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Author Topic: Alternatives to the Truvada/Norvir/Prezista combination  (Read 3372 times)

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Offline Rhaegar

  • Member
  • Posts: 102
Alternatives to the Truvada/Norvir/Prezista combination
« on: July 01, 2013, 10:17:03 PM »
I recently started a new job and it seems like my new prescription plan will cost me $250 per medication for a 90-day supply.  So, at three medications I'm looking at $750 x 4 for the year. 

My question is this: What other combinations with only two (or perhaps one) medication would be an alternative for someone with the K103N mutation?

05/19/2011: Diagnosed.  CD4 159   VL 284,000.
04/29/2013:  CD4 789,   VL <20

Offline mikeyb39

  • Member
  • Posts: 980
Re: Alternatives to the Truvada/Norvir/Prezista combination
« Reply #1 on: July 01, 2013, 11:28:47 PM »
hi there,
I can't speak of anything about the meds and mutation info, but did you also sign up for the co-pay assistant program for each of your current medications? 
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD
09/05/2014  cd4-850 , VL-UD
09/05/2014 switched meds isentress, prezcobix -still only two antivirals
10/14/2015  cd4-600 , VL-UD

Offline buginme2

  • Member
  • Posts: 3,426
Re: Alternatives to the Truvada/Norvir/Prezista combination
« Reply #2 on: July 02, 2013, 12:49:29 AM »
You could prob take Stribild.
Don't be fancy, just get dancey

Offline Rhaegar

  • Member
  • Posts: 102
Re: Alternatives to the Truvada/Norvir/Prezista combination
« Reply #3 on: July 02, 2013, 06:06:49 PM »
You could prob take Stribild.

Thank you for your suggestion, I hadn't thought of that for some reason.  I emailed my doctor, so hopefully he and I can have a serious discussion about it.  I can't see a reason not to at least consider it.

Also, thank you to mikeyb39.  I do have copay assistance cards, but I'm being transitioned to a mail-order 90-day supply prescription plan, so I don't know if I'll be able to use those long-term.

05/19/2011: Diagnosed.  CD4 159   VL 284,000.
04/29/2013:  CD4 789,   VL <20

Offline intaglio

  • Member
  • Posts: 245
  • Doesn't have to pay for vowels
Re: Alternatives to the Truvada/Norvir/Prezista combination
« Reply #4 on: July 08, 2013, 08:41:44 AM »
You can use the copay program with the 90-day (mail order) pharmacies. You submit your claims directly to the pharmaceutical companies if the mail-order pharmacy cannot process the copay program claim.

You do have to submit written proof you are required to use the mail-order pharmacy to fill your prescription. You do this by contacting your insurance company and requesting a copy of your benefit coverage that states this requirement.

FWIW, I was told I had to get these three meds through a mail-order pharmacy. When I requested a copy of the verbage in writing that I was required to do so, they couldn't provide it, as it didn't exist. They wanted me to use the mail-order pharmacy. They couldn't require me to use it.

So, ask for written proof you will only be allowed to fill your prescriptions through the mail-order pharmacy. If they cannot provide to you in writing where your coverage stipulates it is your only option, then you should be able to continue to use a local pharmacy to fill these prescriptions.
Reality is frequently inaccurate.

Offline Rhaegar

  • Member
  • Posts: 102
Re: Alternatives to the Truvada/Norvir/Prezista combination
« Reply #5 on: July 10, 2013, 12:51:16 AM »
So, a successful discussion with my doctor.  He agreed that Stribild is a good option for me.  After checking my GFR he gave me the go-ahead to fill the prescription once August 1st rolls around.
05/19/2011: Diagnosed.  CD4 159   VL 284,000.
04/29/2013:  CD4 789,   VL <20


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