Xtandi Availability at Reasonable Cost - Advanced Prostate...

Advanced Prostate Cancer

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Xtandi Availability at Reasonable Cost

MMK-XFuture profile image
7 Replies

Saw this article from 4/28/2016, "Biolyse Pharma offers to supply enzalutamide (Xtandi) for $3 per pill to Medicare and developing countries

" - does anyone know if Xtandi can be had for $3 per pill or less in Canada or anywhere else?

Background - March 2018 - had bilateral orchiectomy, then 45 sessions of IGRT, taking Bicadex daily, PSA went down to 0.4, then February 2019 PSA went up to 27, July 30 PSA was up to 100. Urologist advised to continue Bicadex, take Caltrate plus, Alendronic Acid and Xtandi. Shocked to hear about Xtandi cost. I'm a retired detective from a developing country and my pension wouldn't even cover half the Xtandi cost. I'm guessing I'll just have to wait for my time if I can't find a more affordable Xtandi source or substitute.

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7 Replies
RyderLake2 profile image
RyderLake2

Hello,

You won't get it for $3.00 a pill in Canada. At least not in the province I live in. When I started Xtandi (enzalutamide) in September 2017 I asked the pharmacist what was the cost per pill. Initially he wasn't going to tell me but after a little prodding he said $40.00 a pill. Four pills a day = $160.00 x 365 days = $58,400 CDN a year. Medical health is a provincial responsibility so this amount may vary from province to province. In our province Xtandi is covered by the Cancer Agency and MSP (Medical Services Plan). Hope that helps!

MMK-XFuture profile image
MMK-XFuture in reply to RyderLake2

Thanks for the quick reply. That's much better than US$1K per.

whatsinaname profile image
whatsinaname

In Bombay, the generic version is available at approx INR 50,000/- per month (120 tablets).

That would work out to approx US$ 6/- per pill.

MMK-XFuture profile image
MMK-XFuture in reply to whatsinaname

Thanks for the quick reply. However can we trust that the Bombay source has the same potency as Xtandi?

whatsinaname profile image
whatsinaname in reply to MMK-XFuture

If one were to ask the oncologists in Bombay, they would say YES.

There is one way to figure this out. Does it work on at least some people who have tried it ?? The answer here is a categorical YES.

MMK-XFuture profile image
MMK-XFuture in reply to whatsinaname

Thanks, that helps a lot.

immunity1 profile image
immunity1 in reply to whatsinaname

Greetings from NZ where we are welcoming the cricket season. Do you know how one might get access to this enzalutamide source that you describe. Presumeably a prescription is necessary, from a registered doctor? You can answer me in a personal message if you would rather. Rob

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