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Old 09-24-2007, 08:36 PM   #1
SuePer
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I found out today that this injection costs 6,000 per shot, holly crap, I have to have 7 sessions of chemo so that is 42,000 in Neulasta. Pharmacare will be contacting my insurance to see how much they will cover. Has any one else had trouble with getting this drug covered???

Sue
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Old 09-24-2007, 09:15 PM   #2
BonnieR
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SuePer, I don't exactly know the cost of the injection, nor do I want to unless it gets denied! (I have noticed that my hospital has accepted less $ in payment from the insurance company than they charge initially for various proceedures in the past), But I did not receive Nulesta every time I got chemo. Just on the most recent (third) round because my white count was low. They will draw blood prior to your treatment. If if is TOO low, chemo could be delayed. OR, if you dont get the Nulesta to boost the count, you could end up ill due to a compromised immune system and that would be a different additional expense and worry. So it is always a balancing act.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 09-25-2007, 03:59 AM   #3
Mary Jo
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Good Morning,

My Neulasta shot cost 3500.00. I received this shot every other week for a total of 8 injections. Thankfully, our insurance paid the entire amount.

Thank God for insurance,

Mary Jo
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Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

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Old 09-25-2007, 04:41 AM   #4
ita
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Location: Wellington, FL
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Hi Ladies,

I have not heard of anyone having trouble getting their Neulasta covered 100% by ins. I visit different support groups and not a complaint. It's probably considered "standard and customary" as the ins. people put it. Let us know how it works out.

Thanks,
Gricel
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Old 09-25-2007, 08:41 AM   #5
Mary Anne in TX
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I had Neulasta for, I think 16 treatments, and never had it rejected by my insurance company. They are not paying my herceptin now, but I'm going to fight it! I don't think you will have a problem. It is sky high, but it kept my counts good so that I could stay on treatment. Best wishes.
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Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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