I don't like the options outside of insurance. I was amazed that they charge that much for this tiny pill. Over ten bucks and it's as necesary as eating. I am very fortunate that I have a $35.00 copay for a 90 day supply. But you are right, at 6k per year for Casodex, and 4k per 4 month depot of Lupron adds up quickly. This is the primary reason that my oncologist studies the socialeconomic demographics when assessing that african americans have a higher mortality not by they way this disease affects us but rather by the way it is very expensive to treat us. I have avoided the India pharmacy but who knows what the future holds. During my 6 month work lapse I paid over 18k in COBRA payments (I had to make 9 2k payments). Another 20k in treatment options including travel to City of Hope for surgery and meds like Viagra, another 3k in research and studies, adding up to well over 40k last year out of my personal savings just to fight this disease. I could have done it for less but it wasn't easy to not try to do everything with the best possible care. Good thing I am back at work...
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology was poor: Gleason 4+3=7, 4 positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
My PSA did drop out after surgery to undetectable. It has not returned and I will continue HT until January '08.
My Life is supported very well by family and friends like you all.