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Old 08-12-2010, 06:03 PM   #1
pie
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cost of herceptin

In reading about herceptin on the internet, I have come across articles giving the high cost of herceptin treatment. Does the insurance company pay the cost? Is the patient responsible for some of the cost? What does this treatment cost?
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Old 08-12-2010, 07:16 PM   #2
candlegranny
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Re: cost of herceptin

jsut got a bill from my oncologist office. my herceptin was $8598.00 my insurance covers it. usually insurance companys have a Maximum Allowable Charge (MAC) the doctor agrees to take the MAC and they write off the rest. you dont have to pay that difference. That is how my federal blue cross and blue shield works anyway. You can call customer service and ask them directly. they will answer all your questions according to your plan and policy.
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Mammogram Sep 21, 2009 everything good and clear
DX jan 19,2010 Invasive Ductal Carcinoma, Grade 2 Age 56
modified radical masectomy on LEFT side 29 Jan 2010
2.7 cm 18/31 nodes
mets to just above collar bone ( 2 nodes showed in PET)
ER- PR - / Her2 +++ (IHC) Stage 111 C
ki-67 60% nottingham score 7
A/C chemo mar 22,2010 DD
herceptin & taxotere DD june 1,2010
finished taxotere july 12, 2010
finished herceptin 16 May 2011
PET Scan 9 Aug 10, cancer in neck is gone! NED
33 Rads completed 1 Oct 2010
PET/CT Scan 6 Jan 2011 NED
PET/CT Scan 3 Aug 2011
MUGA 59% 3/22/10 -63% 9/23/10 - 51% 1/4/11 - 55% 2/17/11 - 50% 8/3/11
26 Aug 2011 NED
20 Feb 2012 NED
5 Mar 2012 PORT OUT
12 July 2012 DIEP breast reconstruction
23 Aug 2012 NED
15 Nov 2012 new breast tweeked and natural breast uplifted and implant added
17 Feb 2013 NED
27 mar 2013 lipo suction to add fat cells to new breast in hopes for needed adjustment.


"Don't spend your time worrying about when or how you are going to die, spend your time figuring out how you are going to live today". ~Elizabeth Edwards.
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Old 08-12-2010, 09:36 PM   #3
MaryAn
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Re: cost of herceptin

I've had so many procedures and meds that I have reached all of my deductables so I'm coasting til Sept. 1st. Kind of sucks that I had to get to this stage.

Level 2 Hec2+ IDBC
had biopsy, lumpectomy, mastectomy, 2 our of 6 rounds of chemo. Will be getting a shot to increase WBC counts since they were kind of low.

Mine started with a pain in my breast, which everyone tht I talked to KNEW it wasn't cancer, I knew better. We all know better don't we. Glad I found this site. And glad that there is Hecepting. Saw the Living Proof movie. It was pretty powerful.

Mary Ann
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Old 08-20-2010, 06:06 PM   #4
msleslie
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Re: cost of herceptin

@candlegranny - was the $8598 per infusion treatment or total cost for what duration of time? I just had my first chemo dose yesterday and I am curious about the cost involved. Thanks
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6/14/2010 - Self discovered Lump; Age 39
6/24/2010 - Biopsy results confirm breast cancer
Right breast, invasive ductal adenocarcinoma
HER2neu positive, BRAC I & II negative
7/8/2010 - Lumpectomy right breast, sentinel lymph node biopsy, & port-a-cath installed on left
Stage II, Size 3.2cm, Clear Nodes, Clear Margins
8/19/2010 - Chemo begins - Taxotere, Carboplatin, Herceptin & Tykerb all simulanteously; ALTTO trial arm 4
9/9/2010 - Chemo dose #2
9/30/2010 - Chemo dose#3
10/21/2010 - Chemo dose#4
11/11/2010 - Chemo dose#5
12/02/1010 - Chemo dose #6 - WooHoo, it is complete!
12/14/2010 - Simulation & Planning session for radiation
02/18/2011 - Completed radiation treatment (33 rounds)
08/04/2011 - Completed Herceptin & Tykerb
09/30/2013 - ultrasound guided biopsy (following annual MRI)
10/1/2013 - new cancer in left breast. 6mm discovered via MRI
10/28/2013 - bilateral mastectomy - no reconstruction
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Old 08-21-2010, 11:22 AM   #5
ElaineM
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Wink Re: cost of herceptin

See my post about the Herceptin drug assistance program in the Breast Cancer News section. I posted a link to information about that. Anyone needing assistance to pay for Herceptin can apply through the drug company's assistance program.
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Old 08-22-2010, 03:20 AM   #6
pibikay
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Re: cost of herceptin

Here in Chennai , India one course of Herceptin 450mg costs Rs115000/-(US$2500app) + Oncs fees, hospital charges
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huband of Hema
Metstatic Breast Cancer Stage 4
Left breast cauliflower 25x20cm
ossousmetstatis in vertbrae secondaries L4=L5secondary
nodules in both liver lobes secondary
Diagnosed 10th March 2010
ER/PR-ve
Her 2 neu +++
Taxotrne Zylotec started 16th March
Herceptin added 5th April.9th Herceptin over on 20th Sep '10.Started on Tykerb and Xeloda on 22nd Oct2010TYKERB 4 TAB A DAY XELODA 4 TAB A DAY ONE WEEK ON ONE WEEK OFFZoletrust infusion every 4 months.Lesion in Brain 3D CRT Radiation started on 1st Feb'12 for 20 days ,5 days a week for 4 weeks.Devloped a small lump in breast.Xeloda stopped from 11th April '12.On Taxol.After 3 cycles of Taxol Taxol stopped.Back to Xeloda regime from 3rd July
Herceptin started again on 27th Dec 2012.Xeloda stopped Navelbin added on 7th February 2013.Now on Tykerb Herceptin and Navelbin
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Old 08-22-2010, 04:14 PM   #7
candlegranny
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Re: cost of herceptin

msleslie that was for the herceptin only. there was a charge for the saline and the office and the room. it lasts only 30 minutes for herceptin.. but they draw blood first and give me the fluids so i am there for an hour.
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Mammogram Sep 21, 2009 everything good and clear
DX jan 19,2010 Invasive Ductal Carcinoma, Grade 2 Age 56
modified radical masectomy on LEFT side 29 Jan 2010
2.7 cm 18/31 nodes
mets to just above collar bone ( 2 nodes showed in PET)
ER- PR - / Her2 +++ (IHC) Stage 111 C
ki-67 60% nottingham score 7
A/C chemo mar 22,2010 DD
herceptin & taxotere DD june 1,2010
finished taxotere july 12, 2010
finished herceptin 16 May 2011
PET Scan 9 Aug 10, cancer in neck is gone! NED
33 Rads completed 1 Oct 2010
PET/CT Scan 6 Jan 2011 NED
PET/CT Scan 3 Aug 2011
MUGA 59% 3/22/10 -63% 9/23/10 - 51% 1/4/11 - 55% 2/17/11 - 50% 8/3/11
26 Aug 2011 NED
20 Feb 2012 NED
5 Mar 2012 PORT OUT
12 July 2012 DIEP breast reconstruction
23 Aug 2012 NED
15 Nov 2012 new breast tweeked and natural breast uplifted and implant added
17 Feb 2013 NED
27 mar 2013 lipo suction to add fat cells to new breast in hopes for needed adjustment.


"Don't spend your time worrying about when or how you are going to die, spend your time figuring out how you are going to live today". ~Elizabeth Edwards.
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Old 07-25-2011, 01:46 PM   #8
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Re: cost of herceptin

Mr.Pbk,
how is your wife after all the therapy with herceptin??did it improve her condition quite dramatically as it states in the search manuals.
we are not very sure of the therapy and would be very happy if you please reply.
regards,
spr.
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Old 07-31-2011, 01:45 AM   #9
pibikay
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Re: cost of herceptin

Hema is much improved now.9 courses of herceptin.Then on Tykerb & Xeloda.Tykerb & Xeloda not covered by insurance as no hospitalisationis there.In our case the Therapy is effective
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huband of Hema
Metstatic Breast Cancer Stage 4
Left breast cauliflower 25x20cm
ossousmetstatis in vertbrae secondaries L4=L5secondary
nodules in both liver lobes secondary
Diagnosed 10th March 2010
ER/PR-ve
Her 2 neu +++
Taxotrne Zylotec started 16th March
Herceptin added 5th April.9th Herceptin over on 20th Sep '10.Started on Tykerb and Xeloda on 22nd Oct2010TYKERB 4 TAB A DAY XELODA 4 TAB A DAY ONE WEEK ON ONE WEEK OFFZoletrust infusion every 4 months.Lesion in Brain 3D CRT Radiation started on 1st Feb'12 for 20 days ,5 days a week for 4 weeks.Devloped a small lump in breast.Xeloda stopped from 11th April '12.On Taxol.After 3 cycles of Taxol Taxol stopped.Back to Xeloda regime from 3rd July
Herceptin started again on 27th Dec 2012.Xeloda stopped Navelbin added on 7th February 2013.Now on Tykerb Herceptin and Navelbin
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Old 07-31-2011, 04:10 AM   #10
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Re: cost of herceptin

Way back a few years I did a cost of Herceptin thread as it seemed mine was the highest price in Chicago. Lots of members emailed be their dose, whether it was weekly or every 3 weeks and the charge for the drug alone. Armed with that, and after going to another hospital 1x to get Herceptin, I contacted the hospital, and Genetech to get and explanation for the high charges. When they refused to do anything, I filed a case with the Illinois attorney general......the hospital agreed to drop the price and back track 2 years and credit insurance and individuals. Come to think of it, the price has been slowly creeping back up....I just looked and my every 3 week dose of 460mg was 18900.00......might be time to contact someone again. I have PPO insurance, and they pay half, which is accepted by the hospital. I pay nothing....but many DO have to pay out of pocket...it is amazing what the different areas charge for the same drugs.
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Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
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Old 07-31-2011, 04:47 AM   #11
Paula O
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Re: cost of herceptin

The cost of our cancer treatment is mind boggling. There are a lot of people making some mighty big profits.

Paula
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Old 08-01-2011, 01:16 PM   #12
ArmyMomLisa
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Re: cost of herceptin

Yes, they are spendy. (I did the numbers on JUST the drugs...including TCH plus the Neulasta shot and total treatment came to over 273K) But when gobsmacked by such numbers, I try to remember to be thankful for insurance, and for all the research those dollars (hopefully!) represent.

Hubby's first reaction when I told him the amount was "Wow, we could've had a house!" then "but I'd rather have YOU!" :-) It's worth it. (Or that's what I say to myself in the wee hours if tempted to stress about money. Those deductibles add up too!)

I have heard of some people who skip the Neulasta shots. Mine were 8,500 each, so can see the benefit, if you and your dr. agree that your health isn't compromised by not taking it. Anyone else skip that portion of the treatment because of cost??
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11/17/10 diagnosed (at age 44) after mammogram w/ 3 cm, Stage 1,Grade 3 IDC in left breast Er/Pr+, Her2+, BRCA neg.
12/14/10 lumpectomy
12/17/10 path report results show tumor larger than originally thought from MRI,
1/3/11 Bilateral mastectomy w/ immediate reconstruction (expanders - began fills 4 weeks after surg.)
2/16/11 Began 6 rounds of Taxotere/Carboplatin/Herceptin every 3 weeks
2/18/11 to hospital w/ kidney stone! (Dr. believes from 'shock to my body' of chemo.)
6/2/11 last chemo! Continue Herceptin every 3 weeks til 2/12
6/22/11 Started Tamoxifen
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Old 08-08-2011, 12:40 AM   #13
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Re: cost of herceptin

Here in France (totally paid for by the universal health coverage) cost is: 2200 euro per treatment every 3 weeks, that includes, hospital chair, nurse, etc but the blood test is extra (also covered) and I'm not sure of its cost - maybe 100 euro? for complete blood count, organ function, CA count, etc.
Love the system here it is soooooo humane and friendly and caring and no hassles with insurance companies. I didn't come here for the medical treatment but I'm very grateful here is where I happened to get sick again.
An Englishman just collapsed in Antibes, rushed to the hospital, they found he had throat cancer and immediately operated, gave him chemo and radiation and the French system picked up the bill - he has no coverage or rights in England (he left there over 10 years ago to work on boats around the world) but he fell ill here so their belief is, we take care of people in our country. Amazing, now he's on his way to recovery and about to start working again. Guess where it plans on living and paying taxes!
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Old 02-08-2012, 01:45 AM   #14
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Re: cost of herceptin

What's the best place in india to go for Herceptine..My mom had gone breast cancer stage3. Taken 3 chemo FEC ...Now planning for Herceptine..Please suggest the type of herceptine and cost ?
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Old 02-08-2012, 04:27 AM   #15
pibikay
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Re: cost of herceptin

Hema is having her treatmen in Apollo Specialities Hospital Chennai.The hospital pharmacy supplies Herceptin. It cost in 2010 Rs 116000/-app.All the best to your mom
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huband of Hema
Metstatic Breast Cancer Stage 4
Left breast cauliflower 25x20cm
ossousmetstatis in vertbrae secondaries L4=L5secondary
nodules in both liver lobes secondary
Diagnosed 10th March 2010
ER/PR-ve
Her 2 neu +++
Taxotrne Zylotec started 16th March
Herceptin added 5th April.9th Herceptin over on 20th Sep '10.Started on Tykerb and Xeloda on 22nd Oct2010TYKERB 4 TAB A DAY XELODA 4 TAB A DAY ONE WEEK ON ONE WEEK OFFZoletrust infusion every 4 months.Lesion in Brain 3D CRT Radiation started on 1st Feb'12 for 20 days ,5 days a week for 4 weeks.Devloped a small lump in breast.Xeloda stopped from 11th April '12.On Taxol.After 3 cycles of Taxol Taxol stopped.Back to Xeloda regime from 3rd July
Herceptin started again on 27th Dec 2012.Xeloda stopped Navelbin added on 7th February 2013.Now on Tykerb Herceptin and Navelbin
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Old 02-19-2012, 07:00 AM   #16
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Re: cost of herceptin

My Wife poonam 40 years is suffering from Breast cancer her Chemo and radiotheropy is completed but Herceptin is going on total 9 cources of herceptin is suggested by the doctor so 6 cources is still pending i am purchasing Herceptin thru Rosh company Delhi and its cost is 95000/ - for 440 MG

Sunil Sharma
+91-7830804008
Meerut India
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Old 05-29-2012, 05:34 AM   #17
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Re: cost of herceptin

I'm from Egypt and the price here is about $3000 for the 440 mg
Sharma, I'm thinking of buying it from Roche India if the price is 95000 (which is about $1800). Do you think it will be easy?
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Old 05-29-2012, 05:42 AM   #18
chrislmelb
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Re: cost of herceptin

Here in Australia I pay nothing for the Herceptin and i am very gratefully. Thank god for Medicare and the Australian health system.
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DX Sept 03 age 40 Stage 2B Grade 3 mastectomy (after 2 prior breast conserving surgeries)
"at least" 2.3 cm 3/12 nodes ER+/PR+ Her2+++
8 FEC. Tamoxifen then Arimidex. Ovaries out.
"late" Herceptin for 2 years (18months after chemo) on HERA trial. finished Herceptin Nov 2007.
Multiple bone mets May 2012 and now liver August 2012.
Abraxne, Herceptin and Zometa.
June 2013 Tykerb, Xeloda and Xgeva
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Old 05-29-2012, 05:58 AM   #19
pibikay
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Re: cost of herceptin

Best of luck mother
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PBK
huband of Hema
Metstatic Breast Cancer Stage 4
Left breast cauliflower 25x20cm
ossousmetstatis in vertbrae secondaries L4=L5secondary
nodules in both liver lobes secondary
Diagnosed 10th March 2010
ER/PR-ve
Her 2 neu +++
Taxotrne Zylotec started 16th March
Herceptin added 5th April.9th Herceptin over on 20th Sep '10.Started on Tykerb and Xeloda on 22nd Oct2010TYKERB 4 TAB A DAY XELODA 4 TAB A DAY ONE WEEK ON ONE WEEK OFFZoletrust infusion every 4 months.Lesion in Brain 3D CRT Radiation started on 1st Feb'12 for 20 days ,5 days a week for 4 weeks.Devloped a small lump in breast.Xeloda stopped from 11th April '12.On Taxol.After 3 cycles of Taxol Taxol stopped.Back to Xeloda regime from 3rd July
Herceptin started again on 27th Dec 2012.Xeloda stopped Navelbin added on 7th February 2013.Now on Tykerb Herceptin and Navelbin
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Old 05-29-2012, 06:32 AM   #20
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Re: cost of herceptin

Herceptin goes to the hospitals at $2500 for a 440 mg vial. That might seem high, but knowing what goes into the manufacturing of the drug (and the research to get it to market) is not out of line. The med center here charges $1810 for 80 mg, or almost four times what they buy it for. I am not sure how to get it OTC and how to confirm it is stored correctly the whole time. Most insurance companies in the US have a set deductible and once that is reached everything else is pretty well paid. As mentioned, Genentech/Roche will asist with drug payment if you make less than $100,000 per year and do not have insurance. Good luck to all.
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