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Costco
Jul 24, 2016 16:33:19 GMT -5
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sla55 likes this
Post by sportsrancho on Jul 24, 2016 16:33:19 GMT -5
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Back to Search The Costco Drug Directory contains pricing details for prescription drugs, plus general information for a wide range of medications. To shop for over-the-counter medications, visit Costco.com.
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AFREZZA
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Costco
Jul 24, 2016 16:34:32 GMT -5
via mobile
Post by sportsrancho on Jul 24, 2016 16:34:32 GMT -5
Drug Type
What is this medicine?
INSULIN (IN su lin) is a human-made form of insulin. This medicine lowers the amount of sugar in your blood. It is a short-acting insulin that starts working about 15 minutes after it is inhaled. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions: cigarette smoker episodes of hypoglycemia (low blood sugar) kidney disease liver disease lung cancer lung or breathing disease, like asthma or COPD (such as emphysema) using other inhaled medicines an unusual or allergic reaction to insulin, other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding
How should I use this medicine?
This medicine is for inhalation through the mouth. Take this medicine at the beginning of a meal. It is important to follow the directions given to you by your doctor or health care professional. You will be taught how to use this medicine and how to adjust doses for activities and illness. Make sure that you are using your inhaler correctly. Do not use more insulin than prescribed. Do not use more or less often than prescribed. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
It is important not to miss a dose. Your health care professional or doctor should discuss a plan for missed doses with you. If you do miss a dose, follow their plan. Do not take double doses.
What may interact with this medicine?
albuterol or other inhaled medicines other medicines for diabetes Many medications may cause an increase or decrease in blood sugar, these include: alcohol containing beverages aspirin and aspirin-like drugs chloramphenicol chromium diuretics female hormones, like estrogens or progestins and birth control pills heart medicines isoniazid male hormones or anabolic steroids medicines for weight loss medicines for allergies, asthma, cold, or cough medicines for mental problems medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl niacin NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen pentamidine phenytoin probenecid quinolone antibiotics like ciprofloxacin, levofloxacin, ofloxacin some herbal dietary supplements steroid medicines like prednisone or cortisone thyroid medicine Some medications can hide the warning symptoms of low blood sugar. You may need to monitor your blood sugar more closely if you are taking one of these medications. These include: beta-blockers such as atenolol, metoprolol, propranolol clonidine guanethidine reserpine This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medicine?
Visit your health care professional or doctor for regular checks on your progress. A test called the HbA1C (A1C) will be monitored. This is a simple blood test. It measures your blood sugar control over the last 2 to 3 months. You will receive this test every 3 to 6 months. Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them. Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. Examples include hard sugar candy or glucose tablets. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. They must get medical help at once. Tell your doctor or health care professional if you have high blood sugar. You might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine. Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol. Many nonprescription cough and cold products contain sugar or alcohol. These can affect blood sugar. Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible: allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue breathing problems signs and symptoms of high blood sugar such as dizziness, dry mouth, dry skin, fruity breath, nausea, stomach pain, increased hunger or thirst, increased urination signs and symptoms of low blood sugar such as feeling anxious, confusion, dizziness, increased hunger, unusually weak or tired, sweating, shakiness, cold, irritable, headache, blurred vision, fast heartbeat, loss of consciousness Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.): cough sore throat This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Where should I keep my medicine?
Keep out of the reach of children. The inhaler device can be used for up to 15 days from the date of first use. Throw away your inhaler after 15 days and get a new one. Between uses, store the inhaler between 2 and 25 degrees C (36 and 77 degrees F). Store unopened foil cartridge packages in a refrigerator between 2 and 8 degrees C (36 and 46 degrees F). These may be used until the expiration date. If unopened insulin cartridges in foil packages are not refrigerated, the cartridges must be used within 10 days. Opened foil insulin cartridge packages that are in use should be stored at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Sealed (unopened) blister cards and strips must be used within 10 days. Cartridges left over in an opened strip must be used within 3 days. Before use, the inhaler and the cartridges should be at room temperature for 10 minutes.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
YOUR USE AND REVIEW OF THIS INFORMATION CONSTITUTES ACCEPTANCE OF THE FOLLOWING TERMS AND CONDITIONS:
The information contained in the GSM products is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor or pharmacist can provide you with advice on what is safe and effective for you. The use of the GSM products is at without warranties of any kind, either express or implied. GSM and Costco Wholesale make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, NEITHER GSM NOR COSTCO WHOLESALE MAKE ANY REPRESENTATIONS OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE GSM PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. GSM and Costco Wholesale do not assume any responsibility or risk for your use of the GSM products.
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Costco
Jul 24, 2016 18:37:08 GMT -5
Post by mydogskip on Jul 24, 2016 18:37:08 GMT -5
Hasn't Costco been offering Afrezza for about a year now? I recall some mention of it in a Costco magazine last summer. It never gained any traction and I can bet that not many Costco pharmacies filled prescriptions. But that should not be a surprise to anyone on here.
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Post by liane on Jul 24, 2016 18:53:12 GMT -5
mydogskipWith your baseless comments, I don't think your agenda surprises anyone here.
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Costco
Jul 25, 2016 6:32:54 GMT -5
Post by mydogskip on Jul 25, 2016 6:32:54 GMT -5
mydogskip With your baseless comments, I don't think your agenda surprises anyone here. How is it baseless? What is my agenda other than stating known facts? It is known fact that Costco has been offering Afrezza to its members for over a year. It is known fact that Afrezza hasn't been selling per documented Symphony scripts you post on here. It is known fact that COSTCO has been filling few if any Afrezza prescriptions since the inception of it offering it. So maybe it is you who needs to chill a bit and stop making baseless accusations at other posters. I get it, you are peeved you have invested a lot of money in MNKD only to have been burned so far. I'm in the same boat. Btw, my only agenda is like your agenda, to make money on MNKD.
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Costco
Jul 25, 2016 6:38:50 GMT -5
Post by liane on Jul 25, 2016 6:38:50 GMT -5
It is known fact that COSTCO has been filling few if any Afrezza prescriptions since the inception of it offering it. You cannot possibly know this as a fact.
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Costco
Jul 25, 2016 14:21:42 GMT -5
Post by mydogskip on Jul 25, 2016 14:21:42 GMT -5
It is known fact that COSTCO has been filling few if any Afrezza prescriptions since the inception of it offering it. You cannot possibly know this as a fact. Based on script numbers and the fact my local Costco shows at their store (one of the busiest in the nation) that they only show one Afrezza script dispensed and that was in February. No others since then and the guy who works there and has worked there for years didn't even know about it. You know the data and how bad it is. You are really going to tell me that Costco is dispensing a lot of Afrezza? They are not. They are hardly dispensing any at all. Same goes with most pharmacies. You have the script data in front of you and yet you want to argue this? Time to harvest the crust from eyes and wake up to reality. Hopefully scripts will go up as the sales crew better educates endos but things as of right now look horrible.
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Costco
Aug 4, 2016 11:54:12 GMT -5
Post by bradleysbest on Aug 4, 2016 11:54:12 GMT -5
I ask at my local CVS & they have not written 1 script for Afrezza yet... #Frustrated
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Post by thekindaguyiyam on Aug 7, 2016 16:21:25 GMT -5
i've been getting my meds (not afrezza) from CVS for the last 10 years. What I have witnessed is an ongoing change in employees in the pharmacy. 5 pharmacists in one year?! Counter people who use to be good with keeping the meds correct with timely delivery... has all changed. Now, with temps who don't know squat and are basically clerks who aren't even familiar with the meds they provide; I couldn't handle their incompetence any longer and quit CVS forever. My theory is that the people who are making the decisions nationally are screwing up big time; trying to shift the patients to online ordering with their new app. That's not what I want to do and refuse to wait an hour or two; or be asked to come back later in the week after i get a call that my meds are ready. CVS went from adequate to horrible.
And while I'm addressing this issue. The target audience for Afrezza are endos who are treating type 1 diabetics. What percentage of the Endo's have been contacted? Very very few. Anyone care to guess the % of endo's contacted by the efforts of Sanofi? If we are talking 1% with the total amount of scrips represented by that # why would almost any pharmacies know about this drug? If you aren't talking to the Pharmacist; you are talking with a clerk who has likely little time on the job and unlikely to be educated about every new drug that comes to market.... It will take some time to gain traction and physician orders.
For those endo's who have prescribed... this is the 2nd time with Afrezza but the 3rd attempt if you include Exubra. Those endo's that prescribed Exubra were already burned by an inhalation treatment... and few physicians take the time and effort to explore why Afrezza is different than Exubra. Those who are studied know it's an entirely different application of inhalation; but those unstudied have a bias about a new inhaled med because of the stigma of putting patients on a drug that failed. If this were baseball; the reps are up at bat with 2 strikes against them. Not an easy job to redirect a physician's thinking. And, for new patients who receive the first months meds free; won't have the choice to continue with a Script that is counted till at least the end of this month. There is no more room for errors; this is it. At this point in time; the way I see it, the product will succeed or fail by the end of this year. Hoping that branding and distribution is embraced by introduction to other countries, or other drug applications with Technosphere. I'm all in. I have more $ invested in MNKD than I still owe on the mortgage of my home. Down like most everyone else and I'm not going to give up based on the facts that Afrezza is the best most effective meal time insulin out there. The patient advocates know this and that's why they were an included to provide real life experiences to the MNKD Sales Reps prior to them hitting the market.
I'm not selling.
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Deleted
Deleted Member
Posts: 0
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Costco
Aug 7, 2016 16:54:41 GMT -5
Post by Deleted on Aug 7, 2016 16:54:41 GMT -5
ok
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Post by sportsrancho on Aug 7, 2016 17:05:06 GMT -5
i've been getting my meds (not afrezza) from CVS for the last 10 years. What I have witnessed is an ongoing change in employees in the pharmacy. 5 pharmacists in one year?! Counter people who use to be good with keeping the meds correct with timely delivery... has all changed. Now, with temps who don't know squat and are basically clerks who aren't even familiar with the meds they provide; I couldn't handle their incompetence any longer and quit CVS forever. My theory is that the people who are making the decisions nationally are screwing up big time; trying to shift the patients to online ordering with their new app. That's not what I want to do and refuse to wait an hour or two; or be asked to come back later in the week after i get a call that my meds are ready. CVS went from adequate to horrible. And while I'm addressing this issue. The target audience for Afrezza are endos who are treating type 1 diabetics. What percentage of the Endo's have been contacted? Very very few. Anyone care to guess the % of endo's contacted by the efforts of Sanofi? If we are talking 1% with the total amount of scrips represented by that # why would almost any pharmacies know about this drug? If you aren't talking to the Pharmacist; you are talking with a clerk who has likely little time on the job and unlikely to be educated about every new drug that comes to market.... It will take some time to gain traction and physician orders. For those endo's who have prescribed... this is the 2nd time with Afrezza but the 3rd attempt if you include Exubra. Those endo's that prescribed Exubra were already burned by an inhalation treatment... and few physicians take the time and effort to explore why Afrezza is different than Exubra. Those who are studied know it's an entirely different application of inhalation; but those unstudied have a bias about a new inhaled med because of the stigma of putting patients on a drug that failed. If this were baseball; the reps are up at bat with 2 strikes against them. Not an easy job to redirect a physician's thinking. And, for new patients who receive the first months meds free; won't have the choice to continue with a Script that is counted till at least the end of this month. There is no more room for errors; this is it. At this point in time; the way I see it, the product will succeed or fail by the end of this year. Hoping that branding and distribution is embraced by introduction to other countries, or other drug applications with Technosphere. I'm all in. I have more $ invested in MNKD than I still owe on the mortgage of my home. Down like most everyone else and I'm not going to give up based on the facts that Afrezza is the best most effective meal time insulin out there. The patient advocates know this and that's why they were an included to provide real life experiences to the MNKD Sales Reps prior to them hitting the market. I'm not selling. I hear you! And another thing I think is really important is what Saxcmann posted today; I also believe we need DTC advertising like TV commercials to reach large script counts to break even. PTs must ask doctors for afrezza. Read more: mnkd.proboards.com/thread/5958/technicals-earnings#ixzz4GgcjwM1R
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