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Author Topic: Truvada mail order issue - moisture sensitivity ?  (Read 1783 times)

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Offline madbrain

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Truvada mail order issue - moisture sensitivity ?
« on: November 21, 2011, 01:59:24 AM »
The Kaiser pharmacy has been short-changing me on my Truvada refills. My benefit is supposed to be for 100 days at a time for one copay. But they always send me 90 only (3 bottles of 30).
They claim that this is because Truvada is moisture sensitive and will only last 30 days once the container is open, and they do not want to open any bottles. The result has been that I run out of Truvada much before all the other meds.

If I go to the local pharmacy at Kaiser, they will open it and give me 100. It just takes more time to go there and I wish I could get all my meds mail order.

Does anyone else have the same issue with getting Truvada refills mail-order ?

Offline Miss Philicia

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #1 on: November 21, 2011, 02:37:55 AM »
Each bottle contains a packet of moisture-absorbing preservative so yes, it's obviously sensitive to moisture in the form of humidity.
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Offline BM

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #2 on: November 22, 2011, 07:58:30 AM »
Can you get a fourth bottle every third refill so that it works out the same as if you'd been getting the full 100 tabs?

Offline madbrain

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #3 on: November 22, 2011, 03:44:32 PM »
Each bottle contains a packet of moisture-absorbing preservative so yes, it's obviously sensitive to moisture in the form of humidity.

Apparently the local pharmacy stopped opening bottles too, so I only got 90 truvada yesterday, sigh.

Offline madbrain

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #4 on: November 22, 2011, 04:09:06 PM »
Can you get a fourth bottle every third refill so that it works out the same as if you'd been getting the full 100 tabs?

If I have a big fight with the pharmacists I can. But the problem is not so much the money as the annoyance of not being able to get all my meds at the same time. I have 6 other prescriptions for which I can get 100 days at a time, including Isentress. But for the Truvada it has to be refilled every 90.

Offline John2038

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #5 on: November 22, 2011, 04:57:16 PM »
Truvada cost 50$ a bottle in some countries. And most are very nice to visit.
BTW, nice to read u madbrain !

Offline madbrain

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #6 on: November 22, 2011, 05:16:41 PM »
Truvada cost 50$ a bottle in some countries. And most are very nice to visit.
BTW, nice to read u madbrain !

My copay is supposed to be $10 for 100 day supply for brand name. Same whether it's in person or mail order. So we are talking about 3 vs 4 copays per year, or $10 difference, it's negligible.

But the problem is I that can't order all my meds at once. It's especially a problem for the Isentress and Truvada, which must be taken together. It's happened many times that I ran short of Truvada because of this issue, while I still had Isentress left. I never missed a dose of Truvada, but repeatedly I didn't have enough to fill the next week's pillbox.

I suppose the solution is to get 90 day refills for all 7 meds instead of 90 days. But at that point the extra copays do start to add up.


Offline Assurbanipal

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #7 on: November 22, 2011, 09:55:06 PM »
My copay is supposed to be $10 for 100 day supply for brand name. Same whether it's in person or mail order. So we are talking about 3 vs 4 copays per year, or $10 difference, it's negligible.

But the problem is I that can't order all my meds at once. It's especially a problem for the Isentress and Truvada, which must be taken together. It's happened many times that I ran short of Truvada because of this issue, while I still had Isentress left. I never missed a dose of Truvada, but repeatedly I didn't have enough to fill the next week's pillbox.

I suppose the solution is to get 90 day refills for all 7 meds instead of 90 days. But at that point the extra copays do start to add up.



Some mail order programs are moving towards a system where they will automatically refill prescriptions for chronic conditions.  Last year mine was set up as a box you checked on the web site; this year they actively pursue you if you didn't check the box.  Perhaps it might be worthwhile to see if the Kaiser mail order system has a way to automatically reorder.
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline madbrain

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Re: Truvada mail order issue - moisture sensitivity ?
« Reply #8 on: November 23, 2011, 05:13:41 PM »
Assurbanipal,

Some mail order programs are moving towards a system where they will automatically refill prescriptions for chronic conditions.  Last year mine was set up as a box you checked on the web site; this year they actively pursue you if you didn't check the box.  Perhaps it might be worthwhile to see if the Kaiser mail order system has a way to automatically reorder.

I wish. Unfortunately, Kaiser doesn't have any way to do automatic reorder on the kp.org website.

 


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