COPD Support Discussion Boards Active Users: 130 / Visits Today: 1371
Highest Active Users: 425
COPD Support Discussion Boards
Home | Profile | Register | Active Topics | Members | Search | FAQ
Username:
Password:
Save Password
Forgot your Password?

 All Forums
 COPD Forums
 COPD Support - COPD Information
 Inhaler vs. Nebulizer
 New Topic  Reply to Topic
 Printer Friendly
Author Previous Topic Topic Next Topic  

klm49
Rookie

USA
8 Posts

Posted - Aug 13 2017 :  10:19:43 PM  Show Profile  Reply with Quote
Hello All, I am new to the forum. I'm 67 and on Medicare. I was diagnosed a little over 2 yrs. ago with COPD and put on Symbicort. Last month when I went to Dr. she added Spiriva. It seems to help a little as well, but I'm sure many of you know, those 2 drugs will put you in the Donut hole and it gets expensive. I have been exploring my options to cut costs. Last week I was at Dr. for an unrelated visit and tolf her I was either going to have to buy them out of country or not take the Spiriva at all. She said it could be possible to replace both inhalers with a nebulizer and that Medicare B might pay for it all. I have looked on the medicare sight and it says it will pay for the nebulizer and certaqin drugs. What I an trying to figure out is how this works? I know the machine would likely come from a DME like a cpap does, but if you get the nebulizer drugs at a Pharm., they will just chanrge to your Part D. I guess my questions are:
1. Does anyone use a nebulizrer and have there drugs paid for by Medicare part B.
2. will the nebulizer meds. work as well as the inhaler versions?

I'm also looking into buying from Canada etc., but am a little uneasy with the generics that come from India/elsewhere.

Appreciate any help

mxh0471
Rookie

USA
23 Posts

Posted - Aug 14 2017 :  07:06:28 AM  Show Profile  Reply with Quote
Try All Day Chemist, commonly called ADC on the boards, They sell generic for most of our MEDS at a MUCH lower price. The service is excellent and the quality of the product is as good as our name brands that are FDA approved. I have been using for 10 years with no complaints. Other will be along to endorse ADC. Good luck....Mike

Mike-mi
Go to Top of Page

Zellie
Member

USA
43 Posts

Posted - Aug 14 2017 :  07:29:32 AM  Show Profile  Reply with Quote
I agree with Mike. Purchasing from ADC All Day Chemist would be the way to go. They sell the generic versions at a much lower cost. Cipla is a reputable company.

I have been ordering from them for years.

Zell
Go to Top of Page

Sandy9s
Member

USA
308 Posts

Posted - Aug 15 2017 :  2:59:30 PM  Show Profile  Reply with Quote
I have been using ADC for about 5 years with no problems at all. I spend about $300 each order x 2 times a year or so.

I, however, also have gotten a Nebulizer and DuoNebs (name of the medicine)which were both paid for by Medicare and my AARP Supplement.

I still get the DuoNebs (pd. by Medicare and Supplement), but I use it in my little Portable Nebulizer which I purchased from Omron -- on the internet. I never use the big nebulizer anymore -- but use the portable one whenever I need more medication than just my rescue inhalers.

Go to Top of Page

JanC
Member

USA
29 Posts

Posted - Oct 13 2017 :  02:31:11 AM  Show Profile  Reply with Quote
I haven't seen Spiriva for the nebulizer. The Ipratropium/Albuterol solutions are much much cheaper than Combivent, and the nebulizer works way better for me...but as I was advised on this very forum, the Ipratropium is the same type of med as Spiriva and shouldn't be used along with it. I used both for about a year before I was told this. Spiriva lasts 24 hours. The nebulizer combo lasts about 5-6 hours at best. It does make it easier to cough up the bad stuff. When you go to the ER with an exacerbation, they put you on a nebulizer. And you can get a small one on Amazon for about $50.
Go to Top of Page

Roadrunne98
Member

USA
207 Posts

Posted - Nov 13 2017 :  09:58:14 AM  Show Profile  Reply with Quote
I am getting very nervous. My primary said take Spireva Respimat. Which she gave me samples. I finish it this week, but I seem to me getting worse. I only take that and my nebulizer, only the albuterol in it because last yr. the pulmonologist said the ipratropim might be building up munous. I rarely cough, last yr. he sucked out mucous from my lungs that he said I would have never coughed up. I now only go to my primary because other than sucking out my lungs my primary does all the same other tests and gives meds for copd too. Besides I got a little disappointed with that pulmo dr., he said NO inhalers help. Maybe I went numb then but I didnít hear what he would do for me. He just gave me 4 samples and I went on my merry way, not knowing what to do when I went in nd not knowing when I went out. I tried the breo of the 4, but then when I ran out the primary said to try the 21% in his office last yr.. I sit at the table thinking what to do, where to go and donít do anything., just watch myself go down hill. I am finding it hard to stand and even do supper, I have to sit down a lot. I hate to have to depend on my husband , he works so hard during the day and his arthritis is real bad in his hands. I think I should be on more meds than what I am. And what exercise can I do when I canít stand for long and I use the walker and am still halving breathlessness going from my kitchen to the bedroom. Can someone help me out Here? Thank you.#128553;
Go to Top of Page

gms
Member

USA
79 Posts

Posted - Nov 13 2017 :  1:04:41 PM  Show Profile  Reply with Quote
KLM... to answer part of your questions... Yes nebulizer drugs are covered under part B, not part D. And the nebulizer is provided by a DME (durable medical equipment) supplier the same as oxygen equipment. Most people who don't currently have a DME will purchase their nebulizer from a supplier online. They can typically be found between $30 and $60 dollars.
Go to Top of Page

klm49
Rookie

USA
8 Posts

Posted - Nov 13 2017 :  4:31:49 PM  Show Profile  Reply with Quote
gms, thanks.. I opted to go the ADC route and skip the nebulizer.
Nice to know my dr. was correct. She wasn't sure.



quote:
Originally posted by gms

KLM... to answer part of your questions... Yes nebulizer drugs are covered under part B, not part D. And the nebulizer is provided by a DME (durable medical equipment) supplier the same as oxygen equipment. Most people who don't currently have a DME will purchase their nebulizer from a supplier online. They can typically be found between $30 and $60 dollars.

Go to Top of Page

Jocopd
Member

USA
59 Posts

Posted - Nov 14 2017 :  07:52:24 AM  Show Profile  Reply with Quote
Roadrunne98 - Yes there are exercises called pulmonary rehab that will help you tremendously. Ask your primary to prescribe them so insurance pays. One benefit from this will be all the other people there have copd or some other lung disease so no one is running a speed race on the treadmills and everyone talks about their doctor - good or bad - their medications and just everything about copd so you get a lot of useful info. You also need to put your foot down at your doctors and tell them how hard it is for you to breath and move around and how you feel. You also have the right to see a different pulmonary doctor on most health plans if you didn't like the first one or felt they didn't help you. So bottom line - you have to help yourself. At least read thru these forums and get some ideas to talk over with your doctor.
Go to Top of Page

faybees
Member

USA
116 Posts

Posted - Nov 14 2017 :  10:44:07 AM  Show Profile  Reply with Quote
Not all insurance pays for rehab. Mine charges $40 per visit because they deem it a specialist visit. They wanted me to do 10 weeks at 3 times a week, work it out, lotsa money.

My rehab experience was not so cool the first time I did it. The group only had a very small room with the equipment crammed in. The guy running it weighed over 600lbs, he used a rolling stool to get around the room, he could not walk anywhere. I thought I would get to meet other people and compare notes but there was only ever one other person in with me and he would not allow us to talk to each other. One time when he was on vacation I had his counterpart take the class. It was like night and day. I actually had fun and there were lots of other people there. He no longer works there and they have moved into a much bigger room but I cannot afford that kind of money to walk on a treadmill and ride a bike. I have all of that equipment here at home and use them every day and monitor myself.
Go to Top of Page
  Previous Topic Topic Next Topic  
 New Topic  Reply to Topic
 Printer Friendly
Jump To:
COPD Support Discussion Boards © Copyright COPD-Support, Inc. Go To Top Of Page
Snitz Forums 2000