Price of Xtandi (in U.S.)?

Posted by bluegill @bluegill, May 20 5:04pm

I've been told I need Xtandi. The price (after "approval" by Medicare Drug Plan) is $2,000 per month.

??

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

I feel stupid for not remembering that $2,000 yearly Medicare cap. But I can blame my brain fog on the Lupron. Or the Flomax.

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I honestly feel bad for you guys.
Prescriptions here are 5 bucks.

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Profile picture for bluegill @bluegill

omg, thank you! I was about to go berserk thinking I had to pay $24,000 a year for one pill!

I'm not sure my life is worth $24,000.

One battle is with the cancer itself. A more confusing battle is trying to understand our medical and insurance systems.

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Some insurance allows for monthly pmt toward $2000 total.

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Profile picture for peterj116 @peterj116

I honestly feel bad for you guys.
Prescriptions here are 5 bucks.

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"Prescriptions here are 5 bucks."

That's the case here in Ontario too, as long as you're under 25, over 64, in hospital (actually, free in that case), on social assistance, or receiving home care. Otherwise, you have to rely on private insurance or the last fallback, the Trillium Drug Benefit, which has a maximum co-pay of 4% of your last year's family income. It's an awkward mish-mash that they keep promising to simplify.

The important point in both your case and mine is that the drug has to be in the government formulary to cost $5 (for you) to to be covered (for me). My Erleada is in the Ontario formulary, but Orgovyx isn't, yet. I'd willingly pay the CA $323/month (US $215) to avoid going back to Firmagon, but fortunately, my oncologist managed to enroll me in the Orgovyx patient-access programme, so it costs me $0.

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Profile picture for northoftheborder @northoftheborder

"Prescriptions here are 5 bucks."

That's the case here in Ontario too, as long as you're under 25, over 64, in hospital (actually, free in that case), on social assistance, or receiving home care. Otherwise, you have to rely on private insurance or the last fallback, the Trillium Drug Benefit, which has a maximum co-pay of 4% of your last year's family income. It's an awkward mish-mash that they keep promising to simplify.

The important point in both your case and mine is that the drug has to be in the government formulary to cost $5 (for you) to to be covered (for me). My Erleada is in the Ontario formulary, but Orgovyx isn't, yet. I'd willingly pay the CA $323/month (US $215) to avoid going back to Firmagon, but fortunately, my oncologist managed to enroll me in the Orgovyx patient-access programme, so it costs me $0.

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Oh. That's great. Didn't know that.
It has to be funded meds, of course. And we can get them at any age.
When my physio recommended 5mg of Cialis per day to help prevent scar tissue/nerve damage, I spent 50 bucks on that, cause it's not funded. Waste of money.

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Profile picture for peterj116 @peterj116

Oh. That's great. Didn't know that.
It has to be funded meds, of course. And we can get them at any age.
When my physio recommended 5mg of Cialis per day to help prevent scar tissue/nerve damage, I spent 50 bucks on that, cause it's not funded. Waste of money.

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It's probably not like this any more with the NHS cuts, but back in 1988 we were visiting the UK as tourists and my spouse had a minor medical issue. Even though we were foreigners, the doctor just wrote a prescription for free without asking for our Blue Cross travel insurance, and the pharmacist at Boots apologised profusely that she'd have to charge us £2.- for the antibiotics since we didn't have an NHS card. It was hard to keep a straight face.

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https://www.xtandi.com/financial-support
Perhaps you can find $ help on their website…

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Yes, this is quite similar cost after Medicare plan even it is quite high if don't have any Medicare plan. My dad is taking generic from India since we don't have any Medicare plans. It is nightmare cost for us without insurance. As compared Xtandi cost is high in other countries except India https://www.medixocentre.com/xtandi-cost

We have tried in NHS from UK since we have family member there but we couldn't get it cheaper. We were previously on Abiraterone for 2.5 years then our oncologist shifted on Xtandi. However, Xtandi patent to be expire in 2027 then let's see what cost comes out.

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Profile picture for peterj116 @peterj116

How about abiraterone?
Apparently it's the same thing. Any cheaper?

Xtandi (enzalutamide), a drug used to treat advanced prostate cancer, is not publicly funded in New Zealand.
It is considered clinically equivalent to abiraterone, another prostate cancer treatment that is funded.

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Abiraterone is Zytiga, not Xtandi.

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