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Topic: Insurance is denying KADCYLA request

Forum: Employment, Insurance, and Other Financial Issues —

Employment, insurance, and financial concerns are common. Meet others here to discuss and for support.

Posted on: Jul 12, 2020 09:17PM - edited Sep 2, 2020 03:18PM by NTS

NTS wrote:

This Post was deleted by NTS.
Dx 6/2017, IDC, Left, 3cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR-, HER2+ Radiation Therapy Whole-breast Chemotherapy Taxotere (docetaxel) Chemotherapy Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy Perjeta (pertuzumab) Targeted Therapy Herceptin (trastuzumab) Surgery Lumpectomy; Lymph node removal: Sentinel, Underarm/Axillary Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jul 13, 2020 09:17PM - edited Jul 13, 2020 09:20PM by Newlife4me

that's how I got Kadcyla approved. Original stage 1 in 2010 treated with lump and TCH and rads. Recurred in 2019with exact same type (both ER- so anti hormone does not work). My onc used the failure of H from 2010 as basis and Katherine trial plus another trial I think.I am getting 17 kadcyla no Other chemo. I cannot have A anyway due to existing heart low EF.

FYI did not need an appeal Also another onc at HUP in philly says that’s what they are doing as well so becoming quite standard of care at NIH cancer centers anyway


Dx 10/13/2010, DCIS/IDC, Right, <1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR+, HER2+ (FISH) Dx 9/5/2019, DCIS/IDC, Right, 1cm, Stage IA, Grade 2, 0/2 nodes, ER-/PR-, HER2+ (FISH)
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Jul 15, 2020 11:13AM - edited Sep 2, 2020 03:18PM by NTS

This Post was deleted by NTS.
Dx 6/2017, IDC, Left, 3cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR-, HER2+ Radiation Therapy Whole-breast Chemotherapy Taxotere (docetaxel) Chemotherapy Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy Perjeta (pertuzumab) Targeted Therapy Herceptin (trastuzumab) Surgery Lumpectomy; Lymph node removal: Sentinel, Underarm/Axillary Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)

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