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 Inhaler vs. Nebulizer
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klm49
Rookie

USA
6 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
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Zellie
Member

USA
41 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
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Sandy9s
Member

USA
301 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.

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JanC
Rookie

USA
13 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.
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