• What's up with chemo. pills - briefly read something about a vetoe as it is regarded as a prescription drug rather then a treatment???

    Asked by Flowers55 on Tuesday, May 28, 2013

    What's up with chemo. pills - briefly read something about a vetoe as it is regarded as a prescription drug rather then a treatment???

    Although disgusted already - to have another better way for cancer treatments be vetoed - doesn't shock me but would like to know more - and if so who??? I know my Dr has made a presentation as he is tired of prescribing drugs to help his patients but insurance companies will not fill

    6 Answers from the Community

    6 answers
    • GregP_WN's Avatar

      I get emails every now and then from ACS CAN, the legislative arm of the American Cancer Society. They have been lobbying for chemo pills to be treated just like IV drip chemo. The last I heard it had been put on the back burner again. Typical politicians. It doesn't affect them, so no rush.

      about 5 years ago
    • abrub's Avatar

      I thought that chemo pills had to be treated as regular chemo, if the patient doesn't have a prescription plan. If you have a prescription plan, then they fall under that. I may be mistaken, but I thought that the law had changed requiring coverage of chemotherapy drugs regardless of the administration method. Not so for support meds (anti-nauseants, etc.) tho.

      about 5 years ago
    • GregP_WN's Avatar
      GregP_WN (Best Answer!)

      I researched this a little on ACS CAN, there are 23 States that have passed Chemo-Parity laws. Here is a link to a page that lists them. http://myeloma.org/ArticlePage.action?articleId=3708

      about 5 years ago
    • CrazyHarry's Avatar

      I was able to get Xeloda which is an alternate for IV 5-FU.

      It took a lot of work from my medical team. But they got it done. On a side note the oral chemo option is a magnitude more expensive.

      about 5 years ago
    • Peroll's Avatar

      I have been on both IV and recently pill chemo (Stivarga). The IV cost has varied but is quite expensive because nurses have to administer it an infusion center so the cost is the drugs plus the cost of administering it. The Pills were about $10,000 per month (21 doses in 2days). In my case the Dr first sent the prescription to the local pharmacy which called me before filling the prescription as the insurance wanted me to pay a 30% co-pay ($3,000). I checked with the insurance and found that of I used the mail order pharmacy the co-pay was $30 per month. I have done rocket science and it does not take a rocket scientist to figure this one out, I have the Dr send the prescription to the mail pharmacy. Medical coverage is not necessarily logical with things like this so yes I understand that it happens that insurance companies make stupid decisions like this. My best advice is to complain and point out stupid the action is. It may not help but at least you will feel better. Good Luck

      about 5 years ago
    • Flowers55's Avatar

      I did look up the states that have approval - whew - so tired of those politicians who don't care how much pain and agony they can place on us - either thru the pocket book or thru our health - - It is amazing how fast they do work if it involves them -

      about 5 years ago

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