I'm in the process of switching off Androgel packets and going to TestCyp injections. Two packets (81 mg) of the Androgel seemed to be marginally doing the job, but I switched recently to Medicare and while my old insurance (and the manfacturer's copay discount card) made Angrogel easily affordable, it's now a non-starter, cost wise.
So my GP wrote a script for 2000 mg/10mL of TestCyp, and sent it to my new insurance "Rx by mail" company. The order looked OK online, but what shows up in the mail today is 6 ea vials, 200 mg/1 mL... for $116! I called them up and asked WTF. The pharmacist gets on the line and tells me that once you draw a dose from a vial, that starts a 28-day window after which the vial "should" be discarded due to contamination concerns (this is apparently the same for pretty much all multi-dose vials, not just TestCyp).
So they said they were watching out for me and substituted the 1 mL vials, since at 100mg/0.5 ml per week the 10 mL vial would last like 5 months (far past the 28 days).
I'm still mot happy about their crappy pricing, so I ask if I can return the mail order RX and have them transfer the Rx to a local pharmacy. Yes, no problem. I trot down to the local CVS, and tell them the story. They say that they only carry the 2000 mg/10 mL vials (don't even have the 1 mL vials) for like $59 each... and the pharmacist says she's never heard of the 28 day issue related to TestCyp, and the package insert makes no mention of it. So they're now in the process of transferring the Rx to CVS.
In the meanwhile, I called up the local Walgreens and told them the whole story. As it turns out, they don't carry the 2000 mg/10mL vials, and even have trouble getting them from the manufacturer. They are, however, more than happy to sell me 10 each of the 200mg/1mL vials for $68.
Now my head is spinning. If the contamination issue is real (and after doing some reading, it seems that it may be) then getting the 1 mL vials at Walgreens is the way to go. Hell, for an extra $9 every 5 months it takes the question off the table. But if it's BS, then I might as well get the 2000 mg/10 mL vial at CVS and save a few bucks. And the 10 mL vial is what my doc prescribed in the first place.
I put a call into the doc's office to ask her about this, but she wasn't around. Anyone here have info on this point?