Casodex Prices UP

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Amy41
Regular Member


Date Joined Jan 2009
Total Posts : 30
   Posted 1/20/2009 7:48 PM (GMT -6)   
Just submitted hubby's Rx bill to be reimbursed by flexible spending plan - the portion of the bill not covered by insurance went up to $260 this month - ugh - I'm just glad we have health insurance.  I heard that the generic version might be available later this year.  I'm putting about  $500 a month into my flexible spending account for his medical bills - I'm hoping this will cover lupron shots etc.  How do others handle these expenses.
 
Dx 08/08 - 750 psa
2nd shot Lupron 12/08 7 PSA
 

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/20/2009 7:57 PM (GMT -6)   
I am very fortunate to have decent insurance. My Casodex is $25 per month, and my Lupron regimen is covered 100% but the is a $20 copay to administer it. That stated, even with insurance I have payed out quite a bit for everything we have done. Without insurance, a months supply of Casodex is around $500.00....yikes...LOL...easy now Bob...LOL

I shouldn't laugh, it is expensive.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/20/2009 8:38 PM (GMT -6)   
Tony you talkin to me? So is casodex outright cash price around $500 mo. now used to be around $350??? Probably half that price in Canada, alot of Michiganders cross the bridge here or use tunnel and go to Windsor and save atleast 50% is said. If you are paying it all, you would make the 20-50 mile drive depending where you live.

Way back the founder of Paactusa.org (Lyodd Ney) as a PCa patient had to go to Canada to get this type of drug (casodex) and got good results from it and it started a trend here in the USA, the push to help get it approved and legal here, a pioneer man for us to acknowledge.


No comment on Lupron or Zoladex, Eligard, Trelstar L.A. (These are your LHRH drugs, your ADT, and other names used in treatment lingo).

$mile your on candid camera!!!

"Youth is wasted on the Young"  W.C. Fields


 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/20/2009 8:49 PM (GMT -6)   
Canada is actually selling generic Bicalutimide for $112 delivered to your home. The brand is still protected under US patent but that will change soon.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 1/20/2009 9:44 PM (GMT -6)   

Casodex was $514 in June 08 when I purchased it. That was the best price I could find. No insurance. I heard it would go generic mid year this year. That does not necessarilly mean lower cost.

Don


Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
 
 
 
 


taiping
Regular Member


Date Joined Apr 2008
Total Posts : 62
   Posted 1/21/2009 2:09 AM (GMT -6)   

I bought generic Casodex from alldaychemist.com, which seemed to work fine.

taiping

 


Diagnosed: June 2007. Aged 61. PSA 19.6. DRE negative.
Biopsy: June 2007; 2 cores of 18 positive.
MRI and Bone Scan: Negative.
Pathology: 5% of 1 core, "Small focus" in another core +ve.
Gleason 3 + 3 = 6.
Clinical: PCa considered confined to prostate. Stage T1c.
Treatment: After considering RP and HD Brachy, decided on Intermittent Triple Androgen Blockade Therapy for 1-year, using ZOLADEX, CASODEX 150 mg/day, AVODART 0.5 mg/day. Start PSA 19.2 (July 2007).
Completed Intermittent TAB on 23 July 2008, continue with AVODART alone and monitor PSA every 3-months. Changed to PROSCAR in Sept 2008.
Current Status: PSA = 0.01 (October 2008).
PSA nadir 0.01 (October 2008).
---------------


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/21/2009 2:12 AM (GMT -6)   
Hi Don,
I heard the same thing, but it should be a significant price break for you. I am not sure if Wal-greens will carry it on their prescription drug plan, but if they do, just send me the savings...LOL

Tony

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/21/2009 9:40 AM (GMT -6)   
taiping, wow, talk about a difference....10 pills, 50mg generic, $14.95. at allday.

www.alldaychemist.com/drugs/Casodex.html

This would be d drastic departure for most guys who are using the branded US meds. Risk vs costs and much more.
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 12 mts.-.02, 16mts.-?

Post Edited (James C.) : 1/21/2009 7:58:06 AM (GMT-7)


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 1/21/2009 9:49 AM (GMT -6)   

Hi Tony,

Funny you should mention Walgreens. I am a memeber of their discount club. My comment on the cost was based on an experience I had a few years back. My company insurance refused to pay for a cholesterol medication because a generic was available. So, I went to the generic as instructed and the cost went up by $40. The real kicker was that it did not work as well and caused me to have joint pain in my hands and knees. I went back to the patent medicine on my own.

Taiping,

Are you in the US? I have looked at ADC and they do have attractive pricing but there are the import issues to consider.

Don

PS the patent cholesterol is supposed to go generic late this year or early 2010. 


Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
 
 
 
 


Todd1963
Veteran Member


Date Joined Oct 2008
Total Posts : 3218
   Posted 1/21/2009 10:44 AM (GMT -6)   
I feel so lucky to have the insurance that I do. I pay zero copay for casodex as it is considered an oral chemotherapy. My lupron injection is $5.00 every 4 months. The casodex point is mute however as I am no longer on it. Todd
dx:06/03/06
Age at dx: 42 age now 45
Treated for sciatic nerve pain 6 months prior to dx.
Heavy amount of blood in urine Unable to urinate 
Lung x-ray for pnumonia revealed multiple lesions in each lung
P.S.A. at time of dx. 3216.14
Began lupron and casodex
Cat scan showed large mass in the pelvic area affecting the bladder multiple nodules in both lungs and lymph node envolvement.
Bone scan revealed possible bone involvment in the pelvic area
Biopsy 12 of 12 cores positive gleason 3+4=7
P.S.A.s since lupron 2946, 1274, 532, 5.01 1.23, .09
Begining jan 08 psa .o9, .25, .44, .86, .73, 1.34, 1.49. Doubling time is a little over 3 months
Cat Scan 12/12/08 Prostate normal size and shape. No tumors detected. Left lung clear of all nodules right lung showing only benign scar tissue. Lymph nodes normal
Bone Scan 12/24/08. Clean!!!


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 1/21/2009 7:10 PM (GMT -6)   
I just refilled my Casodex and it was $1681 for 90 days, thanks be to God I had met my deductible in 2008 when I refilled. I to put money into an HSA to try and cover the co pays and deductibles. Since my diagnosis in 2007 I have spent out of pocket over $30,000. To think I use to dream of retirement. Now I am just thankful to be alive and pay my daily living expenses. Life is great though and I am not complaining.

peace to all
Dale
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .06
Testosterone keeps rising, the current number is 156, up from 57 in May
cancer in 4 of 6 cores
92%
80%
37%
28%
 


taiping
Regular Member


Date Joined Apr 2008
Total Posts : 62
   Posted 1/21/2009 7:24 PM (GMT -6)   
Hi James C and Don,
 
I'm in Bangkok, Thailand, not known for it's postal efficiency but I have received all packages from Alldaychemist without any problem, sent by registered post.
 
The generic CASODEX called CALUTUDE is manufactured by Cipla in India, which is a reputable company. See http://www.cipla.com/
 
I also take generic PROSCAR called FINCAR, also by Cipla through Alldaychemist.
 
taiping.
 
Diagnosed: June 2007. Aged 61. PSA 19.6. DRE negative.
Biopsy: June 2007; 2 cores of 18 positive.
MRI and Bone Scan: Negative.
Pathology: 5% of 1 core, "Small focus" in another core +ve.
Gleason 3 + 3 = 6.
Clinical: PCa considered confined to prostate. Stage T1c.
Treatment: After considering RP and HD Brachy, decided on Intermittent Triple Androgen Blockade Therapy for 1-year, using ZOLADEX, CASODEX 150 mg/day, AVODART 0.5 mg/day. Start PSA 19.2 (July 2007).
Completed Intermittent TAB on 23 July 2008, continue with AVODART alone and monitor PSA every 3-months. Changed to PROSCAR in Sept 2008.
Current Status: PSA = 0.01 (October 2008).
PSA nadir 0.01 (October 2008).
---------------


taiping
Regular Member


Date Joined Apr 2008
Total Posts : 62
   Posted 1/21/2009 7:26 PM (GMT -6)   

CALUTIDE not CALUTUDE. My mistake.

taiping.

------------


Bob De
New Member


Date Joined Feb 2009
Total Posts : 1
   Posted 2/11/2009 5:49 AM (GMT -6)   
taiping.

New to the site. I am 50, PSA 10/08 1.87 DRE was firn but not localized...referred to Uro for biopsy 1/12 positive 3% Gleason 3+3=6
Not sold on and am considering Triple Hormone Therapy. Been to Libowitz site. Are there other sites or sources of information. Why did you chose THT.

Finally how do I put a signature/history under my posting such as others?

Bob

taiping
Regular Member


Date Joined Apr 2008
Total Posts : 62
   Posted 2/11/2009 7:37 AM (GMT -6)   
Hello Bob,
 
I don't know other sites about Triple Androgen Blockade Therapy.
Here's a link to the original Leibowitz abstract . . .
 
 
I chose TAB because I was not convinced (and I'm still not convinced) about the efficacy of the usual RP, RT, or Brachy treatments. I was offered high dose brachy + RT but the 8-year survival was only 85% and the bio failure rate at 8-years was nearly 25%. Leibowitz claims better data for TAB.
 
Please see the following link for a large comparative study of treatment outcomes, which states . . .
"Available data insufficiently characterize the relative benefits of various treatments for clinically localized prostate cancer, and all therapies cause some harms"
 
So if a doc tells you this or that treatment is best or the so-called "gold standard" you know they are taking rubbish. As Leibowitz is fond of saying . . . "Everyone is entitled to their (wrong) opinion."
 
I went to see Dr Steven Tucker in Singapore and we had a long talk about the options and I then decided on TAB. He worked with Leibowitz on the ASCO study.
 
Please note there are serious side effects of TAB, including loss of libido. That might be a serious concern to you since you are only 50 years old. It is claimed that no effect is permanent and can be treated, but please be warned it's not an easy route to take. Talk to you more about this if you're interested.
 
To add your signature, go to "Control Panel".
 
Hope this helps,
taiping
 
 
 
 
 

Diagnosed: June 2007. Aged 61. PSA 19.6. DRE negative.
Biopsy: June 2007; 2 cores of 18 positive.
MRI and Bone Scan: Negative.
Pathology: 5% of 1 core, "Small focus" in another core +ve.
Gleason 3 + 3 = 6.
Clinical: PCa considered confined to prostate. Stage T1c.
Treatment: After considering RP and HD Brachy, decided on Intermittent Triple Androgen Blockade Therapy for 1-year, using ZOLADEX, CASODEX 150 mg/day, AVODART 0.5 mg/day. Start PSA 19.2 (July 2007).
Completed Intermittent TAB on 23 July 2008, continue with AVODART alone and monitor PSA every 3-months. Changed to PROSCAR in Sept 2008.
Current Status: PSA = 0.22 (January 2009).
PSA nadir 0.01 (October 2008).
---------------

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