Zytiga costing and er and advice needed - new to USA and having UHC choice plus ppo plan

[Soumen79]

Hi all,Landed in USA 1 month back and will take consulting from onco in next month, expected Zytiga will be continued. In india I had been using abiraterone generic.

What is the practice here? Does most of you use Zytiga brand med or here doctor prescribes generic brand?

If I need to choose generic brand, which are reliable and preferred generic brands for abiraterone?

I an having employer provided uhc choice plus ppo plan.

Thank you all!

[billyboy3]

I too need to get Zytiga asap so please help us out

[billyboy3]

please give me a cost for it and predisone 5 mg

[WisdomSeeking]

You may look at: healthunlocked.com/advanced....

[vintage42]

My insurance plan is called Blue Cross / Blue Shield Federal Employees Program (FEP) Medicare Prescription Drug Program (MPDP). I think the payer is Medicare Part D (Reformed) administered by BC/BS which is my Medicare Supplement.

I do not understand why my Abiraterone is costing my plan so much. I have called my specialty pharmacy, and written my supplemental insurance company and my urologist. Nobody has an answer.

Both my Orgovyx and Abiraterone cost me only $75/month. Medicare is paying the expected $2,800/month for the newer still-patented Orgovyx, but an amazing $5,000/month for the older now-generic Abiraterone.

[inthefight in reply to vintage42]

That is crazy. Abiraterone is around $130 without any insurance.

[vintage42]

Yes, I know. It's cheap at Costco or my drug store. If my plan is paying $5,000 and I am only paying $75, who is getting the other $4, 925 every month?

[dhccpa in reply to vintage42]

Isn't a lot of that gross pricing and large discounts just our system? Not the real price? I can get it for $100/month with GoodRx or Singlecare, buty Plan D has excellent pricing as well.

I go by what it costs me. I'm actually not on it yet, but it may )or may not) be the next thing.

Of course, in 2025 brand name drugs like Xtandi will be cheaper than ever on Plan D plans, as I understand it.

[vintage42]

"Isn't a lot of that gross pricing and large discounts just our system? Not the real price... Plan D has excellent pricing as well."

My Medicare Part D EOB for my Abiraterone states that the drug price is $5,010.71, they paid $4,935.17, and I paid $75.00. That $75.00 is excellent pricing for me, but I wonder where the rest of the money is going. This cannot be good for viability of Medicare.

[Velohomme]

Soumen79 - Men in the U.S. are generally getting the generic abiraterone since the Zytiga patent expired. I have been on the generic for 3 years and the brand has switched often. The generic brand is the choice of the pharmacy and can vary from refill to refill.

[Soumen79 in reply to Velohomme]

Thank you sir, this is comprehensive