Trimix and insurance coverage

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Mark R.
New Member

Date Joined May 2008
Total Posts : 11
   Posted 5/14/2008 8:20 AM (GMT -6)   
My Trimix costs me $90 per 5ml bottle from Wedgewood pharmacy and my insurance, Blue Cross/Blue Shield group policy, only pays $5. They use to cover the PGE1 completely less a small copay. Anybody get BC/BS to cover Trimix? Any suggestions?
"In theory, theory and practice are the same, in practice they're not"
Joined Club PCa 4/17/08 with an open radical retropubic prostatectomy
PSA 2.8>3.4 in 6 months
3/12 positive biopsy cores, T1a
Gleason 6 - pre/post op,
Margins, bone scan, x-ray negative.
Cat-scan showed kidney mass, removed 3/14 via radio frequency ablation
Catheter 18 days, dry immediately with some conscious effort
Living with Multiple Sclerosis for 20 years - now PCa and questionable renal mass - I'm an overachiever!

Tim G
Veteran Member

Date Joined Jul 2006
Total Posts : 2305
   Posted 5/14/2008 11:44 AM (GMT -6)   
I use Wedgewood Pharmacy in NJ as well and my insurance covered for $20.  It's $120 for the Quad-Mix.  

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 5/14/2008 11:47 AM (GMT -6)   
I spoke with my BC/BS Tenn case manager while recovering, and while she was still on my case. She said that Bimix or Trimix wasn't covered, as it was a compound and they didn't cover those. They also only allow 4 ED pills per month. Strangely, they did cover the Caverject Powder.
James C.
New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, July 19, 2018 10:50 AM (GMT -6)
There are a total of 2,983,166 posts in 327,091 threads.
View Active Threads

Who's Online
This forum has 161895 registered members. Please welcome our newest member, lejame.
425 Guest(s), 11 Registered Member(s) are currently online.  Details
mattamx, Bear12, mysweetpanda, sandyfeet, Asnape3228, Bohemond, Tudpock18, tiredofallthispoop, CAdogsRus, LKap, delisa