Susan's Place Transgender Resources

Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: JoanneB on December 19, 2014, 08:27:19 PM

Title: Problem getting injectable E
Post by: JoanneB on December 19, 2014, 08:27:19 PM
Very weird... back at the end of summer I had my script filled with the only problem Estradiol Valerate wasn't "Off the Shelf". Big Whop... I had to wait 3 days like the time before that and the time before that....

This time.... No can do. The Wholesaler/Distributor for Walgreens says We can't get it. A local home town pharmacy my wife uses all the time same thing. "Can't get it". The pharmacist at Walgreens even went the extra mile and had already asked about different dilutions. Mine is 10mg/ml. Again No can do  ???

Does anyone else have a problem? I found a thread on ->-bleeped-<- where it seems to be, but.....

BTW - First time ever I had a sense of discrimination about being trans when the local pharmacy said no can do, but didn't bother to call or even tell me about it. It took about 4 calls between the doctors office and the pharmacy before I got a for real answer
Title: Re: Problem getting injectable E
Post by: ImagineKate on December 19, 2014, 09:17:57 PM
Weird. I basically dumped Walgreens (Duane reade) and went with Walmart pharmacy. At first it was due to cost because my insurance doesn't cover E for "males" but I've found that walmart is a world of difference in customer service. They are extremely accommodating and go the extra mile. Duane reade would give me attitude. The first time I went for E I got an email notification that the insurance turned it down. I had some other meds on order that day as well. So I went to pick up my prescriptions and all were ready except the E. They didn't even mention it. I asked, "so did you guys fill the estradiol?" The woman at the counter said, "no your insurance declined it so we didn't fill it." Well geez thanks for telling me only after I asked...no more business for them now from me. Strictly Walmart or Costco.
Title: Re: Problem getting injectable E
Post by: Monica Jean on December 19, 2014, 09:19:33 PM
Does WalMart sell injectable E?  I called two of them this week, neither has a listing for it in their system :(

Title: Re: Problem getting injectable E
Post by: ImagineKate on December 19, 2014, 09:23:10 PM

Quote from: michelle1 on December 19, 2014, 09:19:33 PM
Does WalMart sell injectable E?  I called two of them this week, neither has a listing for it in their system :(

I have no idea. I thought they could get anything. They do mail order as well.
Title: Re: Problem getting injectable E
Post by: CrissyMarie on December 19, 2014, 09:55:31 PM
I was getting injectable estro veler from Walmart in north Georgia and the company they use stop manufacturing it.  There is a company that i can recommend that my doctor told me about called Stroheckers Pharmacy in Oregan.  They make their own compund of it and have 10mg up to 40mg.  I had to stop taking it though because I was getting a massive deep bruise from it as I think it was do to the medicine being in cotton seed oil and a guess I'm allergic to that?  I might try a less concentrated prescription of it and see if it will be ok.  But that is a option if you want and it's cheaper then Walmart.
Title: Re: Problem getting injectable E
Post by: Wynternight on December 19, 2014, 10:08:27 PM
I've been getting all of my hormones from Walgreen's and just made the switch to injectable and was told they cannot get it so I transferred that RX to a local compounding pharmacy who had it in stock. My PCP faxed them this RX this morning and I had it after work this afternoon.
Title: Re: Problem getting injectable E
Post by: Eva on December 19, 2014, 10:12:43 PM
I couldnt fill my 10mg/ml Delestrogen prescription three weeks ago >:( I did get the 20mg/ml concentration but I like the weaker formulation better for an every five day dosage :-\

Target pharmacy said they are looking at March 2015 :'(
Title: Re: Problem getting injectable E
Post by: Clhoe G on December 20, 2014, 12:11:47 AM
If you've got a script why not buy it online, it usually cheaper anyway, if you can find the right site like it's the only way I can get it because pharmacies just don't stock injections here in Australia.
but seriously don't bother with Canadian websites, their a total rip off

you can get 10 ampoules of progynon for like $15

But sorry I don't think I'm allowed to post what site I'm thinking about.   
Title: Re: Problem getting injectable E
Post by: Lisbeth on December 20, 2014, 01:38:03 AM
The last two weeks have been rather frustrating.

I have been taking Estradiol Valerate injections for several years now. Two weeks ago I finished up my latest bottle and ordered a refill from Walgreens. They said they needed to get a prescription renewal from my doctor. No big deal. I was notified that was renewed in a couple days. Then I got a call that my prescription was delayed. Not unusual for them to not have it in stock. Several days passed and I check what was going on. I was told that their supplier no longer carried it.

I went and talked to the pharmicist connected to my clinic, and he told me that nobody could get it. It was back ordered until April next year. He told me that Depo Estradiol was available, so I left a note for my doctor's nurse to change my prescription.

I soon got a call that the prescription had been sent to Walgreens. I went to pick it up and was told it was not available. What they had was a prescription for Delestrogen, which is the same thing as Estradiol Valerate.

So I called the clinic again and asked the nurse to call the pharmacy and verify that they had the right prescription and it was available. She soon called back and said it was ready to pick up. I went to Walgreens, and they told me it would soon be ready. After twenty minutes I was called to the counter and told that it was not available.

So calling the nurse back I asked her to send the prescription to clinic's pharmacy. So today I picked up my Depo Estradiol after a full week without hormones.
Title: Re: Problem getting injectable E
Post by: JoanneB on December 20, 2014, 06:58:09 AM
Quote from: Clhoe G on December 20, 2014, 12:11:47 AM
If you've got a script why not buy it online, it usually cheaper anyway, if you can find the right site like it's the only way I can get it because pharmacies just don't stock injections here in Australia.
but seriously don't bother with Canadian websites, their a total rip off

you can get 10 ampoules of progynon for like $15

But sorry I don't think I'm allowed to post what site I'm thinking about.
I used them for years and still will as a back up plan. When I went legit I noticed instantly a difference between the Indian/NZ generic and the USA manufactured. It surprised me how my body felt, just like it did years ago when I started.
Title: Re: Problem getting injectable E
Post by: Rachel on December 20, 2014, 07:15:01 AM
I get 40 mg/ml delestrogen at Walgreens next to my primary care (LGBT). They have a inside door between the pharmacy and Primary care. $80.00 for delestrogen (5 shots worth) and needles and syringes for 4  or 5 bottles. $60 for the delestrogen.
Title: Re: Problem getting injectable E
Post by: KayXo on December 20, 2014, 10:08:04 AM
Depo-Estradiol is not exactly the same thing, estradiol cypionate instead of valerate. Cypionate is stronger. I think that if you deal with compounding pharmacies, they can certainly prepare you EV injections and at quite an affordable price. If you need contacts, let me know. I know a few pharmacies that are quite reputable and experienced.
Title: Re: Problem getting injectable E
Post by: Wynternight on December 20, 2014, 05:56:45 PM
Walgreen's just can't get it. The local one I've been getting my hormones from told me they can't even order it and there's been a few more threads about this where it seems Walgreen's is having supply issues on a national level. I went to a local compounding pharmacy and they had valerate in stock. I transferred my RX to them and had it later that day.
Title: Re: Problem getting injectable E
Post by: Lady_Oracle on December 21, 2014, 02:49:12 AM
Quote from: CrissyMarie on December 19, 2014, 09:55:31 PM
I was getting injectable estro veler from Walmart in north Georgia and the company they use stop manufacturing it.  There is a company that i can recommend that my doctor told me about called Stroheckers Pharmacy in Oregan.  They make their own compund of it and have 10mg up to 40mg.  I had to stop taking it though because I was getting a massive deep bruise from it as I think it was do to the medicine being in cotton seed oil and a guess I'm allergic to that?  I might try a less concentrated prescription of it and see if it will be ok.  But that is a option if you want and it's cheaper then Walmart.

I'm in Georgia too! That massive bruise was probably from not massaging the injection site throughout the day. I get them too but its just due to lack of blood flow hence why massaging that area periodically is crucial or icing it, heating pad etc... Its pretty common to get those knots from shots though.
Title: Re: Problem getting injectable E
Post by: Cynobyte on December 21, 2014, 10:44:25 PM
Have you ever taken the shot in bed, and not moved your legs for 15 to 30 min.  I never get bruises if I do that;)
Title: Re: Problem getting injectable E
Post by: Xipup on December 22, 2014, 01:26:58 AM
+1 Stroheckers. They are awesome.
Title: Re: Problem getting injectable E
Post by: Xipup on December 22, 2014, 01:40:23 AM
Over the years I've had various oil suspensions and started to become sensitive to most of them (Caster, Cotton, Peanut). Linseed is still ok but it's hard to find.

Finally I had the pharmacy switch to ethyl oleate (EO) and have had no problems with injections ever since. At Stoheckers EO is a special request otherwise you'll get whatever oil they are using at the time.
Title: Re: Problem getting injectable E
Post by: Clhoe G on December 22, 2014, 03:23:20 AM
Quote from: JoanneB on December 20, 2014, 06:58:09 AM
I used them for years and still will as a back up plan. When I went legit I noticed instantly a difference between the Indian/NZ generic and the USA manufactured. It surprised me how my body felt, just like it did years ago when I started.

Progynon depot is pretty good n not a generic, the formula was actually invented in Germany along with proluton depot but I think progynon isn't made in Germany anymore.
Progynon can't be taken at the highest dose n concentration of delestrogen, so the dose needs to be halfed and taken weekly rather then every fortnight, but delestrogen is the newer generation of injectable estrogen, so it's little wonder it works better for you but newer doesn't always mean better, like there's still first generation progestins kicking about too n some of the earlier Gen progestins and estrogens are still just as good, but like you said not for everyone, like I find hydroxyprogesterone works better then micronized progesterone for me.

But anyway, good luck.
Title: Re: Problem getting injectable E
Post by: JoanneB on December 22, 2014, 09:27:40 PM
I went to the pharmacy today armed with stock number and distributors for PAR. The tech checked again and their distributor is no saying they're expected to get a shipment on the 23rd. There were "manufacturing issues"?

As long as I get something in the next week or two I'll be a happy camper.
Title: Re: Problem getting injectable E
Post by: PrincessDayna on December 22, 2014, 10:26:50 PM
The only place I can find it in Michigan now is walgreens unless i go to the hospital. Idk why we have this shortage but its bad. I had to step down from 40mg to 20mg vial strength n now its like ill have drop to ten.  Ugh.
Title: Re: Problem getting injectable E
Post by: Lisbeth on December 25, 2014, 12:58:07 AM
I've been researching since Esradiol Valerate stopped being available. It was produced by PharmaForce Inc. in Ohio. Their product number for it according to my last bottle is 0574-0870-05  According to their website it is not in their product list at all.

I would suggest that those concerned contact them and ask why they stopped making it.

http://www.pharmaforceinc.com

QuoteCustomer Service

For order placement, product availability, pricing information, order status and other inquiries, our team of professional Customer Service Representatives are here to assist you, Monday through Thursday 8:30am – 6:00pm and Friday – 8:30am – 5:00pm, Eastern time. 
Please call 800-645-1706 or fax 866-597-1991.

In the mean time what is available is DEPO-Estradiol (generic: estradiol cypionate) produced by Pfizer and distributed by Pharmacia & Upjohn.
Title: Re: Problem getting injectable E
Post by: Monica Jean on December 25, 2014, 03:54:16 AM
The Depo brand is what my doc recommends, just purchased my first one yesterday. 
Title: Re: Problem getting injectable E
Post by: JoanneB on December 25, 2014, 06:38:25 AM
I went straight to the source and asked the horse yesterday and found a bit of an answer that I can endorse. According to the FDA drug NDC database, in the USA we are down to only 2 suppliers, and that is only for dilutions of 20 mg/ml and 40 mg/ml. At 10 mg/ml there is only one, the GIANT. PAR pharmaceuticals purchased JHP back in Jan this year. What I've been getting was JHP. My local Walgreens, Rite-Aide, and CVS all said unavailable from the manufacturer when I called yesterday with the PAR NDC.

I figured this is insane. Unavailable! They are all a) Dealing with the same distributor (PAR lists 4 different ones, Walgreens told me they only deal with one of them) or b) I missed or messed something up. Which I figured was being too much of a nice girl making things a little easier bu giving them the NDC number rather then them having to look it up.

So, back to Google, off to the FDA, and Ah-ha! NDC nums also ID the manufacturer not just what it is. So now I have a second number (eventually run by the same people, but worth a shot) plus all three numbers for 20 mg/ml dilutions to call around for. The woman at Walgreens said she tried 20, or maybe was going to, or ask for me to ask the doc first. Whatever! All I know is I have 2 more shots left and I started this whole mess 3 weeks ago and still feel I got almost nowhere besides an order into my Plan B supplier
Title: Re: Problem getting injectable E
Post by: KayXo on December 26, 2014, 12:56:27 PM
Compounding pharmacies, people. It's really simple, they can do it for you.
Title: Re: Problem getting injectable E
Post by: JoanneB on December 26, 2014, 01:07:03 PM
Quote from: KayXo on December 26, 2014, 12:56:27 PM
Compounding pharmacies, people. It's really simple, they can do it for you.
And the co$t?  A three month supply cost me $50 at Walgreen's under my insurance. My new insurance, effective 1 Jan, they want to dispense all scripts in excess of 30 days.
Title: Re: Problem getting injectable E
Post by: KayXo on December 26, 2014, 01:36:59 PM
It's usually quite affordable, at least at the pharmacies I know of. But, probably more expensive than the above.
Title: Re: Problem getting injectable E
Post by: Cindy Stephens on December 29, 2014, 04:24:41 PM
I hope this is OK to Post. Not posting how often or how much I take.  Just got my script refill from Stroeheckers in Portland.  10 ML, 40mg/ml 59.95.  7.00 for shipping.  sometimes they charge a modest fee for supplies. No insurance involved.  My Dr. faxes script once per year, after my blood work, then I call for refills as needed.  Called Fri and was here in Tampa on Monday.  Hope this helps.
Title: Re: Problem getting injectable E
Post by: JoanneB on December 29, 2014, 04:58:31 PM
That is a pretty decent sound price for 40mg/ml.

Today I ran around to all the major chains and finally got some result. A bad one but something. Apparently on Back-Order till February! BCBS on their drugs by mail list only lists 20 & 40 mg/ml dilutions. Anything over a 30 day supply I need to go through them now. At the very least I need a new scrip come 1 Jan to submit and see what they tell me
Title: Re: Problem getting injectable E
Post by: Mariah on January 10, 2015, 06:48:45 PM
I got a call on my refill from group health and they say that in regards to delestrogen both of the lower doses has been discontinued. Looks like just the name brand is left with no restock date available for it. It will be interesting to see what the Endo does in response to this.
Mariah
Title: Re: Problem getting injectable E
Post by: antonia on January 11, 2015, 10:39:05 AM
Thought I'd share something relevant that I recently learned:

Up here in Canada it's impossible to get the injections except from compounding pharmacies, had a discussion with my Endo which specialises in HRT and he basically said he would rather have me on pills (despite the fact that I already do 5 injections per day for my diabetes) because the potential variance in quality/composition from compounding pharmacies was too great and posed a greater risk in his opinion than the potential for liver complications from pills.
Title: Re: Problem getting injectable E
Post by: KayXo on January 11, 2015, 01:48:50 PM
I am from Canada, I have been on injectable E from a compounding pharmacy and have had absolutely no problems. They are very reliable, professional and experienced. In fact, since being on injectables, I have felt and looked significantly better as opposed to pills which I took a quite high dose of and nothing like what the results I'm getting right now. VERY satisfied and I disagree with your endo. Does he actually have experience with patients who got injections from compounding pharmacies? I have been tested twice in the last 6-9 months and everything looks fine so far. :) I have both an Endo (with much experience in the field) and family doctor who approve of this.
Title: Re: Problem getting injectable E
Post by: antonia on January 11, 2015, 03:20:36 PM
I'm happy for you, and I'm just relaying exactly what I was told because I asked for injections rather than than the pills I was already on. I was referred to the doctor in question by my diabetes endo because he's considered an expert in HRT and my diabetes endo was worried that there could be complications and interactions. I'll message you his name in a private msg so you can check his credentials.

Quote from: KayXo on January 11, 2015, 01:48:50 PM
I am from Canada, I have been on injectable E from a compounding pharmacy and have had absolutely no problems. They are very reliable, professional and experienced. In fact, since being on injectables, I have felt and looked significantly better as opposed to pills which I took a quite high dose of and nothing like what the results I'm getting right now. VERY satisfied and I disagree with your endo. Does he actually have experience with patients who got injections from compounding pharmacies? I have been tested twice in the last 6-9 months and everything looks fine so far. :) I have both an Endo (with much experience in the field) and family doctor who approve of this.
Title: Re: Problem getting injectable E
Post by: JoanneB on January 12, 2015, 10:16:44 PM
I heard from the pharmacy they can now get 40 mg/ml dilution. I called the doc, they changed the script. Now Horizon BCBS refused to pay because a) I am a male and b) Pre-Aurthorization is needed. AAARGH  Time for yet another anxiety attacck as I feed the paperwork monster

Plan C is a pharm in Portland with "Bio-Identical E" (see above). At 1/10th the cost.... Tis Joisey girl sure is nervous. Suzanne SUmmers and Bio-Identicals. OK, but....

I hate my life. Can I leave now?
Title: Re: Problem getting injectable E
Post by: Eva on January 13, 2015, 02:29:26 PM
I cant get 10mg/ml or 20mg/ml anywhere :'(
Title: Re: Problem getting injectable E
Post by: Miharu Barbie on January 13, 2015, 02:48:57 PM
In the 8 years I've been with Kaiser Oregon, I have never once had any difficulty getting 40mg/ml Delestrogen through their mail order pharmacy.  I received my most recent refill just before Christmas.

Unfortunately, as of January 1st, my employer has switched over to Providence Health.  On the plus side, my new doctor is a trans woman.  I have my first appointment with her 2 weeks from today.
Title: Re: Problem getting injectable E
Post by: Mariah on January 13, 2015, 04:14:17 PM
That is what prompted my doctor to switch me over to Depo Estradiol instead.
Quote from: Eva on January 13, 2015, 02:29:26 PM
I cant get 10mg/ml or 20mg/ml anywhere :'(
Title: Re: Problem getting injectable E
Post by: Eva on January 13, 2015, 04:59:54 PM
I might end up back on Depo-E too... Its Estradoil Cypionate, different than Estradoil Valarete... Ive been on both and I prefer EV... Im not sure I can even go with my injections every five days as prescribed with 40mg/ml Delestrogen if I can even get it, sure would be a TINY shot... This SUCKS :( I was really happy with my script for about 3 months and now it will change again, haven't made it more than three months on any specific HRT regime >:( ::) :'( 

Waiting for my docs decision, I just tested 637 pg/ml 3 days after my last shot and T was 7.1 ng/dl.... That should be a peak level, hopefully not too high for him because I feel like Ive been doing great on my HRT...  I have about two weeks of Delestrogen left here... Im fine with shots every five days, cant go longer than that without feeling bad before the next shot....
Title: Re: Problem getting injectable E
Post by: Mariah on January 13, 2015, 07:06:01 PM
So far I haven't even made it 3 months on any one HRT regimen either. This will be the third different one since starting on 9/20 let alone the dosage changes while on Estradiol Valerate. This will be my first time on Estradiol Cypionate.
Mariah
Quote from: Eva on January 13, 2015, 04:59:54 PM
I might end up back on Depo-E too... Its Estradoil Cypionate, different than Estradoil Valarete... Ive been on both and I prefer EV... Im not sure I can even go with my injections every five days as prescribed with 40mg/ml Delestrogen if I can even get it, sure would be a TINY shot... This SUCKS :( I was really happy with my script for about 3 months and now it will change again, haven't made it more than three months on any specific HRT regime >:( ::) :'( 

Waiting for my docs decision, I just tested 637 pg/ml 3 days after my last shot and T was 7.1 ng/dl.... That should be a peak level, hopefully not too high for him because I feel like Ive been doing great on my HRT...  I have about two weeks of Delestrogen left here... Im fine with shots every five days, cant go longer than that without feeling bad before the next shot....
Title: Re: Problem getting injectable E
Post by: PrincessDayna on January 14, 2015, 04:23:36 PM
Update: Even Walgreens couldnt get the valerate- its on some non ending loop order with no explination....so yeah, shortage. Went to my endo last week on this and they put me on cypionate, exact same dose that the valerate was- and now my headache is doing a conversion on doseage from the valerate to cypionate....as apparently, cypionate stays in the blood longer? ~11 days, where as valerate stays in only ~7/8 days MAX.  That said the same dose would equate to a risk to take, due to the amount in halflife statying in system would increase the ng/dL massively, to danger zone levels. Dont really feel like shortening my life down to this week because the amount of valerate was already high as it is which means the cypionate would be skyrocket.  That said, yes, you can get cyp as a replacement: but be sure your endo knows the dose conversion due to halflife differences which effects metabolic properties- or you can inadvertently end up taking a bad dose of cyp.  So now I either find a conversion chart online, which makes sense, or I call the endo tomorrow (back up plan) if I cannot find out said info. Le Sigh. The no estradiol continues, and it sucks even more because i got two vials in front of me while i twiddle my thumbs and riddle hunt! Any pointing in right direction would help tremendously.
Title: Re: Problem getting injectable E
Post by: Lady_Oracle on January 14, 2015, 05:26:17 PM
Quote from: KayXo on December 26, 2014, 12:56:27 PM
Compounding pharmacies, people. It's really simple, they can do it for you.

this ^ I just got my new prescription (estradiol valerate 40mg/ml) a week ago.
Title: Re: Problem getting injectable E
Post by: Eva on January 14, 2015, 06:07:44 PM
Well my doc says EV 40mg/ml...  I guess I'll try it but damn thats gonna be a small shot compared to what Im used to... Im also wondering if my insurance is gonna be OK with covering so many months supply... Im also gonna need LOTS of syringes and needles... Thats IF I can get it of course...
Title: Re: Problem getting injectable E
Post by: JoanneB on January 15, 2015, 05:44:33 PM
I was getting just over 90 days worth of EV the way my old script was written up and had no issues with Aetna. Just 1 5ml vial works out to be beyond 90 days. When the BCBS insurance reps came into work and gave their presentation about the benefits, they pretty much said 90 days or more had to go through their mail order pharmacy. Just that alone started my scramble for a refill back in December while I was still under Aetna but hit the lack of supply brick wall

Now, with BCBS I got hit with their You're a male and you also need pre-authorization brick wall for EV. Once that hurdle is hopefully over I'll see what happens with the 90 days worth bit. HR told me Aetna said the same thing a few years back. I hope it is the more along the "Strongly suggested" lines.

If BCBS bounces my meds, I am not sure what to do next. I can't do $500 for the EV. The BioIdentical EV from the compounding pharmacy option I have to go back to the doc about. $50 for 10ml I can readily do. That is likely what my co-pay will be
Title: Re: Problem getting injectable E
Post by: Eva on January 16, 2015, 08:34:54 AM
The helpful pharmacist at Target tried running my script for 10mg/ml through Welmark BCBS... The copay came back at $272.00 :( It was $35.00 with my old insurance, United Healthcare... I asked her if it needed "preapproval" she said she didn't think so but she didn't know for sure... She said she couldn't get it regardless... She called her wholesaler and they said their date to get 10mg or 20mg / ml is March 2015...

My doc hadn't called in the script for 40mg/ml yet so I couldnt find out what the copay would be but she said she would have to order it but she should be able to get it... Of course thats IF BCBS is gonna pay for a reasonable amount or even pay at all for more than three months worth...

She said I should probably go with one of two local compounding pharmacies... So I had her call my docs nurse and explain all this...  She said she's gonna call the compounding pharmacies for me today and she what they can do for me ::)   

All this BS is making the Indian Progynon Depot from overseas internet pharmacies look like an attractive option... Im considering mentioning this to her... Im glad I started the refill process early, I still have about 3 weeks of EV left...
Title: Re: Problem getting injectable E
Post by: JoanneB on January 16, 2015, 11:12:58 AM
Quote from: Eva on January 16, 2015, 08:34:54 AM
All this BS is making the Indian Progynon Depot from overseas internet pharmacies look like an attractive option... Im considering mentioning this to her... Im glad I started the refill process early, I still have about 3 weeks of EV left...
That was my Plan B that I was forced to run with. Reluctantly. I noticed a BIG difference in the effecacy between US made and offshore.

I know Walgreens receipt said the non-insurance price for the 10mg/ml was in the $250 neighborhood. So likely your insurance bounced it. The doctor needs to get the pre-approval form and submit it. My Walgreens did the cutesy of sending the form over to his office to help speed things up
Title: Re: Problem getting injectable E
Post by: Eva on January 16, 2015, 11:43:31 AM
Im hoping to get all this straightened out today, really sucks :'(

I have that Stroheckers place's info ready here and Im thinking if I have to I'll just bypass BCBS and try to have her call in my script with them...

Ive tried Progynon Depot as well and it works just fine for me and as far as I can tell its just as good as Delestrogen... I cant understand why IM EV isnt dirt cheap, not like there's a patent on EV or anything ::) ???
Title: Re: Problem getting injectable E
Post by: Eva on January 16, 2015, 01:22:03 PM
So my doc and his nurse dont usually work Fridays but she says they are really busy and she's doing a half day today...

She said Id have to call my insurance and have them send her a prior authorization form... Then she said a local compounding pharmacy will do a 40mg/5ml 5ml vial for a mere $280.00 and my insurance might even cover it ::)

I gave her the Stroheckers info and asked her to please call them and if possible have them formulate 10 or 20mg/ml in a 10ml vial but even if they cant my best option is trying their 40/mg/ml 10ml vial for $59.95 plus shipping...

She said that sounds good to her as well but she's going home for the weekend and she will call it Monday ;D

Thats cheaper than my co pays can possibly be for several months supply, Im still gonna make a claim with BCBS but I can handle just paying for it  ;)

So hopefully this works out, thanks for the info on Stroheckers ;D

Title: Re: Problem getting injectable E
Post by: Cynobyte on January 16, 2015, 10:58:18 PM
Ok, has anyone used that stroheckers pharmacy?  I have to buy a new vial here soon and $59 for 10mg compared to almost $300 for 5mg locally, are you kidding me?  This sounds too good to be true.  Anybody use them though and have any opinions on them?   Thanks in advance:) (and yes I have a prescription for it;)
Title: Re: Problem getting injectable E
Post by: PrincessDayna on January 17, 2015, 02:25:04 AM
Here in Michigan, even compounding pharmacies don't have and cant get the stuff for EV. It's why I'm on Depo-E, which, ironically, is a LOT more potent to *me* and my body. All of our bodies are variant. EV did wonders for me, don't get me wrong, but after 17 months on it, these last two months really make all the difference that all those months combined, did. YMMV for sure!
Title: Re: Problem getting injectable E
Post by: JoanneB on January 17, 2015, 07:36:45 AM
Quote from: PrincessDayna on January 17, 2015, 02:25:04 AM
Here in Michigan, even compounding pharmacies don't have and cant get the stuff for EV. It's why I'm on Depo-E, which, ironically, is a LOT more potent to *me* and my body. All of our bodies are variant. EV did wonders for me, don't get me wrong, but after 17 months on it, these last two months really make all the difference that all those months combined, did. YMMV for sure!
When you read the fine print on the main Stroheckers page they sneak in "BioIdentical" EV. So it is not like they have a big bottle of 17 beta something or other 99% EV on the shelf and mix it with some oil into a smaller vial.

I haven't researched BioIdenticals enough yet to make a call. Nor serious enough yet about strying it to first ask the doc about it since Stroheckers have their own prescription form that needs to be filled out by a MD. (d/l the PDF and see)
Title: Re: Problem getting injectable E
Post by: Tori on January 17, 2015, 05:06:34 PM
Quote from: Cynobyte on January 16, 2015, 10:58:18 PM
Ok, has anyone used that stroheckers pharmacy?  I have to buy a new vial here soon and $59 for 10mg compared to almost $300 for 5mg locally, are you kidding me?  This sounds too good to be true.  Anybody use them though and have any opinions on them?   Thanks in advance:) (and yes I have a prescription for it;)

It is the compounding pharmacy my doctor, who is trans, uses. I recently moved so he wrote me a script. I called it in to them and had large and small gauge needles, alcohol swabs, and a nice vial of EV shipped in a few days for $68. It is the same stuff my doc gave me for my shots every two weeks, only now, I have to give them to myself and the thigh muscle hurts more than my arm used to but I worry about self injecting into my arm, limited view and reach. Still, that price beats many co pays and is several month's worth of girl juice.

So far, their customer service, speed and packaging have been great.
Title: Re: Problem getting injectable E
Post by: Cindy Stephens on January 19, 2015, 10:33:16 AM
I have used them for the three years I have been on injectibles.  Ecellent service, reasonable prices.  The E I receive is EV in cottonseed oil. 
Title: Re: Problem getting injectable E
Post by: Eva on January 19, 2015, 05:54:37 PM
Well thanks everyone for the info ;)  Im using Stroheckers now as well, my docs nurse called it in today ;D

They can also do EV in 10mg/ml or 20mg/ml but its more for less E for the weaker concentration ???

I went with 20mg/ml 10ml vial for $105.00 shipped with 20 syringes and needles... They said I have to file a claim with my insurance myself and I will be trying that for sure... Thats a bit more the the $90.00 two 5ml vials of 20mg/ml Delestrogen would have cost with copays with my old insurance... Im not gonna give up easy with my new insurance but it sure seems like its gonna be a headache waiting to happen ::) Regardless Im just happy to have my EV on the way and It should be here before I run out of Delestrogen 8)

We went with 20mg/ml because I like to take a smaller shot every five days VS a bigger one every week or two... It works very well for me that way, I hope this stuff is as good as Delestrogen :)
Title: Re: Problem getting injectable E
Post by: Satinjoy on June 02, 2015, 01:28:43 PM
heads up

Stroeheakers is out of E-Cyp until mid June.  They can get Retail only until then.  I don't want to see anyone get burned I know what a missed dose feels like and it aint funny.

See ya.

Title: Re: Problem getting injectable E
Post by: Rachel on June 02, 2015, 07:39:57 PM
The Walgreen's next to Mazzoni is out of 40 mg/ml delestrogen too. I picked up a 20 mg/ml 5 ml vile for $32.00.

I am apprehensive about injecting twice the medicine and how my leg will feel the next day.
Title: Re: Problem getting injectable E
Post by: RebelGurl on June 24, 2015, 01:17:00 AM
 ??? My doc called in my Rx to Stroeheckers  today and when I called them to have it filled they said they are out of it and do not know when they will get it back again   ???
Title: Re: Problem getting injectable E
Post by: KayXo on June 25, 2015, 09:36:27 AM
Compounding pharmacies...
Title: Re: Problem getting injectable E
Post by: kittenpower on June 25, 2015, 09:42:49 AM
I was able to get a generic 20mg/ml vial last month at a local big name pharmacy without any problem, so I thought the drought was over; I'll let you all know when it's time for my next refill.
Title: Re: Problem getting injectable E
Post by: JoanneB on June 25, 2015, 09:23:30 PM
Mine was just renewed. The day before I saw my doc I checked with the pharmacy and they checked and said "Yes, 10 mG/mL" is available. My doc sends the scrip over, A day later I pick it up.... 20mG/mL

OK, I guess 10 wasn't available.... Again.  Better then dealing with micro shots with 40, Now I can do mini
Title: Re: Problem getting injectable E
Post by: Alana_Jane on June 30, 2015, 03:32:03 PM
I've just started my second vial of 10mg/L Estradiol Valerate. which will last me about a month.  I've had really good luck with Save-On drugs in our local grocery store.  This vial will go a little faster than my first as I was on low dose for the first six weeks. 
Title: Re: Problem getting injectable E
Post by: Rachel on July 01, 2015, 07:26:26 PM
I like the 20 mg/ml better than the 40 mg/ml. With the 20 I do not get sore at the injection sight for 2-3 days after an injection. The down side is it is a lot of medicine to inject and I do it over about a 2 minute time period with breaks.
Title: Re: Problem getting injectable E
Post by: JoanneB on July 01, 2015, 08:14:37 PM
Quote from: Cynthia Michelle on July 01, 2015, 07:26:26 PM
I like the 20 mg/ml better than the 40 mg/ml. With the 20 I do not get sore at the injection sight for 2-3 days after an injection. The down side is it is a lot of medicine to inject and I do it over about a 2 minute time period with breaks.
I can't imagine 2 minutes with a syringe stuck in me! Here I thought 1/2 a minute was milking it
Title: Re: Problem getting injectable E
Post by: londynlady on July 03, 2015, 01:50:17 AM
Yeah same here. I just ordered patches. Safer anyways

Sent from my N9130 using Tapatalk

Title: Re: Problem getting injectable E
Post by: KayXo on July 03, 2015, 09:24:19 AM
Quote from: londynlady on July 03, 2015, 01:50:17 AM
I just ordered patches. Safer anyways

Patches and injections both deliver estradiol non-orally, considered to be the safest route.
Title: Re: Problem getting injectable E
Post by: JoanneB on July 03, 2015, 02:07:39 PM
Quote from: KayXo on July 03, 2015, 09:24:19 AM
Patches and injections both deliver estradiol non-orally, considered to be the safest route.
With one being less of a pain in the arse  ;D
Title: Re: Problem getting injectable E
Post by: Lara1969 on July 03, 2015, 03:57:40 PM
Patches did no feminization for me. Injections changed everything and are the best delivery method for me.
Title: Re: Problem getting injectable E
Post by: KayXo on July 04, 2015, 08:23:21 AM
Quote from: JoanneB on July 03, 2015, 02:07:39 PM
With one being less of a pain in the arse  ;D

LOL. No pain for me though, I am FINE! And I have them every 5 days. My bum has grown accustomed to it. ;D

Quote from: Lara1969 on July 03, 2015, 03:57:40 PM
Patches did no feminization for me. Injections changed everything and are the best delivery method for me.

Likewise. :)
Title: Re: Problem getting injectable E
Post by: londynlady on July 07, 2015, 03:56:23 PM
Quote from: KayXo on July 03, 2015, 09:24:19 AM
Patches and injections both deliver estradiol non-orally, considered to be the safest route.
Yea long as the patch stays on good it work's just as good and maybe just a little safer than shot due to the shot is an oily substance[emoji3]

Sent from my N9130 using Tapatalk

Title: Re: Problem getting injectable E
Post by: Laura_7 on July 07, 2015, 04:07:30 PM

Patches, injections and implants  :)
for patches you could look here...
https://www.susans.org/forums/index.php/topic,189624.msg1688205.html#msg1688205
and injections rather weekly... on biweekly there might be a dry phase at the end...


hugs
Title: Re: Problem getting injectable E
Post by: Alana_Jane on July 12, 2015, 05:15:52 PM
Quote from: JoanneB on July 03, 2015, 02:07:39 PM
With one being less of a pain in the arse  ;D

More like a pain in my lower back, (but not really.)  I followed the "their pea in my pod" channel on you-tube

Alana
Title: Re: Problem getting injectable E
Post by: Lara1969 on July 13, 2015, 02:40:21 PM
Have my new prescription. If I buy Neofollin Injections as import in a German pharmacy it costs 120€. When I drive three hours to the Czech republic I can buy it there for 7,80€. Both is the three month supply.

That it crazy. I will take the drive tomorrow.
Title: Re: Problem getting injectable E
Post by: Rachel on July 13, 2015, 05:08:16 PM
I just picked up a 5 ml vile of delestrogen 20 mg/ml for $16.00 (us) at Walgreens next to Mazzoni in Philadelphia. That is 1/2 the cost as last month.
Title: Re: Problem getting injectable E
Post by: Wynternight on July 14, 2015, 03:58:46 PM
Quote from: Cynthia Michelle on July 13, 2015, 05:08:16 PM
I just picked up a 5 ml vile of delestrogen 20 mg/ml for $16.00 (us) at Walgreens next to Mazzoni in Philadelphia. That is 1/2 the cost as last month.

Same concentration I use and it isn't covered by my insurance so I pay $120 out of pocket.
Title: Re: Problem getting injectable E
Post by: angiegurl on July 14, 2015, 04:41:04 PM
Quote from: KayXo on July 04, 2015, 08:23:21 AM
LOL. No pain for me though, I am FINE! And I have them every 5 days. My bum has grown accustomed to it. ;D

Likewise. :)

Mine are once a week and once I have everything ready to go it is about a 30 second affair. All total it is about 5 minutes from start to finish. My bum (as you call it) is accustom to it a well. Easy peasy.
Title: Re: Problem getting injectable E
Post by: Lara1969 on July 15, 2015, 06:37:19 AM
I am surprised how painless it is. It takes only a few minutes a week. So it is not much effort either.

I have one question:
After going through the skin it is quite easy to go through the fat tissue as well. Than there is a little resistance and I think I am than in my muscle. It is painless but I feeling like a little bit pressure. Do you have a similar feeling?
Title: Re: Problem getting injectable E
Post by: Sydney_NYC on July 15, 2015, 01:43:46 PM
Quote from: Lara1969 on July 15, 2015, 06:37:19 AM
I am surprised how painless it is. It takes only a few minutes a week. So it is not much effort either.

I have one question:
After going through the skin it is quite easy to go through the fat tissue as well. Than there is a little resistance and I think I am than in my muscle. It is painless but I feeling like a little bit pressure. Do you have a similar feeling?

Yes, that little bit of pressure at the end is your muscle. Like you I much prefer the injections. Once a week, and don't have to think about it. With the spiro I can be off a few hours and it doesn't bother me, but with estrogen, I felt like is a missed it by a few hours, I would feel off.
Title: Re: Problem getting injectable E
Post by: laura14 on February 01, 2016, 04:53:48 AM
Lara, is it possible to just buy neofolin injections over the counter in the chech republic ? How about Slovakia ? What sort of concentrations can you get ?
Title: Re: Problem getting injectable E
Post by: Colleen M on February 01, 2016, 07:30:39 AM
Quote from: Wynternight on July 14, 2015, 03:58:46 PM
Same concentration I use and it isn't covered by my insurance so I pay $120 out of pocket.

Have you tried Goodrx?  Their app got me down to $96 without insurance.
Title: Re: Problem getting injectable E
Post by: Glorialight on August 20, 2018, 07:51:11 PM
Hello, I am from Belgium so could you please give me the contact adress such as website or physical adress of the Tcheck store where you got your Neofolin injections for only  7,80€.
Regards.



Quote from: Lara1969 on July 13, 2015, 02:40:21 PM
Have my new prescription. If I buy Neofollin Injections as import in a German pharmacy it costs 120€. When I drive three hours to the Czech republic I can buy it there for 7,80€. Both is the three month supply.

That it crazy. I will take the drive tomorrow.
Title: Re: Problem getting injectable E
Post by: PurplePelican on August 22, 2018, 04:31:15 PM
Perrigo, the company that makes the generic, has advised that the 40mg/ml strength is in stock again and the 20mg/ml will be available by the end of the month.