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  • phosporous binders generic drugs

    http://blogs.davita.com/kidney-diet-tips/?p=175

    I found this web page can the doctors in the center where i dialyse prescribe it or can i ask a pharmasist to change it for that with my current prescription 400 usd for my phosporous binders is to much for my cash plan?

  • #2
    I've been battling the same problem. Most binders made me vomit so I ended up on Renvella. The first time it was filled 90 packets of powder cost $37.50, the second 425, the third was $495.00, and I applied for assistance and it's now free. I couldn't find a generic for Renvella and it was the only binder that helped but 90 packages wasn't enough. I needed at least 150 packets a month or close to a $1,000.00 a month. Frankly, I don't understand any of this and why the prices keep changing. Even talking to my insurance agency,
    davita's dietetians, welfare workers able to clear things up.

    Comment


    • #3
      I had/have similar issues with Renvella.
      My research showed the following:
      1. Renvella is made by Sanofi.
      2. "Renvella" (brand) went 'off patent' around Sept. 2014.
      3. The generic is Sevelamer Carbonate.
      4. Around Oct, 2014, I had an Rx refill with the generic, 800mg oval ltablets with "E3" imprint (cheaper, same form factor ).
      5. In early 2015, a subsequent refill could NOT be filled with generic.
      6. Rx provider said that generic has not been available since Nov.2014, and I had to accept the much more expensive brand Renvella.
      -----------------------------------
      7. update:AM 5/20/2015
      FROM:
      http://ihatedialysis.com/forum/index.php?topic=31160.0

      Re: Generic Renvela
      « Reply #11 on: June 17, 2014, 09:20:17 PM »
      My hubby just talked to his Neph last week about the generic,
      and the Dr said there was a problem with the drug release
      and it won't be out until early next year, it was reported.
      Apparently it was pulled by the FDA
      because they put a different ingredient in it, according to his Neph.
      We did get a Formulary update a few months ago,
      from our part D stating the generic would be added in April,
      so I called them and asked what was up.?
      They told me it was not released yet.
      My hubby needs 300 Renvela for 30 days,
      his last RX was over 1200 dollars for 1 month!!
      He says he isn't going to take them any more, too much $$$
      and they don't work well. His last phospherous was 6.9!!
      So. for this month we have them, don't know what will happen when they are gone.
      Besides the 10 renvela,
      he also takes 3 generic Phoslo a day at 67 dollars a month.
      He is very strict with his diet ,too. Why are binders so darn expensive ??
      They have been around a long time and lots of people use them.
      --------------------------------------------------------------------------------------------

      Another phosphate binder is PhosLo, (as Calcium Acetate, generic, cheap), but this can cause excess calcium buildup / arterial plaque.
      A new phosphate binder drug, Feric Citrate, is just coming / due on the market.

      http://www.drugs.com/newdrugs/keryx-...emia-4080.html
      Last edited by DaveMik; 05-20-2015, 07:36 AM. Reason: Deletet erroneous info; add additional info

      Comment


      • #4
        ----------------------------
        UPDATE, 05-23-15:
        Medicare has not yet started this billing "bundling" of oral medications with
        dialysis charges for in-center hemodialysis patients.
        -----------------------------
        [I recently discovered that if you have ESRD, and are on Dialysis,
        you are eligible for Medicare Part B coverage REGARDLESS OF AGE.]

        Here is a POSSIBLE solution to the Renvella cost issue,
        If you have Mwdicare Part B (and a decent supplement/medigap addition).

        2. Dialysis is covered/reimbursed under Medicare Part B, AND
        2. As of 2014, all ESRD-related oral medications
        that you now receive from your pharmacy will/can be included
        in a "bundled" Dialysis bill to Medicare
        >>>> (this includes phosphorus binders and calcimimetics). <<<<;
        THEREFORE
        A. Have your Dialyis-related meds prescribed by your DaVita nephrologist, AND
        B. Have you Dialysis center include the ESRD-related meds costs
        in the bill to Medicare (probably need to use "DaVita Rx").
        C. Your "standard" Medicare Part B coverage will cover 80% of the TOTAL cost,
        and yout "decent" supplement/Medigap plan
        will pick up all or part of the remaining 20%.
        [STRONGLY suggest talking to your DaVita social worker to verify.]

        [I have not tried/implemented this strategy [yet],
        but deduced this strategy from the following links.)

        Below Link From:
        http://http://forums.davita.com/show...-with-DavitaRx

        http://http://www.esrdnet5.org/Files...-brochure.aspx

        Dialysis Patients’ Guide to the Medicare ESRD Bundle
        Last edited by DaveMik; 05-23-2015, 06:07 AM. Reason: Medicare policy update

        Comment


        • #5
          please check your links, they don't seem to be valid

          Comment


          • #6
            Why are you people paying lots of money for phosphorus binders? The best phosphorus binder (in my opinion) is calcium carbonate and it is dirt cheap. Most anti-acids use calcium carbonate to neutralize stomach acid, phosphorus is an acidic oxide, which means when phosphorus mixes with water it produces phosphoric acid. Calcium carbonate is a base and neutralizes phosphoric acid in your gastrointestinal tract. Oscal is a phosphorus binder and is rather inexpensive at Walmart. Always take phosphorus binders when you eat or else they won't work. I used to buy Renalgel and Revella and found out the generic phosphorus binders work just as well, in my opinion and I have the lab numbers to prove that they do in fact work.

            Comment


            • #7
              Originally posted by DaveMik View Post
              ----------------------------
              UPDATE, 05-23-15:
              Medicare has not yet started this billing "bundling" of oral medications with
              dialysis charges for in-center hemodialysis patients.
              -----------------------------
              [I recently discovered that if you have ESRD, and are on Dialysis,
              you are eligible for Medicare Part B coverage REGARDLESS OF AGE.]

              Here is a POSSIBLE solution to the Renvella cost issue,
              If you have Mwdicare Part B (and a decent supplement/medigap addition).

              2. Dialysis is covered/reimbursed under Medicare Part B, AND
              2. As of 2014, all ESRD-related oral medications
              that you now receive from your pharmacy will/can be included
              in a "bundled" Dialysis bill to Medicare
              >>>> (this includes phosphorus binders and calcimimetics). <<<<;
              THEREFORE
              A. Have your Dialyis-related meds prescribed by your DaVita nephrologist, AND
              B. Have you Dialysis center include the ESRD-related meds costs
              in the bill to Medicare (probably need to use "DaVita Rx").
              C. Your "standard" Medicare Part B coverage will cover 80% of the TOTAL cost,
              and yout "decent" supplement/Medigap plan
              will pick up all or part of the remaining 20%.
              [STRONGLY suggest talking to your DaVita social worker to verify.]

              [I have not tried/implemented this strategy [yet],
              but deduced this strategy from the following links.)

              Below Link From:
              http://http://forums.davita.com/show...-with-DavitaRx

              http://http://www.esrdnet5.org/Files...-brochure.aspx

              Dialysis Patients’ Guide to the Medicare ESRD Bundle
              I think a better solution is to find and use a cheaper phosphorus binder such as Os Cal. Works as good as prescription meds, in my opinion, and my lab numbers seem to bear this out also. My phosphorus is always in range and I don't have to spend a lot of money for what is basically an anti-acid.

              Comment


              • #8
                My PD nurse advised me to take Tums (Calcium Carbonate). I take 3 pills a day, one with lunch and dinner, and one at night before bedtime without food.

                2 purposes: help with Calcium when combined with Vit D (already was taking w/o Tums, and phos binder.

                Have also been taking Sodium Bicarbonate for acidocis. Will be reviewing with neph with upcoming lab work now that I'm on PD.

                Comment


                • #9
                  What about Fosrenol replacement or obtaining it from Europe ?

                  Comment


                  • #10
                    I thought we were the only ones having issues with binders. My mom has Medicare and Supplemental Insurance and many binders are not covered. My mom was taking Tums for a couple of months but our doctor did not want her to stay with this as a binder. Not only was her calcium going up but her phosphorus numbers were not coming down much. We were given samples of different binders and this would help a little but also cause stomach upsets and nausea with some constipation. At one point, a binder prescribed by our doctor was going to cost over $2,000 for a 90 day supply! I'm glad the pharmacy called and gave us a heads up on the price. I did a lot of research and found Phoslo to be cheaper and covered by our insurance. 30 day supply at Rite Aid Pharmacy came out to about $29.00!! My mom has been on Phoslo for about 2 weeks now (2 pills per meal) without stomach upsets or nausea. Her next appointment is the first week of next month. I hope this Phoslo help with her phosphorus number!

                    Comment


                    • #11
                      Was the other binder Fosrenal by any chance??

                      Comment

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