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Old 09-26-2013, 02:40 PM #1
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Default Azilect (rasagiline) ?

About a month ago my private neurologist gave me a 4-week "sample" pkg of Azilect--2-weeks of .5mg, and 2-weeks of 1mg. He also wrote me script for 1-yr. Great news is that I've noticed NO side-effects. Good news, to date (5th week), is that it does seem to be helping somewhat. I hope to see more improvement over the next few weeks.
I called the pharmacy to see how much a thirty-day supply (thirty, 1mg tabs) would cost me with only Medicare as "insurance". Answer was $500. WOW!--$500 for 30 whole MILLIGRAMS. Of course, I cannot afford it, so, a couple of days ago, I went back to the doc and picked up another 6 weeks of "free" samples.
I'm in Indiana, and was wondering what others around the world are paying for a one-month prescription of 1mg/day? Many thanks.
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Old 09-26-2013, 03:06 PM #2
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I've been reviewing posts, here, some dating back to 2006. I see that much of the discussion is about "neuro-protectiveness & slowing the progression of PD". My doc made no mention of either of these. He simply stated that the drug would "help/aid" my body's use of the sinemet I am taking (3-4 tabs of 25/100 regular).
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Old 09-26-2013, 04:07 PM #3
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Quote:
Originally Posted by toyL View Post
About a month ago my private neurologist gave me a 4-week "sample" pkg of Azilect--2-weeks of .5mg, and 2-weeks of 1mg. He also wrote me script for 1-yr. Great news is that I've noticed NO side-effects. Good news, to date (5th week), is that it does seem to be helping somewhat. I hope to see more improvement over the next few weeks.
I called the pharmacy to see how much a thirty-day supply (thirty, 1mg tabs) would cost me with only Medicare as "insurance". Answer was $500. WOW!--$500 for 30 whole MILLIGRAMS. Of course, I cannot afford it, so, a couple of days ago, I went back to the doc and picked up another 6 weeks of "free" samples.
I'm in Indiana, and was wondering what others around the world are paying for a one-month prescription of 1mg/day? Many thanks.
i had a company that installed RX filling systems and contacted one of my former pharmacy customers to get their cost for 30 azilect - $430/30. it's expensive.
TEVA does have patient assistance programs based on your income. if you still can't afford it i think you can appeal to them because of medical necessity but i think that requires your neuro to tell them you have to have it, you've tried every other option. I don't take it, this is all 2nd hand. i have a friend on it, $275 copay.

Selegilene is another option but usually more side affects, it's been around for a long time, irreversible MAO-B inhibitor, i think it's a modified amphetamine. i took it, stopped because i think it increased ringing in one ear and i was dealing with high blood pressure, also might have caused some back muscle pain.

my neuro hasn't recommended either to me but i also can't afford it, can get free samples for awhile but not anxious to start a drug that i might have to stop. might try selegiline again, normal dosage is 5mg twice a day. it's not that cheap either..

you aren't taking that much sinemet, why not just increase the dosage? you can buy the 250mg tabs, split them and take 125mg 3-4 times a day. i think their cost isn't a lot greater than the 25/100.
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Old 09-26-2013, 04:17 PM #4
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Quote:
Originally Posted by soccertese View Post
TEVA does have patient assistance programs based on your income. if you still can't afford it i think you can appeal to them because of medical necessity but i think that requires your neuro to tell them you have to have it, you've tried every other option
.
Teva also has a $75/month coupon which is available for anyone.
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Old 09-26-2013, 05:11 PM #5
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Quote:
Originally Posted by soccertese View Post
.....
Selegilene is another option but usually more side affects, it's been around for a long time, irreversible MAO-B inhibitor, i think it's a modified amphetamine. i took it, stopped because i think it increased ringing in one ear and i was dealing with high blood pressure, also might have caused some back muscle pain.
.....
you aren't taking that much sinemet, why not just increase the dosage? you can buy the 250mg tabs, split them and take 125mg 3-4 times a day. i think their cost isn't a lot greater than the 25/100.
My wife looked into Teva discount, but it is apparently tied to state aid (Medicaid Indiana) qualification. I'm not eligible--by about $200/mo too much "income"--SSDI and 20% VA disability.
I tried selegilene (deprenyl)--had to stop due to side effects. As for the sinemet, I've increased & decreased over the years, since 1996 at age 34. Not too long ago, I cut back due to bad dyskenesia.
Thanks very much.
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