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Discussion Boards => Main Discussion Board => Topic started by: ctmartin on November 29, 2011, 09:05:00 AM

Title: Epipen SHOCK!
Post by: ctmartin on November 29, 2011, 09:05:00 AM

HI, everyone,

I haven't been here for awhile, and for some reason I could not get into my account (I used to post under the screen name ctmartin).  At any rate, just wanted to ask those of you with no insurance or extremely bad insurance (like ours) if you have any advice on getting epi pens for less (is there a discount card I don't know about?  Fingers crossed!!).

I can't believe what I am finding in trying to refill my daughter's epipen jr.  Granted, it has been a few years since I have had to pay out of pocket, but I am getting quotes of $227 for a twinpack!  Oh, and with an expiration of 9/12!!

I remember  the day way back when (4 years ago), when a twinpack cost less than half of that (I paid $90) and the expiration dates were at least 18 months out.  What has happened?  UGH!

Thank goodness, of course, we have never had to use our epipens in the 4 1/2 years since my PA daughter was diagnosed, but it is quite a luxury to consider spending almost $500 a year on meds that will be thrown out at the end of the year.

Any comments or advice appreciated.
Title: Re: Epipen SHOCK!
Post by: YouKnowWho on November 29, 2011, 09:18:31 AM
I am not sure if Dey has a discount card or not.  Not sure if you have Walgreens near, but they do have an insurance card but I don't know if they offer discounts on Epipens or not.

Unfortunately it seems Epi's have gotten higher since the generics have hit the mark.  And with the new design, it seems the expiry date (though call Walgreens or Target because they will order one with the furthest date out possible) is expiring sooner. 

The news is mixed on generic epis on whether or not they are appropriate from my understanding.  Another consideration is to look into the price of Twinject as well.

Hugs - it is so much like car insurance, you have to have it but you hope you never need it.
Title: Re: Epipen SHOCK!
Post by: rebekahc on November 29, 2011, 10:34:51 AM
I haven't found any discounts - Sam's Club is often cheaper, but not always.

Also, I sent you a PM (on 9/18/11 if that helps you find it) at the old site letting you know how to get in here.
Title: Re: Epipen SHOCK!
Post by: Jessica on November 29, 2011, 02:31:38 PM
No advice here. We've always had to pay full price. I think walmart might be a bit cheaper than $227 but not a lot. I would find one with a longer date for sure. We try to go with a year minimum.
Title: Re: Epipen SHOCK!
Post by: Scout on November 29, 2011, 05:48:32 PM
we havve a $250 ded for brand name so we always pay out of pocket too......$227 seems high.....I was thinking $150 for a twinpack.....

but yes our store will order new ones in with as far a date out as they can.....so do ask them.....
Title: Re: Epipen SHOCK!
Post by: Firebird on November 29, 2011, 06:54:26 PM
Just wanted to let you know -- slightly off topic -- that you are likely locked out of your original log in because you had not yet changed registered email to your own valid email.  I'll let Admin know and they will help guide you so you can use your old name if you like.  ~
Title: Re: Epipen SHOCK!
Post by: ctmartin on November 30, 2011, 08:17:15 AM

Thanks for the responses!  I never got the PM,  rebekahc, and I don't know how to access it now (?), but thanks for sending it ;)  firebird, i am sure that is the reason, and i would love to use my old name if possible.  Like I said, I haven't been here since probably this past summer, simply because (and I say this with extreme gratitude) most of my previous posts had to do with my PA daughter's various miserable preschool experiences, and we have actually been blessed with an amazing school for K so there hasn't been much to write!!  But I do love checking in every now and then and "visiting" with you all!!

An update on the epi, though ... I did call Walmart (on my younger daughter's preschool teacher's suggestion), and unless the pharmacist got it wrong over the phone (which I am hoping is not the case), their twinpack is $110.70 ... far better than the prices at Target, CVS and Walgreens.  So I am going to follow up today ...

I was not even aware that there was a generic option?!  I plan to do some research on that as well, and if I find anything interesting I will post back.  I did call Dey yesterday because my daughter's doctor at Duke wrote her a prescription for a regular epipen (not epipen jr), even though she is only 45 pounds.  I wanted to confirm the weight guidelines, because when the prescription was written I was under the impression that the regular epi pen was for >40, but on the Dey website it says >66.  So I verified that (I have no idea why the prescription was written that way, but now I have to hunt down another) and the rep also mention that they have stopped making single paks, which was also news to me.  He said doctors were putting pressure on them to only do twinpaks because they were finding that often times one shot was not sufficient.

Anyway, will keep you posted, and thanks!
Title: Re: Epipen SHOCK!
Post by: catelyn on November 30, 2011, 10:00:42 AM
I have never seen a twin pack in canada.  Last one we got was a single in sept.
Title: Re: Epipen SHOCK!
Post by: AdminCM on November 30, 2011, 10:31:47 AM
Rebekah and I will see what we can do about your username if that is okay with you; we would like for you to have the name you want!

I've missed seeing you around the forum.  I'm really glad about the reason for your scarcity as of late, anyway.   :thumbsup:
Title: Re: Epipen SHOCK!
Post by: YouKnowWho on November 30, 2011, 10:40:40 AM
Ctmartin - the PM is at the other site with your name and new password for here.



Looking at Walgreens drug plan, I didn't see brand name Epi, only generic (and cost is much lower but not sure if it would be lower overall).

I did see however they had Twinject (each pen has two doses from my understanding) at a definite price difference.

I'm on the fence with Epi (namebrand) right now.  I am concerned after reading a few stories about the new Epi's misfiring and bending (one ultimately led to a young man's death because the needle bent).  I am also not crazy about the larger size.

As far as the generics go - yes it's cheaper but not everyone feels it is equal from my understanding.  Some of them are not rated high enough to be considered a comparable replacement. 

Title: Re: Epipen SHOCK!
Post by: ctmartin on November 30, 2011, 07:36:58 PM

Just thought you guys would get a nice laugh out of this.  So, I am not normally a walmart shopper because there is only one nearby and it really isn't in that great of a location.  However, when I called (TWICE ... just to verify), I was almost floored when I heard the price of $110 for the twinpak.  So, of course I drove out there tonight, and when I get there the pharmacist said that they misquoted me and that it is really $188 (the same price they quoted me at target).  So, you can imagine how livid I was (!), but I was ready to pay the full price and be done with it.  Funny thing is, it wasn't until they took my insurance card that they noticed the price was incorrect.  In their computer it still was listed as $110.  So, seeing as I have a $500 deductible that I would not meet anyway, I told them to ring it without the insurance, and they did!  So, thankfully, I still got the price of $110, but they will probably fix their computers from this point forward!!
Title: Re: Epipen SHOCK!
Post by: becca on October 14, 2015, 12:29:09 PM
I decided to try the mailorder.  The weather has been cooler, and I called, and was told I could get 3 twin packs from Express Scripts for $30.  They faxed the MD office, and I called and explained, etc...  All was fine, but I seem to have received two twin packs of a generic epinephrine auto injector, at $10 for both twin packs.  Cost is awesome, but I don't like the design.  It is a bit different, and requires more steps before being able to inject and no trainer pen. 

(http://www.epinephrineautoinject.com/images/body-what-is-epi-options-30mg.jpg)
ours actually looks different.  Case is 1/2 black, 1/2 yellow, and the caps on the pen are blue. 

The case requires a twist to open, and then there are caps on both ends to remove.  These are technically extras and I have 2 refills on them.  I guess I could try a good one in an orange.  Just for the feel of it. 

Thinking of calling the ped office to be sure they are okay with us getting generic. 

Anyone using these?  I worry the different look and case and uncapping procedure will slow response or confuse people.  One company, and a single design was more foolproof, even though options are good.  On the plus side, it is more streamlined than the most recent epi-pen redesign.   
Title: Re: Epipen SHOCK!
Post by: PurpleCat on October 14, 2015, 01:32:13 PM
What does the school nurse think?  I haven't seen these before.  I'd have to retrain everyone including myself who does.....not....like....change...in stressful situations.
Title: Re: Epipen SHOCK!
Post by: nameless on October 14, 2015, 06:52:26 PM
That generic is only the generic for Adrenaclick, and is not a generic substitution for Epipen.

I think...from what I can find.
Title: Re: Epipen SHOCK!
Post by: nameless on October 14, 2015, 06:55:20 PM
A pharmacy friend sent me this: http://www.pharmacytimes.com/p2p/p2pepinephrine-0910 (http://www.pharmacytimes.com/p2p/p2pepinephrine-0910)
Title: Re: Epipen SHOCK!
Post by: Mfamom on October 14, 2015, 10:02:21 PM
looks like twin ject   had the two caps etc. 
Title: Re: Epipen SHOCK!
Post by: becca on October 14, 2015, 11:13:40 PM
Quote from: nameless on October 14, 2015, 06:55:20 PM
A pharmacy friend sent me this: http://www.pharmacytimes.com/p2p/p2pepinephrine-0910 (http://www.pharmacytimes.com/p2p/p2pepinephrine-0910)

Just read it and I agree, but it is from 2010.  Laws/ethics may have changed or evolved since then. 

Anyway, I will call the ped and get the real ones.  Dd was not happy to see something different and nobody will know how to use it.  I don't like the two cap system. 
Title: Re: Epipen SHOCK!
Post by: becca on October 15, 2015, 01:40:18 PM
Just spoke with ped office.  The nurse I sloke too thought this was very odd, and was not even familiar with epipen generics.  Did not think it would be a problem to re-send.  Hopefully they fill it no problem, given that this was just filled.  Ugh.  PITA, but will save me up to $900.  Was trying to do it now, while the weather is not at any extremes. 
Title: Re: Epipen SHOCK!
Post by: nameless on October 15, 2015, 05:20:10 PM
Right, but my RPh friend that is all still true in that link.

So - whoever the mail-order retailer is...is doing something wrong if your doc specifically wrote Epi-pen.

~ Adrienne
Title: Re: Epipen SHOCK!
Post by: PurpleCat on October 16, 2015, 08:17:51 AM
Becca, I am so sorry and I know your pain and frustration.  We had that company after they bought Medco until last January. 

They messed up so many times and they were so specific about what they wanted a doctor to write or they would do what they thought was best.  At one point I had way too much medication for DD and I told them to stop sending it!  Of course I was charged for all of it too! 

With them it is dotting I's and crossing T's.  I finally would call them first, ask what they wanted the doctor to write, and then forwarded that to my doctor's office for submission back to them.

So happy to have changed....our current company is sooooo much easier to deal with.
Title: Re: Epipen SHOCK!
Post by: becca on October 16, 2015, 01:10:28 PM
Yes!  They send us way too much medication, faxing for doctor orders themselves!  I got 90 days of thyroid meds a few weeks into my current bottle, also a 90 day supply. 
Title: Re: Epipen SHOCK!
Post by: becca on October 24, 2015, 04:41:54 PM
Follow up on the generic epinephrine issue.  The doc sent a RX for the Epipens, No substitutions, and they were holding the RX, because it was too soon to process a refill.  I had to get very firm and explain this was not a refill, but a new Rx, in order to get the proper design of pen, the brand specific epipen.  That what I had seems to be the generic of a Twinject, which my dd has never used and was nervous about carrying, having never practiced.  They have no trainers in the packages either.  So, two supervisors later, and finally a pharmacist, and they are expediting the new RX, and will process a $10 refund for the wrong thing they sent.  Not that I care, but hey, it is $ for nothing, so I will take the refund.  They will send a mailer so I can send these wrong ones back.  Fine with me, but I would hope they would not dispense them again! 

Just very annoyed.  It is a time suck.  I asked to go up the chain because I was concerned that they are making this substitution regularly, and it is not technically equivalent.  Yes the medication inside is, but not the pen design, and this matters.  TYVM, Nameless for the link.  They are saying it was an error, this one time, and it is not their policy to do so.  Supposedly documented it, which is why they want the pens returned. 

It was rather cathartic to vent on them all.  As I do so, I do apologize and explain that I understand it is not the CSR's fault, but this error has cost me several phone calls, 45 minutes alone tonight, cost time at my doctors office, both for the person who spoke to me, had to explain to the doctor who had to send a new RX.  Just so wasteful! 

I do not like Express Scripts most of the time.  I do like some things.  It is usually helpful that they contact the doctor to renew things, and at times I don't have to do that.  But as PC said, we then can end up with too much medication.  This can be a waste of $$ if we end up not needing it or changing meds.  I want the old days back.  I miss having a flat co-pay or % plan.