Perjeta (pertuzamub) availibilty

[dchips1]

My pharmacy company Accredo/Medco, has the Perjeta in house when I called today, I asked what it costs without the insurance she did not have a price. I pay 50.00 for 3 months of tykerb or herceptin, she said my copay would be 85.00 for 3 months. I asked if she needed preauthorization
(they have the other 2 Her2 drugs on my profile) she said all she needs is a RX from my Oncologist. I forgot to call Onc manager regarding the clinics timing of getting the drug. (If I get Herceptin from Accredo it saves my insurance company about 700 a week. So I would like to also get Perjeta from them as well. the mail order company is so big, I would think supply issues would not be an issue.

So if FDA/prescribing info says it is for people who never got herceptin or tykerb, does that mean if DR orders it "off label" do we get to use Perjeta??

Hope and prayers

Darita

[Vicki revised]

Sure, it can be prescribed but it's up to insurance if they will pay for it given the conditional approval by the FDA. Anyone who has already received any treatment for mets is not included at this time. I hope those whose insurance covers it will post and let us know. That will assist us finding a way to work around the system.

[Lani]

dchips 1

are you aware from the drug information label of herceptin that it must be kept within a 10 degree range or it loses its effectiveness?

Do you receive it by mail in ice? How are you sure it never went outside of that critical range of temperature? How do you get it to the doctors ( or do medco deliver it to the oncologists' office?

[dchips1]

the last several years I get my Herceptin from Accredo. they ship express in a cooler box type thing straight to the Oncologist office. It is about a week process from the time I order to the time they arrange shipping to receiving at Dr office. They will only air freight from Las Vegas to Phoenix and only ship when they know the doctors office is open to receive it.
I never really thought about it, the Pharm guys always call me when the shipment is received. How do DR offices get their onco drugs?

Thank you for all these years for your research and postings and answering questions.

Darita

[Sheila]

I found out the cost of Pertuzamab in Chicago today...it is priced by the vial, and the hospital charges $14,000+ per vial...of course the dose is by kg weight of the patient, and therefore most over 138# will require 2 vials or a cost (BEFORE ADMINISTRATION FEES) of $28,000.00 every 3 weeks. It must be given as a solo agent the first time, and if no reactions occur, it can be given with Herceptin.

[schoolteacher]

Thanks for the information, Shelia. Hopefully, he will let me take the medicine next week. I only weigh 128, so I will only need one vial.

Amelia