Post chemo injection for immune system

Posted by asolidrock @asolidrock, 3 days ago

Well I found out that the shot they give after chemo the next day isn't automatic: they have to get the insurance to approve it so hopefully I can get afte4 my second infusion.

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That is true--I posted the information in another thread. Unfortunately most insurers won't approve Neulasta to keep your white cells up in advance of your first chemo infusion. They generally require you to develop febrile neutropenia or another indicator of an extremely low white cell count after the first chemo infusion, and then approve it for after all subsequent infusions. 😖

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Gotta have justification I suppose. A lot of medications require a prior authorization I know my nubeqa did.

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Profile picture for lag @lag

That is true--I posted the information in another thread. Unfortunately most insurers won't approve Neulasta to keep your white cells up in advance of your first chemo infusion. They generally require you to develop febrile neutropenia or another indicator of an extremely low white cell count after the first chemo infusion, and then approve it for after all subsequent infusions. 😖

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I don't know if you are in 'the States' or Canada or what insurance, but we, fortunately, have had no trouble with the Neulasta being covered every time - it was always at the end of the infusion - a button attached to the arm. Through all 6 infusions, our blood counts were reasonable.

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Profile picture for dpfbanks @dpfbanks

I don't know if you are in 'the States' or Canada or what insurance, but we, fortunately, have had no trouble with the Neulasta being covered every time - it was always at the end of the infusion - a button attached to the arm. Through all 6 infusions, our blood counts were reasonable.

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Well my oncologist told me he would have to get it approved so hopefully I'll get it for my second infusion. It sure makes you feel bad when your WBC is low.

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Do you take the steroids for every infusion?

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He had a batch of 'premeds' of dexatethasone, the anti nausea meds, and the Neulasta button after the chemo.

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Profile picture for dpfbanks @dpfbanks

I don't know if you are in 'the States' or Canada or what insurance, but we, fortunately, have had no trouble with the Neulasta being covered every time - it was always at the end of the infusion - a button attached to the arm. Through all 6 infusions, our blood counts were reasonable.

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We are in the US and were at a cancer center in Indianapolis. At the time my husband was covered by Anthem BCBS and our university health care policy. The oncologist's nurse said it was SOP for the insurer to not automatically cover Neulasta.

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Profile picture for dpfbanks @dpfbanks

He had a batch of 'premeds' of dexatethasone, the anti nausea meds, and the Neulasta button after the chemo.

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Same thing I had except I didn't get the shot for your immune system afterwards which landed me in the hospital with a very low WBC count: although I was thankful because I had a case of diverticulitis which they treated early with iv antibiotics

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