pay cash.
I know different areas and different pharmacies have different prices but if you call around to all the pharmacies in your area be sure to ask about this brand to compare the prices.
I hope you can find something in your budget because for me I've tried all the pills out there and nothing touched my pain like the patch. I'm still at a level 5 with the patch but it's better than it used to be.
Hello my friend and Happy 4th of July! I understand that you're in a bit of a pickle with this donut hole coming up, but at least you have a little warning. Here's what I found out for you. Duragesic is made by Janssen Pharmaceutical which is part of Johnson&Johnson. Both websites have a patient assistance program that may be able to help you out. Never hurts to try and see, huh? I'll keep looking, but that may at least be a starting point for you. Have a wonderful holiday and try to stay cool!
Costco can get you meds that Walgreens don't have. I'd been paying full price-then after getting on Social Security-HMO- The head druggest said- too bad we have a drug plan that pays about 50% for this--where was that information when I was paying $300 a month for one med? I'm just grateful they had it and my family helped me. THE POINT IS-IF YOU'RE NEAR A COSTCO TALK TO THE HEAD PHARMACIST- I'm just grateful that they carry my meds-by the way- my main med is now $10/month-it was a legal war with the FDA and generic drug companies that made a shortage-Walgreen stopped carrying my med. Thank God-Big Pharmacy-and AMA prevailed-as it's a simple drug manufactored mainly from foxglove-but the FDA doesn't want it in America because the 2 major ingredients are depressents. It's for several forms of IBS, Crohns, and some other spasm and seizure problems. Obviously it's for non-depressed type A personalities.
When I was first put on it-and since then- I was asked if I was suicidal-had crying spells, drank, had trouble getting out of bed and doing things, etc. Obviously, I passed the test TRY COSTCO-
I am currently on fentanyl 75 mcg. I do not have insurance so it is about $349.00 a Month for me... I found prescription card online that helps out. I just used the R/X card for my fentanyl and instead of paying $349.00 I ended up paying $180.00! Which is better than most insurances. There is a number to call and you can get help getting the brand name "Duragesic" at a really reduced price or free depending on your finances. Unfortunately pharmacies don't carry the name brand so you will have to wait a day or so to get it in. but, for free it's worth the wait. I hope this helps you out. Good luck!!! Sorry I don't have the number for the free duragesic. Just look it up on the duragesic website. ..
Try $500+ for one box depending on the strength and quantity.DuragesiC is a brand only, fentanyl is a generic sold as; watson, mylan, apotex, sandoz, aveva, mallinkrodt, and others, for the only original gel filled patch is made by watson, All generics have 30% less medication content than tge brand name Duragesic, all only work or stick for 46-56 hours. Ive been on all strengths for almost a decade. Tried all of them, mylan being the worst next to apotex. Doctors very rarely Rx. A tablet or film version. I see they cosr 2,426.00 for 15 100 mcg/hr @48 hours every two days, thats alot of $,$$$.$$ a month luckly im on a JJPAF so i dont pay anything because im qualified for coverage. Generics work but do not last even close at all.
DuragesiC is a brand only and not easy to find or get its so expensive 90% of insurance companies will not cover it. Also SSI/SSDI FLATOUT will not cover it, Other sourced of fentanyl as a generic sold as; watson, mylan, apotex, sandoz, aveva, mallinkrodt, and others, for the only original gel filled patch is made by watson, All generics have 30% less medication content than the brand name Duragesic, all only work or stick for 46-56 hours and cause harsh saors to skin. Ive been on all strengths for almost a decade. Tried all of them, mylan being the worst next to apotex. Doctors very rarely Rx. A tablet or film version. I see my reciept for 2,426.00 for 5 Boxes, 15 patches of 100 mcg/hr @48 hours every two days, thats alot of $,$$$.$$ a month luckly im on a JJPAF so i dont pay anything because im qualified for coverage. Generics work but do not last even cone close to quality and coverag at all. Goodluck
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