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Author Topic: what do I do with excess harvoni ?  (Read 4007 times)

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Offline buddyb

  • Newbie
  • Posts: 1
what do I do with excess harvoni ?
« on: June 27, 2016, 07:20:54 pm »
My doctor over estimated my regiment period by four weeks therefore resulting in an excess of this expensive drug. Although the four week supply I have (28) pills is in the original bottle with the seal unbroken the pharmacist refuses to take them back and my doctor will not advise me in this matter stating that what he feels what I should do with them is unethical for him to elaborate on (whatever that mean). With insurance and pap I was still out of $20,000 dollars for this stuff and I would like to get half of that back at the very least ! Does anyone have any ideals on how I can achieve this or do I need to just flush them? I'm aware of online pharmacies and I. considered contacting them about a possible sale but I,m not sure if it's legal to sell prescription drugs to any entity even thought they are not on a scheduled list. I'm not inclined to break any laws. Any thoughts on this? Please advise!

Offline gnatcatcher

  • Member
  • Posts: 1,372
Re: what do I do with excess harvoni ?
« Reply #1 on: June 27, 2016, 08:50:21 pm »
Different states have different laws, but the outlook isn't good. Here's a link from when this issue came up before:
http://forums.hepmag.com/index.php?topic=3268.msg29323#msg29323
and here's a link to the laws in various states:
http://www.ncsl.org/research/health/state-prescription-drug-return-reuse-and-recycling.aspx

Flushing is never a good option for excess medicine -- it can harm wildlife.

I really feel for you regarding the $20,000. If it happened to me, I'd be experiencing some pretty strong emotions about that doctor.
9/29/71 transfusions
HCV genotype 1a
7/09/15-9/30/15 Harvoni

Before treatment:
Viral Load 9,490,582
FibroScan 19.5 kPa [F4]
ALT 262
AST 217
ALP 183

Most recent:
VL still UNDETECTED (SVR 102)
FibroScan 7.6 kPa [F1-2]
ALT 15
AST 20
ALP 85

Offline dragonslayer

  • Member
  • Posts: 868
Re: what do I do with excess harvoni ?
« Reply #2 on: June 27, 2016, 09:28:10 pm »
Buddy, it sucks, but what do you mean when you state that the doctor 'over estimated' your requirement? 
Paul

DX 2008
Started Harvoni 11/26/14 for 8 wks
Completed 8 wks Harvoni 01/20/15
EOT RNA Quant result:  Detected 29
7.5 wk post tx: Detected < LLOQ(12)
11 wk post tx: UNDETECTED SVR12
24 wk post tx: UNDETECTED SVR24; AST 26; ALT 22; ALP 73
48 wk post tx: UNDETECTED SVR48; AST 18; ALT 18; ALP 70
GT 1a
vl 2.4mil
2008 bpx: Stage&Grade 0
2013 bpx: Stage&Grade: 0-1
IL28B: TT
likely infected early '70s

Offline Baxter

  • Member
  • Posts: 87
Re: what do I do with excess harvoni ?
« Reply #3 on: July 05, 2016, 11:42:02 pm »
Pharmacies can't take them back, and you can't legally sell them, because they were "outside the chain of custody" so to speak. Even if they are in a factory-sealed bottle, they could have been subjected to high temperatures or some other environmental condition that may have affected their quality. No pharmacy or other health care provided can ever give those drugs to another patient, so they can't take them back.

I suspect that what your doctor wanted to suggest to you, but could not legally do, was that you donate them to another HCV patient who was unable to afford treatment. I'm not saying that's what you should do, but my guess is that was what he was hinting at.

I'd really be curious to know whose fault it is that you got stuck paying for a month's worth of harvoni that you didn't need. Because I would expect them to reimburse me, if I were you. By teh way, when you say $20,000, you mean 20K for the whole course of treatment, right? Not 20 for the one month's worth? Because that would almost defeat the purpose of having insurance in the first place. Sounds like you're really getting hosed here.
Gen 1a
Inf. '85
Dx '98
'98 biopsy - Grade 2, Stage 2, VL 7 mil
'01 biopsy - Grade 1, Stage 1, VL 1.5 mil
'08 biopsy - Grade 1, Stage 1, VL 3.5 mil
'12 biopsy - Grade 1, Stage 1, VL 3.5 mil
'16 Fibrosure - Grade I, Stage 3, VL 6.4 mil and 4.8 mil
4/23/16 - ALT 89, AST 50, pltlts 120k. Started 12 wks Harvoni
4/31/16 - ALT 30, AST 21, pltlts 125k
4/14/16 - ALT 25, AST 16, pltlts 126k, VL 69
5/11/16 - ALT 28, AST 21, pltlts 140k,VL <15
6/7/16 -EOT, UNDETECTED!
9/7/16 - cured. Low Stage 2 fibrosis

Online Lynn K

  • Global Moderator
  • Member
  • Posts: 4,180
  • Get tested, get treated, get cured, fight Hep c!
Re: what do I do with excess harvoni ?
« Reply #4 on: July 06, 2016, 03:21:08 am »
Just a reminder it is against federal law to sell or even give away a prescription from the patient for who it was prescribed to another person for whom the meds were not prescribed.

You cannot sell or even give away your meds legally they can only be turned in to be destroyed.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

 


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