I just paid $21.00 for ONE (1) viagra pill!!!

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Paella
Regular Member


Date Joined May 2010
Total Posts : 52
   Posted 6/11/2010 6:17 PM (GMT -6)   
Mac's doc perscribed 1 viagra 3 days pre-surgery.   I know it's not covered by insurance but what's the deal here?  Rite Aid couldn't (wouldn't) tell me how much 30 pills would be.  He just went on Medicare with an AARP drug supplement.; Viagra, of course, is an "excluded" drug with this group.  Does anyone's insurance pay for Viagra?  I called my underwriter (Blue Shield) and was told that their pill price (based on MY policy) would be 15.00 each....15.00 no matter the quantity.
 
This is for a 100mg tablet.  Is that the typical dosage that a guy needs to have an erection or is this a super-duper pre-surgery strength? 
 
If it IS extra-strength, maybe someone can tell me what we should expect after he takes this sucker.
 
We expected 10 bucks per but this is ludicrous.  I'm so mad I could spit.
 
thx - Paella
 

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 6/11/2010 6:59 PM (GMT -6)   
I found out about www.alldaychemist.com on this board and ordered a lifetime (seems like) supply of 100mg generic Viagra. Works better than 20mg Cialis for me and was about 50 cents/pill.

I was rather hesitant to order but with all the positive feedback from folks here I tried it, very pleased.

Dosage will vary, never needed anything but a naughty thought before surgery and now need 100mg and vigorous stimulation to get 90% I never tried one before surgery but I sure wish I had, might have been fun!

Hope you will recover to like it was before surgery.
Diagnosed 12-09 age 55
07-06 PSA 2.5
01-08 PSA 5.5 (PCP did not tell me of increase or schedule follow-up!!!!)
09-09 PSA 6.5 Sent for consult with Urologist
11-09 Consult, scheduled for biopsy, found out about PSA from '08 (yes I was pissed)
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5, ain't much but I'll take it.
01-10 Bone Scan, "appears negative"
03-01-10 RRP in Durango CO by Dr Sejal Quale and Shandra Wilson, no naked eye evidence of spread, Vesicles and lymph nodes taken for microscopic exam.

03-16-10 Removal of cath' and pathology results of samples.
Multifocal carcinoma with areas of Gleason pattern 3, 4 and 5, Overall Gleason grade 4+4 with tertiary 5, Bilateral involving 21% of left lobe, 3% of right lobe, Invasion of left Seminal vesicle, Tumor focally present at left resection margin, 9 lymph nodes removed all negative, Tumor staging pT3b NO MX

04-23-10 PSA <0.04
05-03-10 1 week without pads
06-07-10 PSA <0.04


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 6/11/2010 11:43 PM (GMT -6)   
I have not used alldaychemist.com, but if I needed Viagra or the like, would use them without hesitation -- there have been many positive recommendations in this forum.
Pre-op:
Age 63 at diagnosis, now 65.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve-sparing open surgery on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
25-month: 0.2 (yes, bummer)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. At 18 months, "graduated" to just the pump.


hb2006
Regular Member


Date Joined Nov 2008
Total Posts : 299
   Posted 6/12/2010 9:16 AM (GMT -6)   
If you use the Pharmacies in the US, you should get the highest dose possible and a "pill splitter". That doubles the number of doses you can get each month under insurance.

I use ADC for Levitra, it works the same as the US drug but at $0.75 a pill. They have great customer service...
Age 60, PSA 2007 4.1, PSA 2008 10.0
Diagnosed April 2008, Biopsy: 6 of 12 cores positive, Gleason 4 + 5 = 9
CT and Bone Scan negative, Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared, Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th, pT2c, lymph nodes negative
PSA Sept 28, 2008 0.00, PSA Jan 22, 2009 0.00, PSA June 29, 2009 0.00
PSA Sept 2009 0.00, PSA Dec 21, 2009 0.02, PSA March 29, 2010 0.03
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.
Stopped the injections except for "Fun" weekends. Really don't need them anymore.


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 6/12/2010 10:40 AM (GMT -6)   
Paella,

I may not read the board as often as you--but I don't recall hearing about taking Viagara pre-surgery. So, I did not, and I have a feeling lots of others here didn't either. Did your doc tell you what the purpose was? At any rate, I was taking Cialis post-surgery. I read elsewhere that we have the same doc, Tim Wilson at City of Hope. Great guy, also real good nursing staff.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10, June 10 still undetectable (<0.01)!


Paella
Regular Member


Date Joined May 2010
Total Posts : 52
   Posted 6/12/2010 11:03 AM (GMT -6)   
Yes - Wilson prescribed 1 (100mg) tab of valium to be taken 3 days prior to surgery. I believe the purpose is to learn its affects (Mac had flushing and flu-like aches). Perhaps the extra blood flow to the area also helps in some way (making little veins or nerve bundles more robust?). At pre-op (on 6/24) Doc also suggested having a daily erection. As soon as he said that, they stopped being easy to have (after 41 years of 'em!)

Paella

pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 6/12/2010 8:09 PM (GMT -6)   
Several years ago I tried all 3 drugs several times (Cialis, Levitra, Viagra) just for fun and found the most effective response from Levitra. I'd get 20mg pills and split them into four 5mg doses. Cialis and Viagra worked OK, but Levitra stood out, no pun intended, lol.
My urologist says he generally prescribes 20mg Cialis post-op twice per week. He prefers Cialis due to the longer action. He said the pre-op "play" dosage doesn't necessarily correspond to the post-op theraputic dosage, so unless I'm having headaches or other adverse effects i'll go with the full-strength dose after my surgery.

Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 6/12/2010 9:27 PM (GMT -6)   
I'll say it again (and again and again) .. Always, ALways ALWAYS ask your uro for a free stash of all three: L, V and C in the months before surgery and try them all out BEFORE so you know what might work after surgery (some day). Even if you need nothing at all pre-surgery .. check it out for headaches, backaches, stuffy nose and all those other neat symptoms and you will known what you can tolerate or prefer for AFTER surgery and not waste any time or money on the wrong one.

Also you may not realize that maybe you've slipped a little in the erection department from your earlier years. Nothing like playing (all night long) with the pills during the time leading up to surgery to help you fight off the inevitable anxiety too.
Age 59, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery ,Nerve sparing, 1 day in hospital.
02/18/09 Cath out -- passed 1 cm oblong bladder stone (not kidney!).
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
04/09, 07/09, 10/09, 01/15/10 PSA <0.1
03/2009 Levitra@20mg / Viagra@100mg/Cialis@20mg -- (nocturnal stirrings started 02-03/2010).
08/09-09/09,02-03/10 MUSE@1000mcg 80-90% (with some ache )
10/09-11/09 TrimixGel@(500/300/100mcg): 60,70,80%,
02/10-03/10 TrimixGel@1000/300/100mcg - 80-90% - just @ usefulness.
Gel + MUSE 500mcg -- 100% for 30-60 mins and 80-90% for hours after that).


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 6/13/2010 12:20 PM (GMT -6)   
I am shocked Riteaid would not provide a non-covered price ( actually you have it $21) . They even have a discount program or those drugs that are not covered by Ins

I believe the $21 is the MSRP, so 30 days would be $21 x 30 = $630

The Rite-Aide program knocks off approx 40% from that MSRP or $378

You may want to ask your Uro for a sample, they come in 2 packs

What should he expect after he takes it ?
1) A slightly congested nasal passage
2) Viagra does people erections, he has to become aroused like usual, then Viagra will help
3) A bit lower blood pressure


Viagra is FOOD dependent, meaning no eating 1 hr prior to taking it and 2 hours after taking it
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 6/13/2010 12:36 PM (GMT -6)   
I guess Wilson's has updated his procedures in the past year. Or maybe Mac is different from me. Either way, it sounds like good advice, along with keeping all bodily functions in good working order. Too bad the insurance companies aren't keeping up.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10, June 10 still undetectable (<0.01)!


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 6/13/2010 12:40 PM (GMT -6)   
One more thing, good luck tomorrow! May all go well and we look forward to hearing from you from the other side.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10, June 10 still undetectable (<0.01)!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 6/13/2010 12:42 PM (GMT -6)   
I had Wilson, too. He did not prescribe anything for me prior to surgery. But I tell you what...he's a great surgeon. Three years out, even after additional radiation and hormone therapy my plumbing works fine. I might have traded a side effect for a lower stage though if my PSA ever rises...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 6/13/2010 4:54 PM (GMT -6)   
My doctor did prescribe 25 mg starting a week before surgery,  100mg would be way too much for me, my head would explode.
 
I have gotten freebies from the doctor but it is usually 3-5 pills, now I do Allday,  I order the fake Levitra and Viagra, both work great, my wife also gets a few things, she got the eye lash grower drops at $10 instead of $120.
 
 
Getting your insurance to pay for viagra can be a battle.
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 6/13/2010 8:50 PM (GMT -6)   
I was happy today to find a coupon for a free 30-day supply of daily-dose Cialis in the newspaper. It was a full-page ad, covering the entire back page of one of the sections of the Sunday paper. I wouldn't be surprised if the same ad ran in other major cities.
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