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Cost doxycycline without insurance and with a 10 percent copay. I do not know whether will be able to use a regular syringe. After four years of using doxycycline only once a day, I could not take the risk of being able to continue do that without insurance and a copay. I am patient with HIV and I expect that my insurance will have a coverage for doxycycline but not one that covers a syringe. I am also HIV positive and in the process of being treated for a relapse. This means I have very limited access to antiretroviral treatment, which does not work for me. I do not understand why insurance would cover this syringe but will not provide coverage for a regular syringe. Do you have any comments, thoughts or suggestions for me about my health care coverage? Thank you in advance for your help this matter. Beth Response to letter from: Susan Hegedus The University of Louisville School Medicine Dear Ms. Hegedus: Thank you for contacting me regarding your experience with Docere, an antibiotic for syphilis. Beth, I will address all of your questions as follows: 1. Why would the University of Louisville School Medicine refuse to cover a syringe that patient brings in at a local pharmacy? Do you believe that this was a policy decision, or would this have been approved by a school administrator like Professor Matson (as this policy has been stated), or would it have been determined by a doctor in consultation with the School of Medicine? We do not have an answer to question 1, but we can tell you that our insurance does provide coverage for a syringe. I can imagine that when a drug is found or used that produces side effects are not beneficial, the insurance company will cover costs associated with the treatment, or patient will have to pay out of pocket for the treatment. As you stated in your original email, the School of Medicine does have a policy stating that the syringe may not be accepted. This policy has been in place since September 2007, and in that time, we have received no complaints or questions about this policy. 2. You say: "after four years of using doxycycline only once a day, I could not take the risk of being able to continue do that without insurance and a copay." There is a reason behind why the syringe cannot be accepted for insurance, and it has to do with our average cost of doxycycline current reimbursement policy. We receive federal funds to conduct clinical trials in Louisville and receive these funds through an agreement called the Drug Reimbursement and Development Fund. This agreement provides funding for drug development to be conducted by the UofL Department of Pharmacy. We have received a substantial number of requests for samples and we are constantly reviewing the requests. Each request that is received individually reviewed to make sure that the patient has a condition that is relevant to the trial being conducted. Any condition that may jeopardize the safety of our patient or a subject in the study will not be approved and the drug will not be reimbursed for use during the trial. We try to evaluate each condition thoroughly in order to determine if it falls under the exception discussed in question. The syringe is not used in the research, and it certainly would not be used by the patients who average cost of doxycycline hyclate are participating in the clinical trials. However, it is appropriate for an individual who what is the cost for doxycycline is a participant to use syringe if it is an aid in keeping the needle clean. Without this aid, the needle is not a needle, it something for the patient to touch, not for use in the trial. Any other condition that is being studied in the research is therefore an exception and will be approved without any other condition being used as the justification for refusal. We do not have any additional comment beyond what you have already written. This policy was determined by a committee of the School Medicine (the Board of Trustees) and has been in effect since September 2008. 3. You say: "I do not know whether I will be able to use a regular syringe. After four years of using doxycycline only once a day, I could not take the risk of being able to continue do that without insurance and a copay." Beth, please continue with your story. 4. You say: "I am a patient with HIV and I expect that my insurance will have a coverage for doxycycline but not one that covers a syringe. I am also HIV positive and in the process of being treated for a relapse. This means I have very limited access to antiretroviral treatment, which does not work for me. I do not understand why insurance would cover this syringe but will not provide coverage for a regular pharmacy online ireland syringe. Do you have any comments, thoughts or suggestions for me about my health"

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