EPI meds expense

Posted by grannydee @grannydee, Dec 12, 2021

On Medicare, Medicare supplement and Cigna scrip insurance. My meds are NOT covered. I appealed and my appeal was denied. The “discount card” is not for Medicare patients. I cannot afford my medicine as it costs more than I even receive from SS. I don’t know what else to do. I was misdiagnosed for 30+ years and now that we have finally found a med that works I cannot afford it. I don’t know what else to do. Maintaining weight is not working, currently at 106. with osteoporosis and anemia due to the long term misdiagnosis. I am willing to try just about anything at this point.
I realize I’m not the only one but I live in a small town and just found this group. Any suggestions or help would be appreciated. I’m embarrassed that I cannot afford my medicine and while I know that there are other people my age experiencing the same issues, I just never imagined that it would be me too.

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Profile picture for slkanowitz @slkanowitz

I’m sure they do. You definitely need a good GI consult at a specialty level clinic or university hospital clinic.

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Recommendations? I live in Michigan, but might consider traveling to outlying states.

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Profile picture for penelope52 @penelope52

How much Creon do you take, per meal? My prescription is two capsules, 36,000, per meal and one, per snack.
You definitely need to visit another gastro.

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I take 2-4, 24000 USP of Lipase units per meal, depending on the size of the meal or how long I am eating it.... That comes out to 48000-96000, per meal.

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Profile picture for darb @darb

I have been diagnosed with EPI. I have had ongoing problems for 2-3 years now. Creon is only a hit and miss thing to keep it under control. My life is no longer my own because I can't plan anything. Could getting all the Covid vaccines and boosters, as recommended have caused this? I have been through tons of tests and other than being diagnosed with EPI, via stool samples (twice now). I have had to quit working, missed funerals, graduations, outings with friends...you name it.

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EPI can be idopathic, meaning there is no known cause for it. Many of us are in that situation. As for the life obstruction, I understand, most of us are in the same situation. Are you on any type of PERT, like ZENPEP or Creon? You need to stay in contact with your doctor and let him/her know you are still having problems. It often takes a while to get the dosage right, and even then you can still have issues despite taking enzymes. As you get to a better dosages, you will find that you have more good days than bad. However, you have to remember that this is not a medication to get rid of your symptoms, rather a replacement therapy for something your body no longer makes. Just as in the past, prior to having EPI, you can sometimes feel sick after a meal. It depends on how much fat, protein, sugar, etc. you put in your body. Each person is different, and their body will react differently to foods, than another person with EPI. I find that ginger tea and probiotics help to keep my gut feeling better. There is no miracle cure for this, it will take time and patience to figure out how to best deal with this.

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Profile picture for slkanowitz @slkanowitz

The prescription enzyme I take is 368.00 a month copay. Without insurance it is over 2000.00 a month! I’m looking for an affordable over the counter pancreatic enzyme with comparable lipase dosage of 40,000 units. I would appreciate any suggestions, as the diarrhea caused by this condition is intolerable.

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Mayo clinic in Rochester, Cleveland Clinic? I would check your local university hospital clinic first. Most require a referral from your pcp or specialist.

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Profile picture for slkanowitz @slkanowitz

The prescription enzyme I take is 368.00 a month copay. Without insurance it is over 2000.00 a month! I’m looking for an affordable over the counter pancreatic enzyme with comparable lipase dosage of 40,000 units. I would appreciate any suggestions, as the diarrhea caused by this condition is intolerable.

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Are there any Pancreatc specialist closer to the South. Rochester is a long trip from Georgia.

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Profile picture for slkanowitz @slkanowitz

The prescription enzyme I take is 368.00 a month copay. Without insurance it is over 2000.00 a month! I’m looking for an affordable over the counter pancreatic enzyme with comparable lipase dosage of 40,000 units. I would appreciate any suggestions, as the diarrhea caused by this condition is intolerable.

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Does anyone with EPI also have a Tortuous and Redundant Colon and IBS?

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Profile picture for rjcoach1951 @rjcoach1951

Are there any Pancreatc specialist closer to the South. Rochester is a long trip from Georgia.

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Check with Emory in Atlanta; they are a teaching hospital and may be able to direct you. Mayo has a location in Jacksonville.

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Profile picture for jkarmazin @jkarmazin

Does anyone with EPI also have a Tortuous and Redundant Colon and IBS?

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Jkarmazin, I have EPI and Redundant colon, Probably IBS also. I don’t know if the three are related. It’s quite the balancing act to juggle the diarrhea from EPI constipation from Redundant colon, And who knows where the IBS fits in? Not a fun trio!

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Profile picture for slkanowitz @slkanowitz

Jkarmazin, I have EPI and Redundant colon, Probably IBS also. I don’t know if the three are related. It’s quite the balancing act to juggle the diarrhea from EPI constipation from Redundant colon, And who knows where the IBS fits in? Not a fun trio!

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Do you find it difficult to know what is causing your EPI issues because everything takes longer to get thru the colon?

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Profile picture for slkanowitz @slkanowitz

The prescription enzyme I take is 368.00 a month copay. Without insurance it is over 2000.00 a month! I’m looking for an affordable over the counter pancreatic enzyme with comparable lipase dosage of 40,000 units. I would appreciate any suggestions, as the diarrhea caused by this condition is intolerable.

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When my EPI symptoms break thru it’s usually because I forgot to take my enzyme soon enough or pigged out on fried foods! 😖

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