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Old 07-05-2007, 09:31 PM   #1
Connie Jean
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Tykerb for Stage IIIc?

My onc told me this week that he would recommend Tykerb for me now, in place of the Herceptin I have been on for the past 18 months. My onc says it inhibits the crosstalk between HER1 and Her2. But my insurance will not cover it and it is $9000/month. He will keep me on Herceptin until the end of this year and then decide what to do. Are any of you Stage IIIers on Tykerb?
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Old 07-06-2007, 05:39 AM   #2
saleboat
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Hi-- I haven't been offered Tykerb. I know there are others who are Stage III who have been pursuing this with their Oncs. Me, I'm crossing my fingers and hoping that I'll never need it.

Good luck.

Jen
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Old 07-06-2007, 06:53 AM   #3
Rupali
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Hi Connie,
I am stage 3 and I have been pursuing with my onc for Tykerb. FInally I got a prescription from the onc. The insurance denied it and the cost os going to run at 3100 USD per month.
My plan is to go for 6 months of Tykerb and 3 monthly dose of Herceptin as there is pre clinical data that shows Herceptin and Tykerb together have synergistic effect.
I know another member on this board could get it approved by insurance when the onc wrote a letter of neccisity.

Rupali
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Old 07-06-2007, 02:13 PM   #4
Connie Jean
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Hi Rupal,
Thanks for your reply. It gives me some encouragement. I have written GSK and they have no options for me. I plan on calling them also.
What is the preclinical data you are referring to? My onc said he would not give it at the same time with Herceptin.
Are you on it now paying out of pocket? What area of the country do you live in? I'm interested in why I was quoted the $9000 figure and you were given $3100.

Connie
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Old 07-06-2007, 02:40 PM   #5
Rupali
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Hi Connie,
I have still not started Tykerb. I got the 3100 price tag when I had caled GSK around 2 months back. ALso on this site some ladies had quoted similar prices.
9000 is too high and there is some confusion. Is that the price for 3 months of Tykerb?
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Old 07-06-2007, 08:55 PM   #6
Connie Jean
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Hi Rupali,

My oncologist quoted my the $9000 as price per month. I emailed GSK, and they replied saying they couldn't help me. I will call them next week.

Connie
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Old 07-09-2007, 08:56 AM   #7
Rupali
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Hi Connie,
I just got a call from Tykerb cares and they confirmed the price is USD 3100 per month and no Patient Assistance Programme is availble for STage 3's and most insurances will deny it.
So you will have to pay it out of pocket.
Regards,
Rupali
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Old 07-10-2007, 02:08 PM   #8
Rupali
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Hi Connie,
Tykerb cares called me today that the maximum price of one month supply of Tykerb cannot be more than USD 3625 and lowst USD 2900
SO you need to check why your onc said 9000
Regards,
Rupali
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Old 07-10-2007, 09:59 PM   #9
Connie Jean
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Hi Rupali,
I'm definitely checking with my oncologist about the discrepancy in numbers. I also will followup with Tykerb cares. Thanks SO MUCH for your help and information. My husband and I think $3000 a month sounds like a bargain compared to the $9000 number. Neither of which are we able to pay. I still want to know if there are any stage IIIers on Tykerb now, even with having to pay out-of-pocket.
Connie
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Old 07-12-2007, 07:54 PM   #10
jojo
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Reply to Connie's post

Ask Michele U, from this message board, about getting some 800 phone numbers. Some organizations would be willing to help some patients with their fiances on purchasing Tykerb. Best luck to you!
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1st Dx: May '03 at age 35
Stage 3b
6cm IDC tumor
17/18 + nodes
Neoadjuvant: 4x A/C dose dense; 12x weekly Taxol & weekly Herceptin
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Old 07-12-2007, 10:06 PM   #11
chrisy
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Following on Jojo's post, MicheleU is stage III and is/was on Tykerb.
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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