My nephrologist wants me to take Jardiance for CKD?

If you’re on Medicare once you hit the $2000.00 for any dtugs if they’re approved this drug will be free. I’m not saying $2000.00 isn’t a lot of money. I’m giving you the facts according to the new standard on Part D plans.

@tntwo99

We're not as isolated as you, in part because the glacier removed most of the hills in all but southeastern MN. But our town/suburb formed around a nice lake that hosted resorts in the early 1900's. The town chose to remain rural, at one point new homes had to be on 3 or 5 acres, I've forgotten. But we only have 1.5 acres of grass--used to be part of a dairy farm. Our town wasn't part of the Twin Cites metro water and sewer system until a quasi-government agency sent a nasty letter condemning our wells and septic systems, our low density housing (they did have a point--there was only one apartment building with eight units and a mobile home community), and everything the town had planned. However, I-94 runs along the southern boundary and separates us from what has been the fasted growing city in the US for at least 30 years. Now the gravel pit in town is home to perhaps a hundred single family homes and a token area of townhouses. The dairy farm across from the elementary school is similar.

We live less that a quarter of a mile from the new municipal sewer and water lines but we have never been offered a chance to hook up. A friend who lives in the business district has a waiver from a county assessment for storm sewers because the county "uses" his backyard as a holding area for the spring melt. He, too, is still on well and septic. So the spring melt fills his septic which then drains in the former resort lake as it always has. He asked the city in the 1990's (when he moved in) about being connected to the city sewer and water system. They told him "really soon." I am guess he will wait a century (not him but whoever lives in his home then).

And the closest bus stop (for a ride to St. Paul) is at least three miles away. Downtown (and the hospital I use) is about ten. So if you need to drive to the park and ride, it doesn't make sense to take the bus. Also the bus stop downtown is a half hour walk (or transfer) to the hospital. Parking downtown is easy since the downtown became a ghost town during covid. Being the state capital saved it--all those government workers are back in their offices. Apparently, unlike me when I was working, they don't bring bag lunches.

I was lucky that I survived covid without noticeable after effects. Perhaps the Evusheld (which was reserved for people like me on what was effectively chemo--not for cancer in my case, for ITG) and Paxlovid helped. I was home alone after day 10 because my husband had scheduled open heart surgery. My doctor kindly arranged for her nurse to call me on a schedule with the plan that if I didn't answer, they would send an ambulance. She did recommend that I go to the ER if my oxygen dropped to 92 but when it did, all the ER's in the metro were filled with RSV and covid patients. I stayed home. Fortunately, my oxygen bottomed out there. Also fortunately, our son was able to come home on day 11 although I arranged for him to stay at a hotel across the street from the hospital so he wouldn't get covid. I arranged for a taxi from the airport, and put my keys in the car that he drove to the hotel. I'd also made a connection to a third party company that BCBS contracted to help home bound. They would have sent nurses and aides if I'd called.

@cehunt57 I was told when insurance rejected my doctor's request for Farxiga, that Jardiance is an equivalent medication just as (the biosimilar) Truxima is the equivalent to Rituxan. Ozempic seems to be an other category from Farxiga and Jardiance.

Perhaps a place for side conversations could be set up for us?

Just a thought.

What a lively discussion this has become! And that's wonderful -- Connect is a place for us to engage with each other, share our experiences, and learn from one another.

Kidney disease can be such a complex condition to manage, and it sometimes occurs alongside other health conditions, making treatment complicated. And there are often other barriers to care, like insurance, cost, access to care, etc.

Some of the comments in this discussion have gotten a bit off-track from the original question about taking Jardiance for CKD, and that's okay. I find that lively conversations often branch off in different directions. To try to keep this conversation focused on on the original topic, I'd encourage new conversations be started for some of the helpful side conversations. You can start a new conversation by going to the Kidney Conditions group and clicking "Start a new discussion" just below the "search discussion" search box.
Learn more tips in the Help Center https://connect.mayoclinic.org/help-center/

Again, I appreciate all of the great engagement in this discussion!