The hard part is getting the prescription in the US! My father’s doctors still won’t give him one.

The list of two dozen doctors and online services providing prescriptions seems to work for most people :wink:

But yes - rare that a PCP would write a prescription, so you need a new doctor.

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It’s OK. He has a five year supply now. :wink:

He stores it in the freezer next to the ice cream.

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Forveda is offering 200mg of Sirolimus for $140 including shipping. Should I be worried? Cost seems to be much lower than the others, a little worried about receiving counterfeit meds.

Classic Maulik behavior, IMHO. I’m back to Sanchin of SS Medex as my go to guy. I just placed another order this week. He will send anything and comms are great.

I hope this post doesn’t jinx it.

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It sounds like it may be Siroboon - a small, 3rd tier Pharma company in India. Ask them what brand the sirolimus is - I personally would not purchase siroboon. Instead I go with only with sirolimus from the major manufactures as they are more likely to have good quality control in place. See: Buying Rapamycin (Kachela Siroboon Issues?) online

and, see this discussion: Rapamycin etc., Purchase Price Comparison Spreadsheet, and Issues Discussion - #38 by RapAdmin

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Thank you for the reply, apparently it’s Rapacan

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Rapacan should be fine. The price you received seems good but a little high for Rapacan unless it includes shipping. Get a quote from Jagdish to compare as he sells Rapacan as well.

Hi all, in the market to buy and saw a quote from dropshipMD for either rapacan or siromine. Two very different price points.

I’m curious what if any feedback users have for Siromine from dropshipMD. Lots of folks seem to be happy with rapacan, but I’m wondering if the other label is also good/quality/legit. Thanks!!

$0.5 per tablet is about the best price for Rapacan that you’ll get. I’ve ordered from Forveda before and didn’t have any issues.

Often times, if the price is a bit high, Indiamart sellers will come down as much as 20% on price without any push back.

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This is the first I’ve heard of Siromine. The big three I’ve heard of are Siromus (Zydus), Rapacan (Eris) and Siroboon. The first two are great, and the last one is horrible. I’d go with a brand that is known to be good.

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Wanted to share my experience getting drugs from India. Jagdish at RL Pharma has been my go to supplier for the last 2 orders. My first order took 2 weeks to get here. That shipment time was more than enough, but with my second order, box shipped Sept 17 and arrived today Sept 25. 8 days to Wisconsin, USA! Jagdish is always a good communicator and he can get pretty much anything I have asked for. If anyone is on the fence about getting drugs from India or who to contact, I highly recommend Jagdish at RL Pharma.

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Thumbs up again to Jagdish. This order included common stuff like 1g ER Metformin; Acarbose, one generic cancer med (I’m being treated for prostate cancer) and one insanely expensive cancer med that I’d rather not name. But that med sells for $3,800 per month! My “share” through Medicare Advantage is $980/month. From Jagdish $109/month.

For those interested, I think it’s an interesting story: How is it that a patented brand name drug that sells for $3,800/month in America be sold by a major drug maker in India for $109/month? That means that it sells, in India for a mere 3% of what it sells for in the USA.

Here’s why: India has a Compulsory License Drug law. If a medication is so expensive in India that most of the population that needs it, cannot afford it, the Courts mandate that it must be allowed to be made in India and a royalty is paid to the manufacturer.

Nexavar, a unique med for kidney cancer was patented by Bayer (Switzerland). “The drug was priced exorbitantly at INR 2.8 (about USD 3350) per month and was hardly reaching 2% of the patients. The court noted this and granted a compulsory licence to Natco, which then sold the drug as Sorafenat at INR 8,800 (about USD 105) a month.”

This is why one sees, in India, four thousand dollar a month meds being sold for 3% of what those in USA pay for it.

Of course that creates a question: Even at my “share,” of $980/month, had I not known Jagdish, I would have been forced to use a much less effective med which ultimately may have caused an early death due to cardiac issues. And that begs the question: If India can do this, why does America not do the same?

Yes, “silly question, silly boy.” This shows the power of the Pharma King(dom). Yet, it’s very complex, take away too much profit and the med that I’m taking may never have been developed.

Also starting in January, my “cap” on my drug spending goes from $8,000 to $2,000 which means that come January, I’ll pay for three months, and then pay nothing for the rest of the year.

Of course, if in fact, my insurance really pays that $3,800/month $45,600/year, then well “Medicare” will pay for it. Oops… that means YOUR taxes will go to pay for my meds, so to any of you taxpayers out there, thank you.

Here’s the timeframe for my package from Jagdish, it may be useful for others:

image

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The US healthcare system does not have an efficient market. Too many middlemen. FTC recently sued PBMs for this. Ironically, the pharma companies weren’t the bad guys there. They’ve reduced their wholesale price of insulin in recent years, but end users end up paying more. A large number of US’ problems would go away if we got rid of insurance, or moved to an extremely high deductible model. Insurance is for rare outlier events, not for everyday care. If everyone had to pay for healthcare with their own cash, as is the case in India, the markets would discover what the true price of something is.

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Can you share what brand is it? Is it an India co in New Zealand?

Hi Jonas - I purchased from NIBA Healthcare (an Indian provider recommended above) and they internationally couriered it to me. The brand was Eris Rapacan Sirolimus Tablets.

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Hi, I am not sure I am doing this wrong, but I think I am having a hard time getting pharmacies from India to ship EMS Speed Post. Instead they are shipping India Post though I repeatedly tell them EMS. Is it me that is misunderstanding here? Are they really different? Thanks for anyone’s help.

Update: order was 9/13 (a Friday) & received today 10/1 (Tuesday)

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I think its probably just a misunderstanding… EMS is the global service, I think its under India Post, so its likely just a miscommunication. Let us know what happens - but what you really want to avoid are the courier services, DHL or Fedex. EMS India | EMS

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We will see with my most recent pending shipment. But for my prior one, the pharmacist admitted they screwed up.

After further introspection, I think that if a tracking number starts with EM, they have shipped it EMS. But I will let you know if I have any problems with the most recent one.

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