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Re: Gleevec in Canada

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You just have to remember that these drugs are not necessarily manufactured in

Canada or the US.

> Novartis does not make deals with their products, unless it is a non-profit

organization.

______________________

Hi Lottie and Margaret,

I do not actually think that it is legal to order or obtain an Rx from

Canada.....has anyone on the list done it?

The Gleevec that is sold in Canada is the same Gleevec that is sold in the

US.....I think it is still maybe just made in Ireland (Zavie, do you know?). The

only generic Gleevec is made in India, and I am not sure that you can obtain

that outside of India?

Novartis DOES price this (and other drugs) according to what the market will

bear....and has admitted that they charge more for it in the US because our

insurances cover it and that is their money maker...to cover other markets where

they cannot charge so much (like South America). This fact was part of the story

(on PBS) about the different health care systems around the world.....Novartis

clearly admitted this.

Medicare should and could have purchased drugs from Canada, but that was a Bush

compromise to our drug companies.

________________________

Here is an interesting comment from ASH in June that I just saw in the Fall

edition of CURE magazine:

" Generic copies of Gleevec will enter the market after the drug loses patent

protection in 2015. The current wholesale price of Gleevec is about $4200 per

month, but Kantarjian estimates the generics could be as low as $410 to $830 a

month. Compare that to $7400 for a month's supply of Tasigna and $6950 per month

for Sprycel. "

(remember, these are wholesale prices)

Another worthwhile comment from this Special Report:

" For 10 years, Gleevec has been the closest thing to a cure for CML. Touted as a

breakthrough, the drug has lived up to the hype. Deaths from CML dropped from 10

to 20% a year to 1%, says Hogop Kantarjian, chair of the dept. of leukemia at

MDACC in Houston. "

This means that instead of 50 to 100% of CML patients dying in 5 years (the

stats prior to Gleevec), CML deaths are only about 5% in 5 years. Thank you Dr.

Druker and Novartis!

C.

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I used to order drugs from Canada, but it's been a while and I don't remember

how I did it.

a ( Bobby ) Doyle, dob 12/17/29

DX 5/1995

Interferon 9 weeks/Hydroxyurea 5 years

02/2000 to 06/2002 Gleevec trial, OHSU

06/2002 Gleevec/Trisenox Trial, OHSU

06/2003 Gleevec/Zarnestra Trial, OHSU

04/2004 Sprycel Trial, MDACC, CCR in 10 months

04/2008 XL228 Trial, U of Mich.

01/2009 PCR 5.69

04/2009 Ariad Trial AP24534

09/2009 PCR 0.01

11/2009 PCR 0.034

02/2010 PCRU

#840 Zavie's Zero Club

From: hey00nanc <ncogan@...>

Subject: [ ] Re: Gleevec in Canada

Date: Monday, November 1, 2010, 5:59 PM

 

You just have to remember that these drugs are not necessarily manufactured in

Canada or the US.

> Novartis does not make deals with their products, unless it is a non-profit

organization.

______________________

Hi Lottie and Margaret,

I do not actually think that it is legal to order or obtain an Rx from

Canada.....has anyone on the list done it?

The Gleevec that is sold in Canada is the same Gleevec that is sold in the

US.....I think it is still maybe just made in Ireland (Zavie, do you know?). The

only generic Gleevec is made in India, and I am not sure that you can obtain

that outside of India?

Novartis DOES price this (and other drugs) according to what the market will

bear....and has admitted that they charge more for it in the US because our

insurances cover it and that is their money maker...to cover other markets where

they cannot charge so much (like South America). This fact was part of the story

(on PBS) about the different health care systems around the world.....Novartis

clearly admitted this.

Medicare should and could have purchased drugs from Canada, but that was a Bush

compromise to our drug companies.

________________________

Here is an interesting comment from ASH in June that I just saw in the Fall

edition of CURE magazine:

" Generic copies of Gleevec will enter the market after the drug loses patent

protection in 2015. The current wholesale price of Gleevec is about $4200 per

month, but Kantarjian estimates the generics could be as low as $410 to $830 a

month. Compare that to $7400 for a month's supply of Tasigna and $6950 per month

for Sprycel. "

(remember, these are wholesale prices)

Another worthwhile comment from this Special Report:

" For 10 years, Gleevec has been the closest thing to a cure for CML. Touted as a

breakthrough, the drug has lived up to the hype. Deaths from CML dropped from 10

to 20% a year to 1%, says Hogop Kantarjian, chair of the dept. of leukemia at

MDACC in Houston. "

This means that instead of 50 to 100% of CML patients dying in 5 years (the

stats prior to Gleevec), CML deaths are only about 5% in 5 years. Thank you Dr.

Druker and Novartis!

C.

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Hi all,

I checked with Wal-Mart in Ogdensburg, NY and the price is $2794.68 for a 30 x

400 mg supply. It is much higher ($4,000) in Canada.

Zavie

Zavie (age 72)

67 Shoreham Avenue

Ottawa, Canada, K2G 3X3

dxd AUG/99

INF OCT/99 to FEB/00, CHF

No meds FEB/00 to JAN/01

Gleevec since MAR/27/01 (400 mg)

CCR SEP/01. #102 in Zero Club

2.8 log reduction Sep/05

3.0 log reduction Jan/06

2.9 log reduction Feb/07

3.6 log reduction Apr/08

3.6 log reduction Sep/08

3.7 log reduction Jan/09

3.8 log reduction May/09

3.8 log reduction Aug/09

4.0 log reduction Dec/09

4.4 log reduction Apr/10

4.3 log reduction Oct/10

e-mail: <mailto:zmiller@...> zmiller@...

Tel: 613-726-1117

Fax: 613-482-4801

Cell: 613-282-0204

ID: zaviem

From: [mailto: ] On Behalf Of ROBERTA

DOYLE

Sent: November-01-10 8:04 PM

Subject: Re: [ ] Re: Gleevec in Canada

I used to order drugs from Canada, but it's been a while and I don't remember

how I did it.

a ( Bobby ) Doyle, dob 12/17/29

DX 5/1995

Interferon 9 weeks/Hydroxyurea 5 years

02/2000 to 06/2002 Gleevec trial, OHSU

06/2002 Gleevec/Trisenox Trial, OHSU

06/2003 Gleevec/Zarnestra Trial, OHSU

04/2004 Sprycel Trial, MDACC, CCR in 10 months

04/2008 XL228 Trial, U of Mich.

01/2009 PCR 5.69

04/2009 Ariad Trial AP24534

09/2009 PCR 0.01

11/2009 PCR 0.034

02/2010 PCRU

#840 Zavie's Zero Club

From: hey00nanc <ncogan@... <mailto:ncogan%40uoregon.edu> >

Subject: [ ] Re: Gleevec in Canada

<mailto:%40>

Date: Monday, November 1, 2010, 5:59 PM

You just have to remember that these drugs are not necessarily manufactured in

Canada or the US.

> Novartis does not make deals with their products, unless it is a non-profit

organization.

______________________

Hi Lottie and Margaret,

I do not actually think that it is legal to order or obtain an Rx from

Canada.....has anyone on the list done it?

The Gleevec that is sold in Canada is the same Gleevec that is sold in the

US.....I think it is still maybe just made in Ireland (Zavie, do you know?). The

only generic Gleevec is made in India, and I am not sure that you can obtain

that outside of India?

Novartis DOES price this (and other drugs) according to what the market will

bear....and has admitted that they charge more for it in the US because our

insurances cover it and that is their money maker...to cover other markets where

they cannot charge so much (like South America). This fact was part of the story

(on PBS) about the different health care systems around the world.....Novartis

clearly admitted this.

Medicare should and could have purchased drugs from Canada, but that was a Bush

compromise to our drug companies.

________________________

Here is an interesting comment from ASH in June that I just saw in the Fall

edition of CURE magazine:

" Generic copies of Gleevec will enter the market after the drug loses patent

protection in 2015. The current wholesale price of Gleevec is about $4200 per

month, but Kantarjian estimates the generics could be as low as $410 to $830 a

month. Compare that to $7400 for a month's supply of Tasigna and $6950 per month

for Sprycel. "

(remember, these are wholesale prices)

Another worthwhile comment from this Special Report:

" For 10 years, Gleevec has been the closest thing to a cure for CML. Touted as a

breakthrough, the drug has lived up to the hype. Deaths from CML dropped from 10

to 20% a year to 1%, says Hogop Kantarjian, chair of the dept. of leukemia at

MDACC in Houston. "

This means that instead of 50 to 100% of CML patients dying in 5 years (the

stats prior to Gleevec), CML deaths are only about 5% in 5 years. Thank you Dr.

Druker and Novartis!

C.

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>

> Thanks ,

> Reading those statistics is always mind-blowing for me!

>

> Best,

> Leah

______________________________

Hi Leah,

Here is another Dr. Druker tid bit along the same lines. Early on with Gleevec

(I was on it in 2/2000) I asked Dr. Druker how he would know if the drug was

slowing the progression of the disease....or if it was just killing off the ph+

cml cells but the disease would still progress.

He told me he would not know until patients had been on Gleevec for 5 years.

With normal disease progression they would expect a high (normal progression)

death rate by 5 years if the drug was not slowing the progression. Once they

reached the 5 year mark and his patients were still alive, he knew that the drug

was holding cml patients in chronic phase. (At this time, I think that pcr

testing was just developing and a bit experimental, so they mostly relied on bmb

cytogenetics and FISH).

Sometimes that is how science works.

One thing about Dr. Druker, he always told it like it is.....he is scientific

and does not sugar coat things.

C.

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