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re: Acne Pills for Kid Cost $1,200 for 30 pills.

Posted on 6/30/18 at 12:04 pm to
Posted by buffbraz
Member since Nov 2005
5761 posts
Posted on 6/30/18 at 12:04 pm to
quote:

t. And the majority of Americans can't write a check for $1200 so you're going to end up waiting to get paid or not getting paid at all.


I would never ask someone to do that. You try what medication you think is best for the patient and if doesn’t work with the insurance, you switch it to something that does. Yea it may take a phone call or two, but you do what you need to do to get the patient on something that is going to help. It’s not like the provider sees any of that $1200. The days of Vegas trips from the drug companies are over and have been for a long time.
Posted by RougeDawg
Member since Jul 2016
7751 posts
Posted on 6/30/18 at 12:05 pm to
Yea, this was an online pharmacy that the dermatologist recommended. Just got notice that insurance does not cover it. Wasn't really on high alert for getting screwed because I've never seen anything cost that much and we aren't exactly treating cancer or Aids.
Posted by RougeDawg
Member since Jul 2016
7751 posts
Posted on 6/30/18 at 12:15 pm to
quote:

telling them that it's hella expensive, and you ain't paying that shite...


Lol. PM me if you are in Baton Rouge and I'll send all my scripts to you.
Posted by buckeye_vol
Member since Jul 2014
35406 posts
Posted on 6/30/18 at 12:21 pm to
quote:

If I were ever going to be a doctor, it would be a Dermatologist.
Which is why those who are physicians said the same thing but couldn't get into the specialty because it's got such a high demand.
Posted by dgnx6
Member since Feb 2006
91645 posts
Posted on 6/30/18 at 12:36 pm to
Ehh it sucks, but mine went away once my facial hair was all in.

A lot of times it's just the hair follicles trying to burst through clogged pores. Especially on teen boys.
Posted by EarlyCuyler3
Appalachia
Member since Nov 2017
27290 posts
Posted on 6/30/18 at 12:40 pm to
quote:

Doctors typically don't know what prescriptions cost.


While true, the really good docs out there do know and will even tell you options up front. Of course, dermatologists are a whole different story.
This post was edited on 6/30/18 at 12:41 pm
Posted by PrivatePublic
Member since Nov 2012
17848 posts
Posted on 6/30/18 at 12:52 pm to
quote:

but good health care professionals want good outcomes for their patients


says who? you're much less likely to revisit and pay copays and insurance pays when you have good outcomes.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13879 posts
Posted on 6/30/18 at 1:03 pm to
Our EMR is linked to the pharmacy and insurance. It shows what “tier” insurance will pay for a particular medicine. Believe me, we always choose the cheapest option as long as it has equal efficacy. If not, you have to take the time to do a prior authorization which is a pain in the arse.
Posted by CrimsonTideMD
Member since Dec 2010
7124 posts
Posted on 6/30/18 at 1:09 pm to
quote:

It is cosmetic.


Disagree.

Often times there’s an infectious component. At bare minimum it’s technically an organ system dysfunction.

Ones face/appearance is integral to social interaction.

Should cleft lip repair and MOHS recon not be covered? What about midface fractures?

Obviously acne is less severe, but it’s the same principle.
Posted by mdomingue
Lafayette, LA
Member since Nov 2010
48610 posts
Posted on 6/30/18 at 1:11 pm to
quote:

Accutane’s side effects are a problem. Suicide attempts are linked to using it.




That's pop science reporting at best.

Review of study data in The British Journal of General Practice


Conclusions drawn (FYI Accutane is the brand name for isotretinoin)

quote:

Consideration of the limited data available would suggest that the incidence of depression and suicide during isotretinoin therapy may be no greater than the background incidence. A causal relationship has not been demonstrated. The occurrence of an idiosyncratic reaction to isotretinoin producing major depression and suicidal ideation, as suggested by case studies, remains a possibility — although, if so, this would seem to be a relatively rare occurrence. Given the evidence suggesting that isotretinoin treatment may attenuate psychiatric associations of acne, and given the evidence that acne is often not a trivial complaint, withholding therapy because of concerns regarding depression or potential for suicide is not justified. Nevertheless, there are grounds for carefully monitoring patients undergoing treatment with isotretinoin for the emergence of depressive and suicidal ideation. Ideally, the patient's GP, as well as their dermatologist, should be involved in this surveillance.


Posted by ellishughtiger
70118
Member since Jul 2004
21182 posts
Posted on 6/30/18 at 1:13 pm to
Regardless what the medication is for I always make sure to ask my doc for the generic option.
Posted by LSU Coyote
Member since Sep 2007
56970 posts
Posted on 6/30/18 at 1:16 pm to
quote:

Tell our kid to stop jerking off and touching his face

My HS football coach told me it was from eating pussy.
Posted by Champagne
Sabine Free State.
Member since Oct 2007
56194 posts
Posted on 6/30/18 at 1:18 pm to
If you were an active duty military member, your child would get the Solodyn for FREE if you filled the prescription at the pharmacy of a military installation.

THEN after that, you would deploy to Afghanistan!
Posted by TheOcean
#honeyfriedchicken
Member since Aug 2004
46701 posts
Posted on 6/30/18 at 1:37 pm to
Have a buddy who was perfectly normal before accutane. It completely fricked him up. Know a few others with similar stories
Posted by mdomingue
Lafayette, LA
Member since Nov 2010
48610 posts
Posted on 6/30/18 at 2:03 pm to
quote:

Have a buddy who was perfectly normal before accutane. It completely fricked him up. Know a few others with similar stories





Have multiple friends with kids who used accutane, no psychological side effects. Whose anecdotal evidence you gonna believe?
Posted by sleepytime
Member since Feb 2014
3934 posts
Posted on 6/30/18 at 2:04 pm to
Check out the cost of Xyrem for narcolepsy. It’s about $140,000 a year, although I think there’s a generic coming out soon. If anyone is curious what’s in this magical elixir that makes it cost so much: GHB. That’s right, it’s the old school sleep aid turned date rape drug that used to be available at GNC in the 90’s for a few bucks a bottle.
Posted by DarthRebel
Tier Five is Alive
Member since Feb 2013
26127 posts
Posted on 6/30/18 at 2:14 pm to
quote:

Just got a bill for $1,200 (for 30 pills) for a prescription of Solodyn.



That is not how it works. The pharm would have told you the cost and you could choose not to buy them.

Why did you take the pills without knowing the price?

Sounds like some dumb on your part.
Posted by Tall Tiger
Golden Rectangle
Member since Sep 2007
4317 posts
Posted on 6/30/18 at 2:17 pm to
I used accutane when I developed acne at the age of 18. It was a nuclear option after unsuccessfully trying every cream, gel, and face wash known to man. Accutane saved my face; without it I would have ended up with serious scarring.

It is a powerful drug with all kinds of restrictions. I never felt like it affected me psychologically, but it did temporarily thin my hair and dry out my skin. In the end, it worked.
Posted by mdomingue
Lafayette, LA
Member since Nov 2010
48610 posts
Posted on 6/30/18 at 2:21 pm to
quote:

but it did temporarily thin my hair and dry out my skin. In the end, it worked.

The physical side effects can be significant, though temporary.
Posted by Antonio Moss
The South
Member since Mar 2006
49577 posts
Posted on 6/30/18 at 2:25 pm to
quote:

Switch to accutane.


If you want to frick up your kid
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