Cost of Xtandi (enzalutamide)
Diagnosed in 2000 at age 61. PSA 5.6. Radical retropubic prostatectomy. Detectable PSA 18 months post surgery. Salvage radiation 2003. PSA has continued to rise almost continuously to current level – 197.8. Have been on Lupron + Casodex for a while, then Lupron + Nilandron (nilutamide), then Lupron only since 2012. “Mass” in retropertineum first detected in 2012. Has continued to enlarge slowly until its present size of 3.8cm x 5.1 cm. Biopsy March 11, 2016, confirmed the “mass” is PCa. Doctor at Memorial Sloan-Kettering Cancer Center recommends beginning Xtandi. Other than the PCa my health is very good. The only way I know I have PCa is the rising PSA and “mass” revealed by CT.
I am on Medicare plus BC/BS supplemental. I know that Xtandi is very expensive. My question is what is the experience of members of this group in regard to insurance paying for Xtandi?