Tuesday, November 8, 2011

The Next Few Days

I am anxiously awaiting the answer from my insurance company about the Neupogen. Last week the decision went into what is called a Level 1 Appeal which means that a group of "officials" sit around and discuss my case and decide if I am worthy of this medication...I just hope they are not idiots. I have a gut feeling that it isn't going to get covered which means that I will be paying out of pocket for it. I will need about 30 vials of this medication, and at almost $300 a vial the total cost will be somewhere around $9000. I am slowly preparing for this financial hit. I have started looking into Canadian and Indian pharmacies to see if I can get it cheaper. Apparently there is a generic Neupogen in Canada that is a little cheaper than the brand, but I am not sure if my doc is going to feel safe about ordering meds from Canada. According to my insurance company we will have a decision tomorrow but I am not holding my breath.

Thursday is my lap/hysteroscopy so I will probably be two sheets to the wind until Saturday as I completely plan on indulging on my Percocet. I am hoping that they aren't going to find anything but I feel better knowing that if they do it will be taken care of right then and there and I won't need to schedule another surgery. After I get through Thursday my next big barrier is my follow-up with Dr. Braverman. I am hoping that he will tell me what meds I will need and that he will give me the green light to start. I am a tiny bit worried that he might tell me that I need to give the meds a month or two to work before doing my next IVF. I cannot stress about that right now as I need to take it one day at a time.

6 comments:

  1. Wow, sorry you are going through this for neupogen and your insurance isn't being corporative or prompt. Good luck with your upcoming surgery!

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  2. I took Neupogen when I was going through chemo for breast cancer treatment. Can they substitute Neulasta instead? I'm sure the applications are totally different but I had an option of taking several days of Neupogen between cycles or one shot of Neulasta. Also, have you thought about calling Amgen (the maker) directly? They do have a program for those who can't afford it. Also, I wouldn't buy it all in one batch. Maybe 5-6 vials at a time. Good luck!

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  3. Michelle-unfortunately I did contact Amgen and they do have a program but it is only for those without insurance or those under a certain income threshold...and we dont qualify for either. I will ask about the Neulasta but I think since I am only taking partial doses each day that will make it hard. Any side effects from the Neupogen?

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  4. I'll be thinking of you tomorrow and praying that all goes well. Good luck with the insurance company...hopefully they will come around.

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  5. Sorry, I just now saw your comment back to me but it looks like from your post today that you're taking it as a uterine wash (never heard of that before!). Neupogen subQ gave me horrible horrible horrible bone aches. Because you suddenly start producing all these white blood cells mainly through your larger bones (femurs), they start to build up and are pushing to get out of your bones, hence the bone pain. I hope you don't get that side effect with the way and doses you're taking it! Good luck with everything!

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