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Trying to get Nubeqa instead of Zytiga/ prednisone
Prostate Cancer | Last Active: 3 days ago | Replies (14)Comment receiving replies
@jeffmarc After all my research this is pretty much what I found. She has him as castrate sensitive but I think he may be becoming resistant. He’s also Medicare, with a great supplemental benefit. I am hoping the oncologist will prescribe Nubeqa instead. But I was going to present Urology with the fact that there’s no increase in bleeding with Nubeqa over Zytiga.
Replies to "@jeffmarc After all my research this is pretty much what I found. She has him as..."
@kcraff777 What is the Medicare Pt D (prescription drugs) plan? Both are pills covered by part D. Out of pocket is capped at about $2K per year but Zytiga & Prednisone is going to cost $200-$300 per month while Nubeqa is going to be over $10K per month. Usually need a medical reason to get approval. Some plans may have step therapy (Nubeqa only after Zytiga fails). When insurance tells you its not about the money you can be sure it is about the money.
From a medical point if the patient can stand Zytiga doctors like to use that first not only because it is cheap but because Nubeqa will almost always work when Zytiga stops working but if you start on Nubeqa going to Zytiga is rarely effective.
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@kcraff777
As long as he’s castrate sensitive, he can get Nubeqa. You need to be proactive with that doctor and tell him that’s what you want. Do not accept zytiga, Tell the doctor, his heart is not up to that drug.