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What would you do?

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10 years 4 months ago #48824 by tgurin12
What would you do? was created by tgurin12
I finished my rituxan two weeks ago. I see my hemo on Wed. My count was 109K then, but my legs now are completely black, blue, green, etc... So I think they have dropped dramatically. He mentioned
he wanted to do N-plate next. I was on N-plate a few years ago but my platelets did eventually plummet which led to my first rituxan treatment. My insurance has a pre-approval process for promacta. Do you think I should try to get him to try to get approval for promacta or just go to the N-Plate if my platelets are down?
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10 years 4 months ago #48912 by poseymint
Replied by poseymint on topic What would you do?
hi T- how are you doing now? have you gotten new counts? Made any decisions on your next plan of action?

I have used both Promacta and Nplate. If I were you, I'd probably go ahead and get the pre-approval for Promacta- doesn't hurt to have it. Also just my opinion but I'd probably try Promacta just to do something different. Either way you go would likely be fine. When I was on Promacta I was so set on it that I didn't want to try NPlate, I just kept going back to Promacta as I was familiar with it. When I finally tried Nplate I really liked it better! I have been on it for a year now.

But the insurance coverage makes a difference. Good to check that out. My copay for Promacta was $400. a month. yow that is steep! With Nplate I'm getting help from Amgen- they have paid nearly $1800. of my $2500. out of pocket max this year- that is a big help.
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The Platelet Disorder Support Association does not provide medical advice or endorse any medication, vitamins or herbs. The information contained herein is not intended nor implied to be a substitute for professional medical advice and is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment, discontinuing an existing treatment and to discuss any questions you may have regarding your unique medical condition.


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