Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Prilosec/Omeprazole



Recommended Posts

Hello,

As of 01/01/2020 my insurance will no longer cover Prilosec as a prescription because its over the counter. Pricing it out to by it over the counter, I would need to take out of second mortgage. I cant take Protonix . Just wondering what other rx's people are taking after surgery. The Prilosec is working thus far for me.

Share this post


Link to post
Share on other sites

What dosage do you need - is it greater than the usual OTC 20mg dose? The normal OTC omeprazole is usually $10-20 for 42 tablets depending upon what store you by it from; the brand name meds are $5-10 higher. Most of the other PPIs are also OTC now, so likewise probably wouldn't be covered by your insurance. I think that Dexilant is still Rx only and expensive, so would be covered by insurance, though your copay may well be more than the other OTC PPI's without insurance and you may have to jump through some hoops to get coverage (documenting that the other PPI's don't work for you, etc.)

There are also H2 Inhibitors such as Zantac and Pepcid, and their generic analogs, that also treat stomach acid but in a different way, though they are similarly priced to the OTC PPI's (that's a market for you!)

Share this post


Link to post
Share on other sites

I take Nexium (technically the generic esomeprazole). I get 42 capsules for about $15 at costco, less if it's on sale. I generally take the OTC dose. My doc says to up my dose to 1 capsule twice per day for about a week if I get breakthrough symptoms. It doesn't happen often so that $15 lasts me up to 6 weeks.

  • Theoretically, if I had to take 2 capsules a day indefinitely:
    • $15 for 21 days
    • Broken down, that's about $0.71 per day or about $20/month

I haven't looked at Prilosec/omeprazole pricing, but I would think it's a similar cost (possibly even lower because it's been OTC longer).

When my symptoms were at their worst, I took a round of Dexilant. Had to get prior authorization from the insurance just to get it. I can honestly tell you that I didn't notice that it was much better than the standard OTC Prilosec and/or Nexium.

Share this post


Link to post
Share on other sites

Well I am the Dexilent success kid, as long as I take it I have no further ulcer production, but I grew them while on Omperazolr both times, while under my gastroenterologist and my bariatric surgeon's care- just extremely LUCKY my insurance co-pay is only $8.30 because I COULD NOT AFFORD the OTC pricing. I take 60 mg but have been told the 30mg size will go generic in 2020 if not yet this year. An interesting FYI, my Doctor Needleman wrote a script for2 of!30mg capsules , Wal-Mart went and changed it to the 60 mg they had on hand anyway! Did they ask first? DOUBT IT STRONGLY, I once worked at Wally World but not in THAT department, and I know how devious they CAN be and often are. Like anybody that works at a place 11 YEARS, I know the skeletons and what closets they are hidden in.

Share this post


Link to post
Share on other sites

Prilosec doesnt work taking consistantly for me. I find taking a acid reducers that i bought at winco as needed helps miracles for me. I tend to only need one tablet a day sometimes 2 in order to get to bed at night fighting the burning in my throat.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 2 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×