Pharmacokinetic Evaluation and Dosing of Subcutaneous Testosterone Pellets

[jonkobeck]

I was surprised when I found out that my insurance AETNA which is a regular HMO covered the pellets. ITs about $500.00 per quarter, Androgel cost more actually.

 

[jonkobeck]

I would also like to point out that when YOUR DOC is considering what method of treatment to apply, UNFORTUNATELY, he has financial considerations.

It should be noted that first I think the "pellet docs" have been pretty much stimatized as Cattle docs by now due to $$$.. I think the proceedure costs about 600$ give or take and most insurance does not cover.

You will also find that PATCHES which are optimal IMO, and short of proper CYP IM application perhaps, are pretty damn expensive too. I believe I was quoted about 300$ for patches. Strangely my insurance ONLY wants to pay for CYP now. Perhaps Cause I have been on it. I THINK they will cover gels which may be more like 150 (not sure), but they refused the patches when I wanted to try..!>?!>!! 100 vs 300$ - Go figure.

It should also be noted that I have seen something going on as of late with the major Pharm vendors (CVS, Walgreens, etc).. They have been pulling some shit about not having basic Sandoz and Watson Generics. At first they tried to force a "Brand" on me, which I think was Schreng. I did not know they were the ORIGINAL!?!?! I always assumed Upjon T DEPOT was. I PROABABLY Have all that ackwarB.. But the long and short is APPARENTLY CVS AND WALGREENS ARE TIRED OF YOU MAKING AWAY FOR 10 WEEKS FOR 10 BUCKS, SO NOW THEY ARE PUSHING 1ML LOADS AND ONLY PROVIDING 5 WEEKS FOR THE SAME PRICE....?!? I actually brough it to the attention of BC/BS and got the push off. I assumed that they were now too getting DOUBLE CHARGED, but reflecting at this moment I suspect they are only now eating $50.00 per co-pay. AND I know many who have been getting the 10ml for min copay for a while now so will be interesting to see. I will also inquire as to what my ins is bring charged now for the half size supply.....

Just because a particular form of therapy (shots) happens to be the least lucrative to the Doctor, doesn't mean its necessarily in the best interest of the patient, conversely, if a particular avenue makes the doctor more money (pellets) that doesn't mean its bad for the patient.
I don't care how mooch money the doctor makes as long as it works.

PS- I looked at my insurance bill from Aetna, he submitted about $500.00 in charges but the contracted rate is around $275.00 and thats all he gets.
I don't think $275.00 is a lot of money 3 times a year

 

[BBC3]

Which also explains why most everyone I know that thought about pellets told me the doc said he didnt take insurance with regard to the matter, or simply told the patient BC/BS did not cover it.

And yes thats a good deal. I do concern with the potential scarring over time. But really. What is "scar tissue" in a muscle. Does it existing and what are the implications. I am certain it does exist thought. The one poster referring to it as an invasive surgical proceedure. Yes I quickly discounted as really its just a large pin prick while at the sime time pointing out that a 21 ga pin is more like an "incision" than a pin prick. Look at the top of the needle and you will see that about 1/2 of the surface has a cutting EDGE. WE ARE NOT JUST "POKIN HOLES" regardless of whether Cyp inj or pettets... You do have to wonder if any nerve damage could occur is a pellet implant crossed the wrong path. Just how much damage could be done is some Ignorant ass cannibal doc crossed the inner buttoct/sciatic related area which can paralyze a leg for days just with a 25ga?? So what about a pellet implanting size cut through there.?? Permanent? I wonder....

Just what ga is a pellet implanting tool.??

Back on track...

You beg an interesting point. How many docs are SKIRTING their commitments to patients by ARBITRARILY discouraging the patient from the service because he does not want to provide the service for what BC/BS will pay him. SO REALLY, under his contract he actually MAY HAVE TO HONOR THEIR PRICE in exchange for all the $$ he gets for the other deals. Its probably written in there.

So how much of that type horse shit goes on I wonder... Keep in mind this is a cut and dry scenario where many are not... Its really a flagship exemplary of this conundrum, which I am certain is one of the reasons for the lack of interest/ promotion or pellets..

Just because a particular form of therapy (shots) happens to be the least lucrative to the Doctor, doesn't mean its necessarily in the best interest of the patient, conversely, if a particular avenue makes the doctor more money (pellets) that doesn't mean its bad for the patient.
I don't care how mooch money the doctor makes as long as it works.

PS- I looked at my insurance bill from Aetna, he submitted about $500.00 in charges but the contracted rate is around $275.00 and thats all he gets.
I don't think $275.00 is a lot of money 3 times a year

 

[hypohypophysis]

@BBC3 - Have you tried the patches. I did notice that they are better for ED, but if you live in a hot, humid climate they are unmanageable. I sweat a good bit, and the patches stay on for shit. And they come off if you get wet, too. I've used other medicines with transdermal delivery patches, and I think the design of Androderm is just poor. Plus, the adhesive stays on your skin and you have to was it with isopropyl alcohol to get it to come off. That's not a big deal, but the worst part is that they irritate the shit out of your skin. For a week after removing the patch, I would have a red oval in the shape of where the reservoir is. When you compound that with the fact that you are suppose to change application site, what happens is that you end up with many unsightly red ovals all over your body. And, they feel like somewhere between a minor bruise or burn. Maybe that was just my own skin reaction and others don't have that, but the thing that kept me away was that they just wouldn't stay on. I've heard that they have buccal testosterone, but have not seen or heard of anyone who was prescribed it. It would seem that if effective, it would reduce the skin area exposure that I'm guessing would lead to less aromatization and less DHT.