Does insurance ever cover androgel?

Discussion in 'Men's Health Forum' started by Pericles, Jan 10, 2010.

  1. #1

    Pericles Member

    If my doc prescribes it w/ the scores to back it up? I have a PPO.

    I did the math and by the time I stop lifting and enjoying its benefits the total will come to around $70K:(
  2. #2

    CubbieBlue Member

  3. #3

    Pericles Member

    May I ask what you pay monthly?
  4. #4

    CubbieBlue Member

    I have BCBS HMO through my employer.
  5. #5

    BBC3 Member

    I have seen many decent BC/BS policies that wont cover gels and creams, but will cover injectibles with the right coding. A friend of mine was recently prescribed a patch and it was covered for a 30$ co-pay, and I think it is a newer technology of patch.....

    Best bet is to take your script up to the pharmacy and ask them to run it and see if it is covered. They will be able to tell you pretty quickly if not. If you are that adverse to injectible, then tell your doc its too much and ask for the patch instead and see if they will cover it. IMO the patch would be a superior option to gels and creams as they must be spread on a large area and messy. They also come off on other people. Including your children...... You dont want that. Although a little test rubbed off on the woman would not hurt your chances for a BJ.....[:eek:)]
  6. #6

    Pericles Member

    Having injected around 1K times definitely not afraid (and probably why I need HRT, :rolleyes:. However I am interested in the more natural mimicking nature of gels and the evidence that gels (due to DHT conversion) are better at stimulating sex drive.

    At the risk of being vulgar, wife was always generous w/ the BJ's when she knew she would get pounded crosseyed by me as an encore. Sadly those days seem to be in the past unless I get on HRT. Low dosage test plus very small amount of PDF=3 times a night no prob.

    Hopefully my doc will put me on in 3 weeks when I see him again. I am starting to feel that my marital happiness is dependent on test interpretation. It would probably be easier (and cheaper) for me to go black market, but I really want to be a law abiding citizen.
  7. #7

    TheOldFart Member

    My insurance uses Medco as the drug administrator and they cover androgel and Testim. I know that Aetna will cover Androgel, but will only cover Testim if nothing else works. I find that strange, as Androgel and Testim are the same price.

    My company changed the retiree medical for this year. The drug administrator is still Medco, but the copays are different. It was $25 per month or $50 for 3 months. It is now $75 per month or $150 for 3 months. In 2 months I go on Medicare, with a retiree supplemental. The copay will be $20 per month or $40 for 3 months. I got a 3 month supply last month, so I will not have to get any during the higher copay period.
  8. #8

    biceps72 Member

    I pay $30/month for androgel through my insurance -- same price regardless of dose doc puts you on. = $360/year which is not cheap but I feel it is money well spent! Shots are a lot cheaper but I like androgel better for several reasons.
  9. #9

    BBC3 Member

    I talked to my bud the other day. He had not used AAS before and was a natural 250 when tested at the age of 46. He states that after about 10 days on patch he is really feeling better. He did not get that response from gel when he tried it once in the past. He also states that this patch sticks like a SOB!!. Really super glued and hard to peel off even after 24 hours.

    With that said, you mentioned DHT Conversion. It is my understanding that your DHT or E2 conversion rate is affected by where you apply a topical. For instance, if you apply to Fatty area you will convern more E2 because E2 receptors are present in fat tissue. On the other hand, it would probably be a terrible idea to stick one to your scalp....[:eek:)], as there is an abundance of DHT receptors in that area.

    You also have to keep in mind (if you are not up on the TRT section) that there are many problems associated with long term use of T, even at a small TRT size dose. For whatever reason, there seems to be an inherent issue with E2 accumulation with extended use that must be controled with an AI. You probably were never on a cycle long enough to see. I am pretty sure the reason that we have this E2 issue is due to the fact that the body would naturally be able to rev down T production NORMALY. But with the consistent application of exogenous T, this does not happen. I am becomming convinced that with above normal body fat (as all old guys have), the exogenous application of T is almost a death warrant without E2 control applied as well.

    1) Fat accumulation results in a naturally (or supplemented) higher level of E2, including a skewed improper T/E ratio.

    2) It is the E2 that is the cause of the low T production (in many) that causes us to become low in testosterone.

    3) The body is shutting down T production so that E2 levels will fall, as E2 may be the Devil:).

    The point is, that E2 may very well be the root of male health issues like prostate cancer, heart disease, etc. More to the point. As you may not experience these nasty results for many years, you will find that your sex life will suffer fairly quickly. Unmitigated E2 in men, WILL CAUSE the inability to have a good erection, reduction in seminal volume, and prostate disfuntion that is exhibited in an ejaculation that is poor in strength. Without E2 control you could wind up worse than you are now. I am starting to believe that any doc enguaging in TRT protocols without consideration of E2 mitigation should just stay home as this practice may do more harm (for most cases today). But what is the cost of the long term use of arimidex? This will be an issue for ALL TRT patients that are endeavoring simply due to age related declines in T. As TRT goes mainstream, and it is no longer used as a treatment for only the physically injured, this will become a paramount issure. Just food for your research thought.....

  10. #10

    Pericles Member

    Good post my experience I always regulated my estrogen w/ nolvadex and proviron (I used clomid also, but not for e management).

    The doc I am seeing now likes to use arimidex which, based on the science, should also work well for me.
  11. #11

    clysmaniac Junior Member

    My doctor has prescribed Testim for me and my insurance gives me the option of using Medco or a local pharmacy. With Medco, there is a $20 copay for a 3 month prescription and at my local Walgreen's it is a $20 monthly copay. But my doctor gave me a card from Testim which covers the copay for a year so I am currently using Walgreen's. Monthly cost is around $330. It would be cheaper directly from Medco but then my copay payment would be higher.

    A trick is to get your doctor to prescribe 2 tubes a day if you are using only one so you only have to order it half as often and only have half the copays.
  12. #12

    BBC3 Member

    Keep in mind that clomid and nolva are both SERMS and not AIs (arimidex or Letro). When you take a SERM you are merely blocking all the E2 that forms from binding to receptors in certain areas. I dont think they even know for sure everywhere and to what extent, yet... The application of Arimidex, instead, stops the E2 from ever forming. To the tune of about a 70% reduction. While there is some research going on that indicates that Nolva may even protect the prostate by preventing E2 from binding there, as well as breast tissue and other places. That is not in, and I only offer as food for thought. ALL DRUGs have their negative consequences. While the Nolva may turn out to protect your Prostate, it still may not protect your heart from the excessive E2. While adex will prevent the testosterone from converting to E2 to begin with. It may not stop whatever is still allowed to form from aggrevating gyno. An extended reduction of E2 to this extend also has negative consequences on the skeletal system, amongst other things. There is much to consider and a moderate hedging with intermittent and interchanged use with vacation periods may be the best bet for these right now, and maybe always. But Finally, if you read the TRT guys talking about ADEX use for E2 control, you will find it is very tricky business. There appears to be somewhat of a curve of effectiveness at different doses. You should aim to keep E2 around 20 for a TRT dose of T. This is not the full prescibed 1mg/day as intended by manufacturer. They are using off label at doses ranging from 1/4 to 1 mg every 2-3 days to try to achieve this optimal level, which is far from an 80% reduction. It appears effective and may offset the negatives of long term E2 reduction via this drug to a strong degree, but it also appears to be a real juggling act to achieve this... :)

    Arimidex is going to be your real solution to E2 while using exogenous T for extended periods as it is the best way to mimic a "normal" E2 profile, when considering these options......... By preventing the aromatization of Free T to E2 from ever happening in the first place, you are almost "pretending" that the factors that caused the high E2 are no longer applying by the creation of this hormonal profile. You are not just blocking it are certain areas (CLomid/Nolva), you are changing your hormonal profile system wide... Many have even found that by the prevention of T aromatization to E2, you have a larger well on testosterone remaining and hence will raise your T levels3-400 points by the application of ADEX alone.!! This of course probably down regulates as everything does....

    Last edited: Jan 13, 2010
  13. #13

    Pericles Member

    Another excellent post as the above is what I have found to be true in my "real world" experience. My doc has prescribed one tab of Arimidex a day for someone else on 200 mg of test per week, but I am going to take a third/quarter as much and then ask that my e2 levels be measured.
  14. #14
    fishing trip

    fishing trip Guest

    My meds are provided through the VA..........they will not cover the gels. Actually, my doc petitioned the pharmacy board to cover the gel due to bad burns from the patches (androderm). They denied the request so now I will go on shots. I probably have a large amount of scar tissue due to the hundreds of anabolic injections I use to take.........I am thinking of using this excuse as reason to petition the board again after I give the injections a try.

    YES, the androderm patch works well at raising test and mimicking natural rhythm. However, it leaves sticky gunk behind, red burn marks, and an overall feeling of weirdness that you are walking around with a big ass patch on (which also makes noise).

    I am curios to know if ED has been a problem for any one here on shots? I will be doing 100mg a week of cyp, and concerned that on the decline in test levels( say day 4 through 7) will ED be a problem?
  15. #15

    Pericles Member

    Yes, in my experience on a weekly injection schedule. On day 5 do a small amount of hcg and you should be fine. You can also go to an every 5 day schedule which is what I always preferred.

© 1997–2016 MESO-Rx. All Rights Reserved. Disclaimer.