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NYT: Genentech Offers Secret Rebates
Old 11-05-2010, 08:28 AM   #1
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NYT: Genentech Offers Secret Rebates

http://www.nytimes.com/2010/11/04/bu...nentech&st=cse

I recently fired my ophthalmologist for a different reason but I am interested in seeing how this case plays out. Having rebates paid directly to physicians doesn't smell right but hopefully more facts will come out.
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Old 11-05-2010, 11:30 AM   #2
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Interesting, if not surprising. However, I wish you had warned me about that picture with them giving the guy the injection in the eye. Creeped me out!
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Old 11-05-2010, 12:23 PM   #3
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Interesting, if not surprising. However, I wish you had warned me about that picture with them giving the guy the injection in the eye. Creeped me out!
Yeah, me too. I always get nervous when dental hygienists are twirling their instruments around over my face. They now give you safety glasses.

This picture is a bit clockwork orangish.
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Old 11-05-2010, 02:03 PM   #4
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Something missing here....a vial of Avastin retails for around $5,000. Where did they get $20 per injection from?
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Old 11-05-2010, 02:14 PM   #5
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Originally Posted by harley View Post
Interesting, if not surprising. However, I wish you had warned me about that picture with them giving the guy the injection in the eye. Creeped me out!
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Something missing here....a vial of Avastin retails for around $5,000. Where did they get $20 per injection from?
yep, that is pretty vile.
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Old 11-05-2010, 09:20 PM   #6
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Something missing here....a vial of Avastin retails for around $5,000. Where did they get $20 per injection from?
Just did a quick Google, found 4ml vials for $499. Buy Avastin (Bevacizumab), Cheap Brand Avastin, Online (Bevacizumab), Discount Avastin - North Drug Store Canadian Pharmacy

Edit: Nevermind, didn't realize that was a Canadian pharmacy until I saw the link in the post. But in this article from back in 2007, the say the costs are $20-60/dose versus $2000/dose. http://irvaronsjournal.blogspot.com/...ntech-ceo.html
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Old 11-05-2010, 09:22 PM   #7
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Maybe in Canada, not in the US. Check Humana's drug list here (click the drug list search):

Individual Prescription Drug Resources - Drug Information
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Old 11-05-2010, 09:31 PM   #8
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Maybe in Canada, not in the US. Check Humana's drug list here (click the drug list search):

Individual Prescription Drug Resources - Drug Information
Not sure if I'm reading this right, but it looks like the $5K is for 32 vials. That would be $156/vial. I guess there must be multiple doses in a vial.

Searched Drug: 11 AVASTIN
Dose Form:25 MG/ML
Coverage: Not Covered
Quantity Limit: 4 for 30 days
Estimated Cost:$4,967.55 for 32.00 VIAL (SDV,MDV OR ADDITIVE) (ML)

Edit: Not reading it right. It looks like a dose of Avastin is 1 ml, and the vial is 32 ml, for a cost of $156/dose. And I got this price from the High Deductible plan, so with a better plan it might be cheaper.

vs Lucentis

Searched Drug: 11 Lucentis
Dose Form:0.5 MG/0.05 ML
Coverage: Not Covered
Quantity Limit: Not applicable
Estimated Cost:$2,122.13 for 0.05 VIAL (SDV,MDV OR ADDITIVE) (ML)

So .05 ml os one dose, costs $2122. (same plan)
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Old 11-05-2010, 09:37 PM   #9
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Not sure if I'm reading this right, but it looks like the $5K is for 32 vials. That would be $156/vial. I guess there must be multiple doses in a vial.

Searched Drug: 11 AVASTIN
Dose Form:25 MG/ML
Coverage: Not Covered
Quantity Limit: 4 for 30 days
Estimated Cost:$4,967.55 for 32.00 VIAL (SDV,MDV OR ADDITIVE) (ML)
I'm not sure, but drugs are usually cheaper from Canada. I'm not a doctor so I don't know how Avastin is usually dosed or how often, but I can't see where they are getting $20 per injection from.
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Old 11-05-2010, 09:43 PM   #10
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I'm not sure, but drugs are usually cheaper from Canada. I'm not a doctor so I don't know how Avastin is usually dosed or how often, but I can't see where they are getting $20 per injection from.
Re-read my last post, I updated it several times. I still don't get $20/dose, but it's a lot closer now.
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Old 11-05-2010, 10:52 PM   #11
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There is some information about the 2 drugs on wikipedia, Bevacizumab - Wikipedia, the free encyclopedia . I would guess that the price per dose of Avastin is very different when treating cancer compared to macular degeneration because of the amount given for each type of treatment. The wiki page mentions a dose of 1.25-2.5 mg for the eye treatment and uses a cost of $42/dose..
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Old 11-05-2010, 11:21 PM   #12
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There is some information about the 2 drugs on wikipedia, Bevacizumab - Wikipedia, the free encyclopedia . I would guess that the price per dose of Avastin is very different when treating cancer compared to macular degeneration because of the amount given for each type of treatment. The wiki page mentions a dose of 1.25-2.5 mg for the eye treatment and uses a cost of $42/dose..
Good point, you learn something new every day.
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