Cost of Aromasin (exemestane) w/o insurance
I've been two years on Tamoxifen and now my oncologist is talking about switching me to Aromasin (exemestane). I will have a blood test in two weeks to confirm that I'm officially menopausal. I've been quite happy on Tamoxifen except for the huge weight gain (30 pounds in two years) and hot flashes which I would probably have anyway.
Apart from a different range of side-effects, my most immediate worry about Aromasin is the cost. I don't have prescription drug coverage. The Tamoxifen just costs me $16 for a three-month supply at RiteAid and I know that Aromasin will be a lot more.
Would some of you tell me how much you pay for Aromasin without insurance? I know the generic version has been available for about a year. If it's very costly, has anyone found that the manufacturer will help defray the cost?
Comments
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Hi Mary,
From our main Breastcancer.org site on the Tips to Lower Medicine Costs page:
Pfizer, which makes Aromasin (chemical name: exemestane) and Ellence (chemical name: epirubicin), offers FirstRESOURCE, 1-877-744-5675. Pfizer also sponsors Pfizer Pfriends. Call 1-866-776-3700 for more information.
Hope this helps!
--The Mods
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Thank you mods!
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Arimidex (anastrozole) went generic in 2009 or 2010, and the costs are all over the map -- I pay about $55 for 90 days at Costco, Target wants about $280. Check out Aromasin at Costco!
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Quick note. You do not need to be a Costco member to use their pharmacy. [or any of the clubs, federal law] Costco posts ALL prices on their website so that it is easy to compare. I get most of my RX filled there since they tend to be cheaper than using my prescription insurance for generics.
*susan*
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I checked prices at Costco earlier this week:
Exemestane: $121.35 (30-day) $234.65 (60-day) $344.30 (90-day)
Aromasin $463.05 $919.17 $1,368.34I just called Pfizer First Resource and spoke to someone there. She offered to start the application process over the phone, but I think it might be quicker if I do it online. She said once they have received all the necessary information, they make a decision in 48 hours and they mail out the Aromasin from their pharmacy, which might take another 3-5 days.
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Well it took a while for my oncologist to actually prescribe this. She said I wasn't quite menopausal based on the blood test in March, but after another test two weeks ago, she gave me the go-ahead and signed off on the necessary paperwork for FirstResource at Pfizer. FirstResource called me this afternoon to let me now to expect my first shipment in a couple of days.
Thank you mods for the FirstResource link! Without this, I was going to tell the oncologist that I could't take the drup and would stay on tamoxifen unless she wanted to prescribe one of the other less expensive AIs.
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Sounds like you're set but as an FYI another option are the Rx discount programs. I know AAA (the car company) has one with Walgreens (maybe other drug store too) Lots of random groups offer these plans. I just noticed that my city has one too.
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Thanks Peggy, but I already looked at all the Rx disount program options at local pharmacies -- CVS, Walgreens, RiteAid, etc. Costco was the cheapest at $344.30 for a 90-day supply of exemestane. I just checked prices at Costco and Walgreens using the AAA Rx program to find that a 90-day supply of exemestane would be a whopping $1,018 - that's three times the price of just using Costco's own Rx discount program. The moral of this story is that you should always shop around for the best price.
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Have you and your onc discussed the possibility of being on one of the AIs that has already gone to generic?
Femara is a lot less, I know.
Maybe you could switch to Aromasin when it becomes generic.
That's a lot of money -
The generic version of exemestane has been available for at least a year. I listed the Costco prices in a previous post -- exemestane vs. Aromasin. In any case, I got it free (branded version) from Pfizer under their FirstResource program. I got my first 90-day supply today in the mail. I'm glad to be getting the brand name version.
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My experience with Arimidex was that although it had gone generic, there generally is a leadtime until there are enough new companies out there manufacturing the drugs to get enough of the generic into the system. SO, when I was put on Arimidex, I called around and found:
Brand name, no insurance would be about $620/month; I have good insurance and if only the brand name was available I'd owe about 1/3 (about $210/month) copay. If I could find it's generic (anastrazole?) I'd pay $10/month. However, the drugstores, even if they had the generic had the ability to charge more than when it would become more plentiful.
Calling around I found the mainstream CVS/Rite Aid/Walgreens could not keep enough of the generic on hand. I went to Costco and they would have charged $24/month but the pharmacist came over and said that they were sorry they could take no more orders for that drug. There was a 6 month backlog in ability to get the drug, either the brand or its generic. I lucked out in that a local Walmart seemed to get in a huge supply and now it seems that the generic is available many more places. So, I now can receive generic Arimidex for $10/month - huge difference btwn it and the cost of the brand name (either with or w/o insurance)!
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financegirl: I didn't realize that it took a while for the generics to come down in price—I suppose it's all about supply and demand.
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MaryNY - You hit the nail on the head - a drug going generic means nothing if there's not enough of it out in the system. Yep, all about supply and demand. I never experienced this until I was put on Arimidex - prior to that most drugs I took were already generic and had been for some time. But most other drugs I was on didn't have the implications or importance to me that Arimidex holds so maybe it's always been like this and I never noticed!
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Arimidex for those w/out INS . $40 month
http://www.arimidex.com/arimidex-direct.aspx
Hope this helps someone !
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It has been a while since this thread has been updated. My mom will be starting Aromasin (chemical name: exemestane) soon after she takes a break from chemotherapy. Since Letrozole failed on her last year, that's why Exemestane will be the next drug that she will be using.
We were told that each pill is about 7.38 USD (I'm converting this to USD so that it's easier to relate).
One month supply will be easily 7.38 x 30 = $221.40.
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letrozole was misery. Arimidex too similar so not going to bother. This one is chemically different enough that I may not be crippled on it. It's a shame that the price is so high for us on fixed income. Medicare doesn't cover it.
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Wow that is pricey. Tamoxifen only cost me $4.00 a month with insurance.
Diane
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