>what's the difference between a enema and an enema kit?
The enema kit comes with over-the-counter, wet bumm wipes in addition to the 28-30 day supply of mesalamine enemas. Heard many insurances denying the kit, but approving only enemas version.
>Here are my options... how do they compare with Apriso and what would be the dosage per day for each?
Apriso is a bit of a weirdo in the 5ASA/Mesalamine cabinet, as it is dosed at ONLY 1,500-mgs a day. Clinical studies showed Apriso to be just as effective at that dosage as the rest of the mesalamines are at 4,000 to 4,800 mgs a day. It's pretty amazing, they must have a very efficient delivery mechanism and complete release rate of the medication. Nobody else has achieved that fate, yet at least.
If you're talking any other mesalamine, it is 4,000 to 4,800 mgs a day. Normal for them. Apriso seems to have some variation of the plastic MMX delayed-release coating, and others that are the most similar are the brand-named Lialda (generic lialda has different coatings), Asacol HD (brand or generic), or Delzicol. There's some variation in pill size, number of pills you take per day, and how often a day you must take them. Apriso is once a day for all pills, as is Lialda. I believe most others say, 3-times a day (nothing saying you cannot do the same and take them all at once with any mesalamine though).
A bit of a
cookie/cutter copy/past below, but I think you might find it helpful.
One of the biggest headaches when switching health insurance policies is you might have to change medications. Here's a basic survival guide to help you through it.
A reference on costs for those various meds: https://www.goodrx.com/aminosalicylates
1.) Ask which UC medications are on the insurance's formulary
(preferred) list and which are on their non-formulary
(not preferred) list. For the lowest out-of-pocket cost, choose from the formulary list.
are the most cost effective. Brandnames
are more expensive.
3.) Use the health insurance's price estimator tool (online insurance website, or call insurance, or ask a pharmacy) to learn what your copay will be. You will need to know which medications are applicable. The most common meds used are the anti-inflammatory, mesalamine-based medications that should be available in their price estimator:
- Apriso is brandnamed, comes in 375mg pills, a typical dose is 1,500 mgs or 4 pills daily. A copay assistance card is available from the manufacturer http://www.aprisorx.com/apriso/savings-card.
- Balsalazide Disodium is generic of Colazal, comes in 750mg pills, a typical dose is 6,750mgs or 9 pills daily.
- Colazal is brandnamed, comes in 750mg pills, a typical dose is 6,750mgs or 9 pills daily.
- Delzicol is brandnamed, comes in 400mg pills, a typical dose is 4,800 mgs or 12 pills daily. A copay assistance card is available from the manufacturer http://www.delzicol.com/resources/savings-card/
- Lialda/Mezavant is brandnamed, comes in 1,200mg pills, a typical dose is 4,800 mgs or 4 pills daily. A copay assistance card is NO LONGER available from the manufacturer, discontinued on 11/1/2017 and will not be renewed into the next year.
- Mesalamine DR is generic, comes in 800mg pills (generic Asacol HD) and 1200mg pills (generic Lialda), a typical dose is 4,800mgs. That's 8 of the 800mg pills or 4 of the 1,200mg pills daly.
- Pentasa is brandnamed, comes in 500mg pills, a typical dose is 4,000 mgs or 8 pills daily. A copay assistance card is available from the manufacturer https://www.shire.com/patients/patient-services/shire-cares.
- Sulfasalazine is a generic,comes in 500mg pills, a typical dose is 4,000mgs or 8 pills daily.
4.) Once you've found a cost effective medication, call your gasteroenteroligist for a new prescript
5.) Mail order prescript
ions may have lower copays when you get a 90 day supply, instead of a 30 day supply. Check with your health insurance and ask about
mail order options.