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Post by sportsrancho on Oct 22, 2016 20:12:04 GMT -5
They get a sample pack from the doctor, ( that gets ordered from MNKD ), which is meant to hold them over until they get their titration pack at the phamacy which counts as a script.
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Post by brotherm1 on Oct 22, 2016 20:58:07 GMT -5
Is the sample pack good for about a month? Is the titration pack good for about a month? And the sample pack does not count as a prescription but the titration pack does?
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Post by rockstarrick on Oct 22, 2016 21:19:43 GMT -5
I believe when your Dr hands you your prescription, he also gives you the titration pak, the rx is filled at the pharmacy. Does this make sense ?? Castagna said the titration packs are given via an Rx. It does not sound to me as though the doctor is handing the packs out physically. Rather, that patients get them via an Rx they have to fill at a pharmacy. In a conference call, Castagna said: "The other thing you’ll hear us launch which is just a short term pilot is a voucher program. This voucher program will be good for one month sample of the titration pack and this is meant to drive demand pull through to the wholesale channel to ensure the local pharmacies are stocking it as well as a supplement for our current sample program. See: mnkd.proboards.com/thread/5978/pairing-afrezza-basalIt sounds to me like the doctor writes a prescription for the pack and gives the patient a voucher to use in conjunction with it, to cover the cost. And that the titration packs will be picked up from the local pharmacy. All I was doing was trying to help answer this question for a fellow member. "Maybe someone could clarify this. My understanding was that titration packs were being given out free with each Nrx, at least partly because confusion over the NDC led to some sort of error either with with stocking the titration packs or with how insurers classified them" this was all i could find, and all anybody else, (except maybe Mike C) will find. everybody is welcome to interpret as they wish. Good Luck Everybody Read more: mnkd.proboards.com/thread/6522/mannkind-situation-turn-on-dime?page=2#ixzz4Ns2FO9zX
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Post by sportsrancho on Oct 22, 2016 21:20:25 GMT -5
Is the sample pack good for about a month? Is the titration pack good for about a month? And the sample pack does not count as a prescription but the titration pack does? Sample good for about 10 days. Depending on the person. Titration is good for about a month I believe. Yes sample doesn't count as a script. Titration does. Doctors have to order the samples, and they get shipped from MNKD. Then you go to the phamacy with your script to get the titration pack.
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Post by rockstarrick on Oct 22, 2016 21:24:28 GMT -5
Is the sample pack good for about a month? Is the titration pack good for about a month? And the sample pack does not count as a prescription but the titration pack does? Sample good for about 10 days. Depending on the person. Titration is good for about a month I believe. Yes sample doesn't count as a script. Titration does. Doctors have to order the samples, and they get shipped from MNKD. Then you go to the phamacy with your script to get the titration pack. What color are they ?? are they the same color as the Sanofi samples, could be some sort of signal !! 😂😂😂😂 sorry Sports, I just had to
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Post by letitride on Oct 22, 2016 21:27:16 GMT -5
Thank you Sweede that was the heart of my quest. I gave him a link to Afrezza .com he is not happy with where he is at and can easily get what he wants if he likes what he sees.
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Post by sportsrancho on Oct 22, 2016 21:29:50 GMT -5
This all came about because 5-10 days of samples is not enough time to learn how to dose. So the titration pack is free to the patient but counts as a script.
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Post by lakon on Oct 23, 2016 1:56:54 GMT -5
I was talking to a friend over 60 that's type 2 the other day and he was telling me his doctor says anything under 170 is fine for his age, he is averaging around 140 most days. He is on metamophine and was told by his doctor the use of meal time insulin would only further reduce the the production of insulin by his own pancreas. Does this sound like the norm to those in the know here. It sounds like your friend needs a new doctor. You might point him at the MNKD find a doctor site because his doctor is slowly killing him. I especially love the "for his age" comment. WTF is that supposed to mean? Well, since you already have less years left, you can afford to lose more. Wait. What? F. U. Doc. (That's the kind of response that he needs to think and say.)
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Post by lakon on Oct 23, 2016 2:04:06 GMT -5
I recall that nurses in a hospital said: Everything under 200 is okay for an elderly lady. See how undermanaged this is. I think the reasoning is simple: old person + hypo = $ + death. Better to manage expectations, even if it kills the patient quicker, but more slowly than having high expectations of control that go South the quickest. Afrezza would help this segment of the population of PWD, but alas, we've heard this before.
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Post by letitride on Oct 23, 2016 2:22:30 GMT -5
Pointing him to afrezza was all I can do I am neither a doctor nor a diabetic but he is now aware there are other options.
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Post by prvs on Oct 23, 2016 8:01:11 GMT -5
A patient receives a 1 month titration pack sample for free with a voucher. They also receive a 1 or 3 month RX. The titration pack sample NRX is filled for free. After 1 month the patient refills with the real Rx or the real Rx is counted as a NRX. I thought the real Rx would be counted as a refill, because technically the patient has already been on the drug for one month.
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Post by sportsrancho on Oct 23, 2016 9:27:51 GMT -5
Right, it should be counted as a refil. Most scripts are written for a year with patients getting refills every 3 months.
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Post by cjm18 on Oct 23, 2016 10:19:30 GMT -5
I was talking to a friend over 60 that's type 2 the other day and he was telling me his doctor says anything under 170 is fine for his age, he is averaging around 140 most days. He is on metamophine and was told by his doctor the use of meal time insulin would only further reduce the the production of insulin by his own pancreas. Does this sound like the norm to those in the know here. It sounds like your friend needs a new doctor. You might point him at the MNKD find a doctor site because his doctor is slowly killing him. I especially love the "for his age" comment. WTF is that supposed to mean? Well, since you already have less years left, you can afford to lose more. Wait. What? F. U. Doc. (That's the kind of response that he needs to think and say.) It blows my mind how doctors set the bar so low for treating diabetes. It's one of the most expensive health epidemics in the country. And as long as the patient doesn't end up in the hospital in the near term they couldn't care about much else. The system is not working. The doctor has no incentive to change up their treatment as long as a1c is not sky high. My comments might be a slight exxageration. So I apologize to any endos out there. Then again.. I don't know of one endo that posts here. Am I mistaken? What does that tell us? I'm sure Matt or mike will address the dismal scripts at the November conference call. Send mnkd your questions.
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Post by sportsrancho on Oct 23, 2016 11:07:16 GMT -5
Seems the older you are the less you are valued. I was involved in a potential lawsuit because my mother died in a rest home partly because of negligence. The lawer told me he could win the case but because of my mothers age her life was valued at 0. And it would just be a waste of time.
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Post by sweedee79 on Oct 23, 2016 11:07:44 GMT -5
It sounds like your friend needs a new doctor. You might point him at the MNKD find a doctor site because his doctor is slowly killing him. I especially love the "for his age" comment. WTF is that supposed to mean? Well, since you already have less years left, you can afford to lose more. Wait. What? F. U. Doc. (That's the kind of response that he needs to think and say.) It blows my mind how doctors set the bar so low for treating diabetes. It's one of the most expensive health epidemics in the country. And as long as the patient doesn't end up in the hospital in the near term they couldn't care about much else. The system is not working. The doctor has no incentive to change up their treatment as long as a1c is not sky high. My comments might be a slight exxageration. So I apologize to any endos out there. Then again.. I don't know of one endo that posts here. Am I mistaken? What does that tell us? I'm sure Matt or mike will address the dismal scripts at the November conference call. Send mnkd your questions. Its sad but you are right... not only that but my dad practically starves himself or the docs blame HIM for his bad A1C #s .. I feel really bad for him and all people with diabetes.. they just accept it cuz they don't know there is anything better out there, just take the docs word for it ..
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