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<blockquote data-quote="slsh" data-source="post: 621592" data-attributes="member: 8"><p>Had to chuckle at this - I asked husband just this afternoon how on earth the brand name companies are going to be able to continue to command the ridiculous $$ for their drugs (when generics are available) when no insurance company will pay it. Eventually, they're going to have to quit charging their exorbitant fees, but I don't think it will be in time for Boo. </p><p></p><p>Topamax, for example. Also used for bipolar. Our upcoming "copay" will be over $3300 for a 90-day supply (brand name cost minus generic cost), plus $25. If we go generic, it will only be the $25. But will generics hold the epilepsy in check? </p><p></p><p>I understand the reasoning - the original makers of Topamax probably spent a small fortune in development and testing. Plus, let's face it, medications are a big $$ maker. Big profits, which is why there's a waiting period before generics can come out. But... at the same time, there's a greediness. Once the cost of development and testing is recouped, they're still making a fortune on the brand name drugs. Then you have folks like me, who have a kid with severe epilepsy that is life-threatening, who think it's worth the cost not to rock the boat by switching to generics that may or may not be bioidentical. But at the same time, not a chance we can afford to pay the copay. I don't know.... is medical care coming down to the haves and have nots? Do husband and I annihilate any chance of retirement to ensure that we don't run the risk of breakthrough seizures and worse? And what boat does that leave Boo in when we're gone? </p><p></p><p>I still don't know what our decision is going to be. Working with neuro and husband's employer. </p><p></p><p>Maybe I should've bought stock in the manufacturer of Topamax, way back when, just so we could afford to continue it now.</p></blockquote><p></p>
[QUOTE="slsh, post: 621592, member: 8"] Had to chuckle at this - I asked husband just this afternoon how on earth the brand name companies are going to be able to continue to command the ridiculous $$ for their drugs (when generics are available) when no insurance company will pay it. Eventually, they're going to have to quit charging their exorbitant fees, but I don't think it will be in time for Boo. Topamax, for example. Also used for bipolar. Our upcoming "copay" will be over $3300 for a 90-day supply (brand name cost minus generic cost), plus $25. If we go generic, it will only be the $25. But will generics hold the epilepsy in check? I understand the reasoning - the original makers of Topamax probably spent a small fortune in development and testing. Plus, let's face it, medications are a big $$ maker. Big profits, which is why there's a waiting period before generics can come out. But... at the same time, there's a greediness. Once the cost of development and testing is recouped, they're still making a fortune on the brand name drugs. Then you have folks like me, who have a kid with severe epilepsy that is life-threatening, who think it's worth the cost not to rock the boat by switching to generics that may or may not be bioidentical. But at the same time, not a chance we can afford to pay the copay. I don't know.... is medical care coming down to the haves and have nots? Do husband and I annihilate any chance of retirement to ensure that we don't run the risk of breakthrough seizures and worse? And what boat does that leave Boo in when we're gone? I still don't know what our decision is going to be. Working with neuro and husband's employer. Maybe I should've bought stock in the manufacturer of Topamax, way back when, just so we could afford to continue it now. [/QUOTE]
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