Current cost of Herceptin in India

[dimplekundanani]

Hello,

My Mother-in-law is on 4th stage of Breast Cancer and is recommended to take targeted therapy of Herceptin at least 17 to 18 cycles in this year. Can anyone please share the current price of Herceptin and its availability?

Your prompt response is highly appreciated to take a quick decision for my mother's health.

Dimple

[kontak TeamBCI]

Hi Dimple - welcome to our forum. Its very sorry to hear about your Mother in law. Can you pl share from which place you are so that our members can help

[dimplekundanani in reply to kontak]

I am from Ahmedabad, Gujarat. And, my mother is undergoing the treatment at Gujarat Cancer & Research Institute (GCRI)

[kontak TeamBCI in reply to dimplekundanani]

Lets see

[sumeet_shah Administrator]

Dear Dimple,

The cost of Herceptin, if brought from an Institute, will usually be the MRP. But if you manage to get it from a distributor, it will definitely be cheaper. And sometimes, they do have schemes going on. The best person to help you with this is your Medical Oncologist. You must request him to guide you either to Roche's representatives, who can directly provide Herceptin to you (Roche is the company which manufactures Herceptin). If not Roche, you can also buy from Emcure, which also is the same molecule. So I suggest, you sit with your Oncologist and request him to help you out.

[dimplekundanani in reply to sumeet_shah]

Thank you very much Sumeet. Let me discuss this with my Onco.

[roxboxfox RadiationOncologist]

Dear Dimple,

Sorry to hear about the Metastatic nature of the breast cancer detected in your MIL.

The Guidelines mention, Herceptin is to be given till progression.

Herceptin MRP = Rs 72000

Through distributor or directly via company it can be as cheap as 47-49k

This is the price per cycle average.

The dose of herceptin is 8 mg/kg as loading dose initially, and later it is 6mg/kg body weight. (Just simply multiple your MILs weight with these numbers to get your doses.

Clinical evidence is to use it in combination with chemotherapy initially, for instance Paclitaxel or Docetaxel, and after 4-6 # or more, the chemo drug is usually stopped, and the Herceptin continues.

She will need a baseline 2D ECHO (to assess heart function), and subequently simple CT scans on 4-6 monthly basis to monitor her cancer.

Dr Rohit Malde MD, DNB, FRCR (UK)

Consultant Clinical & Radiation Oncologist

BNH HCG Cancer Centre

Dr Balabhai Nanavati Hospital

[dimplekundanani in reply to roxboxfox]

Thank you so much Dr. Rohit for this valuable information.

[Diamond_222 in reply to roxboxfox]

Hello Dr. Rohit,

What happens to those who can't afford the injection. Is there any help or resources for them?

[roxboxfox RadiationOncologist in reply to Diamond_222]

Unfortunately as hard as it sounds.

They don't have Herceptin.the company at times gives offers for 1 free vials for every 4-5 bought. But it's not free and still expensive.

[Deepak_Chavan-Patil in reply to roxboxfox]

Which are the herceptine manufacturing manufacturing companies in india and which is the lowest costing ? Does the cost reduces the quality of the medicine ?

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[doctor_anil]

Yes it is true

[dimplekundanani in reply to doctor_anil]

Thank you Dr. Anil

[Deepak_Chavan-Patil in reply to doctor_anil]

Which are the herceptine manufacturing manufacturing companies in india and which is the lowest costing ? Does the cost reduces the quality of the medicine ?

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[attuul]

I had purchased Biceltius at Rs.51,000.00 from Kolkata and the said drug is an alternative to Herceptin from the distributor and used in Tata Medical Center. Dr. Rohit is right the cost from purchasing from Distributor will be less compared to directly purchase from Hospital.

[arunbmenon81]

Hi, myself Arun, am from Vadodara.

At what rate are u getting the Herceptin

[Deepak_Chavan-Patil]

Which are the herceptine manufacturing manufacturing companies in india and which is the lowest costing ? Does the cost reduces the quality of the medicine ?

[roxboxfox RadiationOncologist]

Roche

Emcure

Biocon

Mylan

Reliance

There is no proven data yet that one brand is inferior to another. The Original or Innovator Brand is ROCHE.... Rest are all Generics.

Your Oncologist should be able to provide you a cost estimate of these drugs and any offers or deals these companies offer at times to sell their products. It makes a difference, where you have the drug, In a bigger hospital, smaller hospital, nursing home, etc

You need to take permission from the doctor / hospital policy whether outside drugs are permitted or not.

The cost of APPLE (MRP) is 1000 ... the question is to which customers will you sell at 800, which ones you ll sell at 700, and which ones you ll sell at 500. Sorry if it sounds rude, but this is how this Pharma business runs. The chemist will always sell at MRP.. and this is the rule made by Government, [ not by doctors not by hospitals.]

Marks & Spencer sells Trousers for Rs 3999, which has been made in Bangladesh or China for Rs 399. This is their company policy.

You will have to work with your oncologist, seek more opinions if thats necessary... dont expect help to drop in your hands.

All the best !

[Caring_hubby]

We need 330 mg (based on weight of patient) infusion every 3 weeks now. The hospital is charging @ ₹ 131 per mg.. about ₹ 43500/- per cycle ! Too high since the insurance has refused to pay on the plea that this is not chemotherapy.

[Madan5181]

There are two variant coming for trastuzumab 150 and 440 MCG

150 with good brand 9-10K and 440 good brand 20000 - 220000.

[Ajit_G]

Please check the following and consult with your doctor:

business-standard.com/artic...

All the best!