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Yervoy questions

Forums General Melanoma Community Yervoy questions

  • Post
    bruski1959
    Participant

      We are considering Yervoy treatment for my wife Jackie who has metastatic melanoma. Started on finger last March, which was amputated in May with good margin. Then spread to axial lymph nodes on same arm, which were removed in August. 2 were macro, 5 were micro, 6 had no melanoma. PET scan in November showed recurrance in same axial lymph nodes, bright spots on liver, and potential places to occur in lungs. PET scan at Mayo last week shows axial lymph nodes brighter, spots on liver are brighter, and spots in lungs have started to light up too.

      We are considering Yervoy treatment for my wife Jackie who has metastatic melanoma. Started on finger last March, which was amputated in May with good margin. Then spread to axial lymph nodes on same arm, which were removed in August. 2 were macro, 5 were micro, 6 had no melanoma. PET scan in November showed recurrance in same axial lymph nodes, bright spots on liver, and potential places to occur in lungs. PET scan at Mayo last week shows axial lymph nodes brighter, spots on liver are brighter, and spots in lungs have started to light up too.

      We have done the paperwork for Yervoy co-pay assistance.

      Have contacted our insurance company United Health Care and the specialist pharmacy, and Yervoy is covered, but not sure what co-pay will be until the oncologist writes a prescription.

      First  question is the potential side affects sound pretty terrible, but oncologists we have spoken with have not seen the severe side affects, more the rashes, and treatment with prednisone helps alleviate the symptoms. Is this pretty much the experience of others who have taken Yervoy?

      Jackie's oncologist mentioned that he has seen more issues with the 3rd and 4th infusions than with the 1st and 2nd infusions. Is this the experience of others who have taken Yervoy?

      I have heard numbers like 20% co-pay, and I have heard between $60,000 and $120,000 for total cost of Yervoy treatment. The Yervoy co-pay program looks like you pay $50 per infusion, and they will pay maximum of $5000. Trying to figure out what actual out of pocket expenses are for this for planning purposes. What has been the experience of others with paying for Yervoy?

      Saw something about not being able to use health care reimbursement funds for Yervoy. We max out our health care reimbursement, and last year ran out in August, due to the several surgeries and hospitalizations. Is that really true you can't use health care reimbursement to help pay for Yervoy copay?

      Has anybody used Yervoy with GP10? If so, were results any better than those who use Yervoy by itself?

      The oncologists we have spoken to indicate that it is better to use Yervoy sooner than later, earlier on in the disease process, that it takes longer to start working, but it also lasts longer. Can anybody comment on this?

      Appreciate any advice or answers anybody can provide.

      Thanks,

      Bruce

    Viewing 5 reply threads
    • Replies
        Theresa123
        Participant

          Hi,  I have been through just about everything, resection, interferon, bio, Til and I can tell you Yervoy gave me my only postive result with the least side effects of all the previous treatments.  Everyone is different of course, but I went from "terminal" to "chronic" with Yervoy.

          Good Luck

          Theresa 123

          Stage IV

            NYKaren
            Participant

              Bruce, just to answer 2 questions, many people's side effects are more pronounced after 3rd & 4th infusion…mine were slight after 1st and I had to start taking anti-colitis and anti-itch meds after 2nd.  All was maneagable, but it is vital that you report side effects to docs immediately so they can be managed.  Everything has to be taken in prespective…I'd take the side effects of Yervoy over the side effects and harshness of IL-2 any day, especially since I worked everyday while on Yervoy, but missed 2 months of work (1 for each round) on IL-2.  but others might say the opposite, since you start to recover as soon as IL-2 is stopped.

              Secondly, I've never heard of not being able to use health care reimbursement accounts on Yervoy.  If it's FDA approved, it should be reimburseable.  Maybe that was an issue when it was in clinical trials??? 

              hope this helps,

              karen

              Suzan AB
              Participant
                What is a health care remibursement account. We have burned through ous savings over the last few years…is that why all of us are on trials….anyho…please explain selling our house now…..but the stars still shine
                Suzan AB
                bruski1959
                Participant

                  Health care reimbursement account is an account that I pay into through my paycheck, pre-tax. So it reduces your taxable income, and can be used for paying co-payments, prescriptions, glasses, doctor visits, etc. It is once a year election, and it is use it or lose. So most people without terminal or chronic diseases have to make an educated guess how much they will need to put into the account. The maximum annual contribution is $5,000. We have been increasing ours over the years as my wife's chronic medical conditions have worsened. Last year we maxed it out in August after 3 surgeries and hospitalizations. I know there are also medical savings accounts for people with high deductible health insurance to cover the amount up to the deductible, co-pays, etc.

                  Hope that helps, and thanks everybody for their responses.

                  Thanks,

                  Bruce

                  bruski1959
                  Participant

                    Health care reimbursement account is an account that I pay into through my paycheck, pre-tax. So it reduces your taxable income, and can be used for paying co-payments, prescriptions, glasses, doctor visits, etc. It is once a year election, and it is use it or lose. So most people without terminal or chronic diseases have to make an educated guess how much they will need to put into the account. The maximum annual contribution is $5,000. We have been increasing ours over the years as my wife's chronic medical conditions have worsened. Last year we maxed it out in August after 3 surgeries and hospitalizations. I know there are also medical savings accounts for people with high deductible health insurance to cover the amount up to the deductible, co-pays, etc.

                    Hope that helps, and thanks everybody for their responses.

                    Thanks,

                    Bruce

                    bruski1959
                    Participant

                      Health care reimbursement account is an account that I pay into through my paycheck, pre-tax. So it reduces your taxable income, and can be used for paying co-payments, prescriptions, glasses, doctor visits, etc. It is once a year election, and it is use it or lose. So most people without terminal or chronic diseases have to make an educated guess how much they will need to put into the account. The maximum annual contribution is $5,000. We have been increasing ours over the years as my wife's chronic medical conditions have worsened. Last year we maxed it out in August after 3 surgeries and hospitalizations. I know there are also medical savings accounts for people with high deductible health insurance to cover the amount up to the deductible, co-pays, etc.

                      Hope that helps, and thanks everybody for their responses.

                      Thanks,

                      Bruce

                      bruski1959
                      Participant

                        Have been trying to navigate through the healh insurance maze trying to find out how Yervoy is covered. United Health Care (UHC) has told me via secure messaging that Yervoy is covered by our medical coverage and that it can be dispensed by specialty pharmacy Prescription Solutions, which we have used before. Called Prescription Solutions and they don't carry it. So I called the toll free number on the back of my health insurance card over the weekend, and ended up talking with Medco, the mail order pharmacy that we use with our health insurance. Apparently they answer the UHC number on the weekend. Found out Medco doesn't cover Yervoy either, which I didn't really expect that it would. So I called UHC this morning, even read them the secure message and gave them the message ID, but they couldn't figure out where the message came from. After 25 minutes I was given the name of another speciality pharmacy Bioscrip, and was given a toll free number to call. So I was able to set up an account with Bioscrip, and they will fax a form to Jackie's oncologist, who has to fill it out, and send it back to Bioscrip. Then Bioscrip will contact UHC to find out if Yervoy is covered, how much the co-pay would be, etc. Said it would take 5-7 business days to get it setup, and shipped to Jackie's oncologist or the cancer center within 24-48 hours of receiving the form from the oncologist. Today I got another secure message stating that we are responsible for the co-pay and maximum annual out of pocket. But still haven't got a straight answer if that is what applies to Yervoy. So hopefully we have put the machinery in motion for Jackie to start receiving Yervoy soon. Seems that either we are getting the runaround or UHC doesn't have a clue, or maybe we just haven't got to the right peope that know yet. Not sure if this is typical rigamorale or not. Would welcome comments or suggestions.

                        Thanks,
                        Bruce

                        bruski1959
                        Participant

                          Have been trying to navigate through the healh insurance maze trying to find out how Yervoy is covered. United Health Care (UHC) has told me via secure messaging that Yervoy is covered by our medical coverage and that it can be dispensed by specialty pharmacy Prescription Solutions, which we have used before. Called Prescription Solutions and they don't carry it. So I called the toll free number on the back of my health insurance card over the weekend, and ended up talking with Medco, the mail order pharmacy that we use with our health insurance. Apparently they answer the UHC number on the weekend. Found out Medco doesn't cover Yervoy either, which I didn't really expect that it would. So I called UHC this morning, even read them the secure message and gave them the message ID, but they couldn't figure out where the message came from. After 25 minutes I was given the name of another speciality pharmacy Bioscrip, and was given a toll free number to call. So I was able to set up an account with Bioscrip, and they will fax a form to Jackie's oncologist, who has to fill it out, and send it back to Bioscrip. Then Bioscrip will contact UHC to find out if Yervoy is covered, how much the co-pay would be, etc. Said it would take 5-7 business days to get it setup, and shipped to Jackie's oncologist or the cancer center within 24-48 hours of receiving the form from the oncologist. Today I got another secure message stating that we are responsible for the co-pay and maximum annual out of pocket. But still haven't got a straight answer if that is what applies to Yervoy. So hopefully we have put the machinery in motion for Jackie to start receiving Yervoy soon. Seems that either we are getting the runaround or UHC doesn't have a clue, or maybe we just haven't got to the right peope that know yet. Not sure if this is typical rigamorale or not. Would welcome comments or suggestions.

                          Thanks,
                          Bruce

                          bruski1959
                          Participant

                            Have been trying to navigate through the healh insurance maze trying to find out how Yervoy is covered. United Health Care (UHC) has told me via secure messaging that Yervoy is covered by our medical coverage and that it can be dispensed by specialty pharmacy Prescription Solutions, which we have used before. Called Prescription Solutions and they don't carry it. So I called the toll free number on the back of my health insurance card over the weekend, and ended up talking with Medco, the mail order pharmacy that we use with our health insurance. Apparently they answer the UHC number on the weekend. Found out Medco doesn't cover Yervoy either, which I didn't really expect that it would. So I called UHC this morning, even read them the secure message and gave them the message ID, but they couldn't figure out where the message came from. After 25 minutes I was given the name of another speciality pharmacy Bioscrip, and was given a toll free number to call. So I was able to set up an account with Bioscrip, and they will fax a form to Jackie's oncologist, who has to fill it out, and send it back to Bioscrip. Then Bioscrip will contact UHC to find out if Yervoy is covered, how much the co-pay would be, etc. Said it would take 5-7 business days to get it setup, and shipped to Jackie's oncologist or the cancer center within 24-48 hours of receiving the form from the oncologist. Today I got another secure message stating that we are responsible for the co-pay and maximum annual out of pocket. But still haven't got a straight answer if that is what applies to Yervoy. So hopefully we have put the machinery in motion for Jackie to start receiving Yervoy soon. Seems that either we are getting the runaround or UHC doesn't have a clue, or maybe we just haven't got to the right peope that know yet. Not sure if this is typical rigamorale or not. Would welcome comments or suggestions.

                            Thanks,
                            Bruce

                            Suzan AB
                            Participant
                              What is a health care remibursement account. We have burned through ous savings over the last few years…is that why all of us are on trials….anyho…please explain selling our house now…..but the stars still shine
                              Suzan AB
                              Suzan AB
                              Participant
                                What is a health care remibursement account. We have burned through ous savings over the last few years…is that why all of us are on trials….anyho…please explain selling our house now…..but the stars still shine
                                Suzan AB
                                NYKaren
                                Participant

                                  Bruce, just to answer 2 questions, many people's side effects are more pronounced after 3rd & 4th infusion…mine were slight after 1st and I had to start taking anti-colitis and anti-itch meds after 2nd.  All was maneagable, but it is vital that you report side effects to docs immediately so they can be managed.  Everything has to be taken in prespective…I'd take the side effects of Yervoy over the side effects and harshness of IL-2 any day, especially since I worked everyday while on Yervoy, but missed 2 months of work (1 for each round) on IL-2.  but others might say the opposite, since you start to recover as soon as IL-2 is stopped.

                                  Secondly, I've never heard of not being able to use health care reimbursement accounts on Yervoy.  If it's FDA approved, it should be reimburseable.  Maybe that was an issue when it was in clinical trials??? 

                                  hope this helps,

                                  karen

                                  NYKaren
                                  Participant

                                    Bruce, just to answer 2 questions, many people's side effects are more pronounced after 3rd & 4th infusion…mine were slight after 1st and I had to start taking anti-colitis and anti-itch meds after 2nd.  All was maneagable, but it is vital that you report side effects to docs immediately so they can be managed.  Everything has to be taken in prespective…I'd take the side effects of Yervoy over the side effects and harshness of IL-2 any day, especially since I worked everyday while on Yervoy, but missed 2 months of work (1 for each round) on IL-2.  but others might say the opposite, since you start to recover as soon as IL-2 is stopped.

                                    Secondly, I've never heard of not being able to use health care reimbursement accounts on Yervoy.  If it's FDA approved, it should be reimburseable.  Maybe that was an issue when it was in clinical trials??? 

                                    hope this helps,

                                    karen

                                  Theresa123
                                  Participant

                                    Hi,  I have been through just about everything, resection, interferon, bio, Til and I can tell you Yervoy gave me my only postive result with the least side effects of all the previous treatments.  Everyone is different of course, but I went from "terminal" to "chronic" with Yervoy.

                                    Good Luck

                                    Theresa 123

                                    Stage IV

                                    Theresa123
                                    Participant

                                      Hi,  I have been through just about everything, resection, interferon, bio, Til and I can tell you Yervoy gave me my only postive result with the least side effects of all the previous treatments.  Everyone is different of course, but I went from "terminal" to "chronic" with Yervoy.

                                      Good Luck

                                      Theresa 123

                                      Stage IV

                                      NYKaren
                                      Participant
                                        Bruce,
                                        Yeryoy is ordered by the dr./hospital where they give it to you by infusion. It is not a drug u can buy yourself. The dr’s office is supposed to do all this for you. I know this all is very confusing…please make sure you are being guided by a melanoma specialist. I’m on my smart phone so I can’t look up up your prior posts to see what dr/hospital u r at.
                                        All the best,
                                        Karen
                                          NYKaren
                                          Participant
                                            I just reread your first post. If it were me, I’d hurry up & get the treatment started. Maybe u can get $ assistance from the hospital Even if doc says he’s a Mel specialist, I would ask how many times he’s treated w/ipi. Where do you live?
                                            bruski1959
                                            Participant

                                              Hi NY Karen,

                                              Appreciate your responses. Jackie has several related chronic conditions that we have to consider before starting any treatment for her. She has a local oncologist who has previously treated her for anemias from the side affects of rapamyacin to treat one of her chronic conditions. She also has an oncologist at the Mayo Clinic who has followed her for 6 years for an islet cancer that so far has been asymptomatic. We just heard that the liver biopsy done on Monday at Mayo was postive for melanoma. Jackie also has a rare lung disease that affects women of child bearing age. We have consulted with the rare lung disease specialists to see if any other patient has taken Yervoy, and none has. However there is a good chance that the Yervoy could also slow the progression of her lung disease. Jackie has had several blood tests, breathing tests, etc. that will serve as a baseline prior to starting treatment. These can then be repeated after treatment to see if Yervoy also slow the lung disease down. We started the paperwork in December with the local oncologist to apply for co-pay assistance with Yervoy. Both of her oncologists have experience with Yervoy. We live in SE Wisconsin. I think we have done everything we need to do. The sticky thing is we have been waiting for Jackie to make the decision to start treatment. I think today's confirmation that the melanoma is indeed in the liver will help her make that decision. The main thing she is concerned about is whether she can tolerate the side affects. The feedback I have gotten to my posts have been very helpful on this and confirms what the oncologists have told us.

                                              Thanks,
                                              Bruce.

                                              bruski1959
                                              Participant

                                                Hi NY Karen,

                                                Appreciate your responses. Jackie has several related chronic conditions that we have to consider before starting any treatment for her. She has a local oncologist who has previously treated her for anemias from the side affects of rapamyacin to treat one of her chronic conditions. She also has an oncologist at the Mayo Clinic who has followed her for 6 years for an islet cancer that so far has been asymptomatic. We just heard that the liver biopsy done on Monday at Mayo was postive for melanoma. Jackie also has a rare lung disease that affects women of child bearing age. We have consulted with the rare lung disease specialists to see if any other patient has taken Yervoy, and none has. However there is a good chance that the Yervoy could also slow the progression of her lung disease. Jackie has had several blood tests, breathing tests, etc. that will serve as a baseline prior to starting treatment. These can then be repeated after treatment to see if Yervoy also slow the lung disease down. We started the paperwork in December with the local oncologist to apply for co-pay assistance with Yervoy. Both of her oncologists have experience with Yervoy. We live in SE Wisconsin. I think we have done everything we need to do. The sticky thing is we have been waiting for Jackie to make the decision to start treatment. I think today's confirmation that the melanoma is indeed in the liver will help her make that decision. The main thing she is concerned about is whether she can tolerate the side affects. The feedback I have gotten to my posts have been very helpful on this and confirms what the oncologists have told us.

                                                Thanks,
                                                Bruce.

                                                bruski1959
                                                Participant

                                                  Hi NY Karen,

                                                  Appreciate your responses. Jackie has several related chronic conditions that we have to consider before starting any treatment for her. She has a local oncologist who has previously treated her for anemias from the side affects of rapamyacin to treat one of her chronic conditions. She also has an oncologist at the Mayo Clinic who has followed her for 6 years for an islet cancer that so far has been asymptomatic. We just heard that the liver biopsy done on Monday at Mayo was postive for melanoma. Jackie also has a rare lung disease that affects women of child bearing age. We have consulted with the rare lung disease specialists to see if any other patient has taken Yervoy, and none has. However there is a good chance that the Yervoy could also slow the progression of her lung disease. Jackie has had several blood tests, breathing tests, etc. that will serve as a baseline prior to starting treatment. These can then be repeated after treatment to see if Yervoy also slow the lung disease down. We started the paperwork in December with the local oncologist to apply for co-pay assistance with Yervoy. Both of her oncologists have experience with Yervoy. We live in SE Wisconsin. I think we have done everything we need to do. The sticky thing is we have been waiting for Jackie to make the decision to start treatment. I think today's confirmation that the melanoma is indeed in the liver will help her make that decision. The main thing she is concerned about is whether she can tolerate the side affects. The feedback I have gotten to my posts have been very helpful on this and confirms what the oncologists have told us.

                                                  Thanks,
                                                  Bruce.

                                                  bruski1959
                                                  Participant

                                                    Hi NY Karen,

                                                    Appreciate your responses. Jackie has several related chronic conditions that we have to consider before starting any treatment for her. She has a local oncologist who has previously treated her for anemias from the side affects of rapamyacin to treat one of her chronic conditions. She also has an oncologist at the Mayo Clinic who has followed her for 6 years for an islet cancer that so far has been asymptomatic. We just heard that the liver biopsy done on Monday at Mayo was postive for melanoma. Jackie also has a rare lung disease that affects women of child bearing age. We have consulted with the rare lung disease specialists to see if any other patient has taken Yervoy, and none has. However there is a good chance that the Yervoy could also slow the progression of her lung disease. Jackie has had several blood tests, breathing tests, etc. that will serve as a baseline prior to starting treatment. These can then be repeated after treatment to see if Yervoy also slow the lung disease down. We started the paperwork in December with the local oncologist to apply for co-pay assistance with Yervoy. Both of her oncologists have experience with Yervoy. We live in SE Wisconsin. I think we have done everything we need to do. The sticky thing is we have been waiting for Jackie to make the decision to start treatment. I think today's confirmation that the melanoma is indeed in the liver will help her make that decision. The main thing she is concerned about is whether she can tolerate the side affects. The feedback I have gotten to my posts have been very helpful on this and confirms what the oncologists have told us.

                                                    Thanks,
                                                    Bruce.

                                                    bruski1959
                                                    Participant

                                                      Hi NY Karen,

                                                      Appreciate your responses. Jackie has several related chronic conditions that we have to consider before starting any treatment for her. She has a local oncologist who has previously treated her for anemias from the side affects of rapamyacin to treat one of her chronic conditions. She also has an oncologist at the Mayo Clinic who has followed her for 6 years for an islet cancer that so far has been asymptomatic. We just heard that the liver biopsy done on Monday at Mayo was postive for melanoma. Jackie also has a rare lung disease that affects women of child bearing age. We have consulted with the rare lung disease specialists to see if any other patient has taken Yervoy, and none has. However there is a good chance that the Yervoy could also slow the progression of her lung disease. Jackie has had several blood tests, breathing tests, etc. that will serve as a baseline prior to starting treatment. These can then be repeated after treatment to see if Yervoy also slow the lung disease down. We started the paperwork in December with the local oncologist to apply for co-pay assistance with Yervoy. Both of her oncologists have experience with Yervoy. We live in SE Wisconsin. I think we have done everything we need to do. The sticky thing is we have been waiting for Jackie to make the decision to start treatment. I think today's confirmation that the melanoma is indeed in the liver will help her make that decision. The main thing she is concerned about is whether she can tolerate the side affects. The feedback I have gotten to my posts have been very helpful on this and confirms what the oncologists have told us.

                                                      Thanks,
                                                      Bruce.

                                                      bruski1959
                                                      Participant

                                                        Hi NY Karen,

                                                        Appreciate your responses. Jackie has several related chronic conditions that we have to consider before starting any treatment for her. She has a local oncologist who has previously treated her for anemias from the side affects of rapamyacin to treat one of her chronic conditions. She also has an oncologist at the Mayo Clinic who has followed her for 6 years for an islet cancer that so far has been asymptomatic. We just heard that the liver biopsy done on Monday at Mayo was postive for melanoma. Jackie also has a rare lung disease that affects women of child bearing age. We have consulted with the rare lung disease specialists to see if any other patient has taken Yervoy, and none has. However there is a good chance that the Yervoy could also slow the progression of her lung disease. Jackie has had several blood tests, breathing tests, etc. that will serve as a baseline prior to starting treatment. These can then be repeated after treatment to see if Yervoy also slow the lung disease down. We started the paperwork in December with the local oncologist to apply for co-pay assistance with Yervoy. Both of her oncologists have experience with Yervoy. We live in SE Wisconsin. I think we have done everything we need to do. The sticky thing is we have been waiting for Jackie to make the decision to start treatment. I think today's confirmation that the melanoma is indeed in the liver will help her make that decision. The main thing she is concerned about is whether she can tolerate the side affects. The feedback I have gotten to my posts have been very helpful on this and confirms what the oncologists have told us.

                                                        Thanks,
                                                        Bruce.

                                                        bruski1959
                                                        Participant

                                                          We found out that health insurance covers Yervoy based on co-pay, deductible, and maximum annnual out of pocket expense. We meet with Jackie's oncologist this morning to discuss the treatment plan. Jackie is challenging to get blood out of, and challenging to start an IV, so we have an appointment with a surgeon Monday morning to schedule the installation of a port. The oncologist office has faxed the paperwork to the specialty pharmacy to start the process of getting the Yervoy ordered and sent to the cancer center. Probably the day after the port is installed, Jackie will have her first Yervoy infusion. If all goes well, Jackie should start Yervoy treatment next week.  

                                                          bruski1959
                                                          Participant

                                                            We found out that health insurance covers Yervoy based on co-pay, deductible, and maximum annnual out of pocket expense. We meet with Jackie's oncologist this morning to discuss the treatment plan. Jackie is challenging to get blood out of, and challenging to start an IV, so we have an appointment with a surgeon Monday morning to schedule the installation of a port. The oncologist office has faxed the paperwork to the specialty pharmacy to start the process of getting the Yervoy ordered and sent to the cancer center. Probably the day after the port is installed, Jackie will have her first Yervoy infusion. If all goes well, Jackie should start Yervoy treatment next week.  

                                                            bruski1959
                                                            Participant

                                                              We found out that health insurance covers Yervoy based on co-pay, deductible, and maximum annnual out of pocket expense. We meet with Jackie's oncologist this morning to discuss the treatment plan. Jackie is challenging to get blood out of, and challenging to start an IV, so we have an appointment with a surgeon Monday morning to schedule the installation of a port. The oncologist office has faxed the paperwork to the specialty pharmacy to start the process of getting the Yervoy ordered and sent to the cancer center. Probably the day after the port is installed, Jackie will have her first Yervoy infusion. If all goes well, Jackie should start Yervoy treatment next week.  

                                                              NYKaren
                                                              Participant
                                                                I just reread your first post. If it were me, I’d hurry up & get the treatment started. Maybe u can get $ assistance from the hospital Even if doc says he’s a Mel specialist, I would ask how many times he’s treated w/ipi. Where do you live?
                                                                NYKaren
                                                                Participant
                                                                  I just reread your first post. If it were me, I’d hurry up & get the treatment started. Maybe u can get $ assistance from the hospital Even if doc says he’s a Mel specialist, I would ask how many times he’s treated w/ipi. Where do you live?
                                                                NYKaren
                                                                Participant
                                                                  Bruce,
                                                                  Yeryoy is ordered by the dr./hospital where they give it to you by infusion. It is not a drug u can buy yourself. The dr’s office is supposed to do all this for you. I know this all is very confusing…please make sure you are being guided by a melanoma specialist. I’m on my smart phone so I can’t look up up your prior posts to see what dr/hospital u r at.
                                                                  All the best,
                                                                  Karen
                                                                  NYKaren
                                                                  Participant
                                                                    Bruce,
                                                                    Yeryoy is ordered by the dr./hospital where they give it to you by infusion. It is not a drug u can buy yourself. The dr’s office is supposed to do all this for you. I know this all is very confusing…please make sure you are being guided by a melanoma specialist. I’m on my smart phone so I can’t look up up your prior posts to see what dr/hospital u r at.
                                                                    All the best,
                                                                    Karen
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