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Cancer: Prostate Message Board
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Old 10-25-2012, 03:22 PM   #1
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prostate cancer

Five years ago my husband was diagnosed with this cancer and after prostate removal, chemo and zytiga we are now into the next million dollar drug xtandi a steal at $7,450.00 for 30 pills We are in the process of investigating if our insurance or medicare will cover, so is anyone on this if so how did you get coverage? thanks, midge

 
Old 10-25-2012, 07:06 PM   #2
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Re: prostate cancer

It's FDA-approved for men who have tried docetaxel and are castrate resistant (rising PSA while on Lupron). Astellas Access Services may provide assistance. Has Medicare refused pre-approval?

 
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Old 10-25-2012, 07:20 PM   #3
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Re: prostate cancer

I don't know yet we are waiting to find out do you know anyone who has taken it?

 
Old 10-25-2012, 07:32 PM   #4
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Re: prostate cancer

No, my friend just got his insurance to pre-approve Zytiga although he is still hormone-sensitive. He believes the reputation of his oncologist had a lot to do with getting the approval. He plans to try docetaxel after that, possibly while he is still hormone sensitive (his oncologist thinks he can get insurance to approve that too). I would also like him to try Provenge now, but he's worried about how far he can push his insurance company with all these expensive off-label drugs. His oncologist wants to wait for Xtandi until after the Zytiga fails.

 
Old 10-25-2012, 09:56 PM   #5
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Re: prostate cancer

yes my husbands insurance has covered all of his protocols but they pay 80% of $10,450.00 and 20% or $3000,00 every 30 days is more than we can pay

 
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