They said. “Oh, no, I’d lose my license!”
First time ordering, and I decided to try Push Health. I applied for a refill although I didn’t have an existing prescription. I asked for Sirolimus 2 mg x 90 tabs. My prescription came back as I’d ordered and then I had it sent to CVS. GoodRx gave me a price of $152 for the 90 tabs which was the best price shown. They are currently “out-of-stock”, but have ordered these for me. So far … so good. I’ll update when I receive the actual prescription.
So, $70 for Push Health plus $152 for 180mg of Sirolimus. $1.23/mg
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Thats a good price. Thanks for posting!
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From a different perspective, as a physician, I have tried to join Push Health. 6 months later, my application is still being processed, with 500 applications ahead of me lol.
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I finally got into town to pick up this prescription. I presented my GoodRx coupon for $152, but the pharmacist came back and told me that it had rung-up as $59. 
So my end cost for 180mg (90 2mg tabs) was about $130 or $0.72/mg
BTW, per KarT’s post, I was able to sign up to Push Health within about 10 minutes and had my first request in within another 10 minutes.
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I tried Pushealth this morning. I requested a refill for 180 1mg tabs. The doctor replied in 2 minutes and asked what my dosage was, I stated 6mg once per week. 30 min later the prescription was sent for 72 tabs, because he cannot fill more than a 3 month supply. Overall, I cannot complain about the service. Final cost is around $1.80 per pill.
I am in Wisconsin and my doctor was Muhammad Imran, MD. Myself and others have had a good experience using him.
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Interesting. Anyone have success asking for a higher dose for. 90 day supply?
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I’ve been getting 90 day supplies of 5mg/week
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I think that would work. Requesting like 12 mg per week for 3 months would bring down the cost and prescription fee frequency.
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My experience was the Dr I was assigned told me she only treats chronic and acute conditions, go to my PCP and immediately cancelled me. Not impressed AT ALL.
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It seems the doctors here are a really mixed bag. Some are good. Some not so much.
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My poor experience with PushHealth propelled me to order from India, which ended up being a very good thing. I found no benefit from PushHealth–it was more expensive and offered no doctor oversight or support. I find the India product better quality, too.
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This is true. However, you can request a specific doctor that has a good track record of prescribing Sirolimus.
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Which brand of Sirolimus are you using?
Biocon Sirolimus 1mg.
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If you want an online service with no hassle I use GetHealthspan. The price is way higher but if it’s fine for you it’s very convenient. I assume AgelessRx is basically the same too.
Any MDs want to write the rx and I do the tech side of a similar business?
Of note - if you go on GoodRx and look under CVS you can get 60 mg (2 mg x 30) for $64. You can get 1 mg x 30 for around $35.
I appreciate the convenience of the model to just go and get an Rx. For many on this board it could even be a sensible thing to offer.
I however wouldn’t go with that model, as it is pretty important to me that each person gets a proper, detailed review to make sure that all the things that are likely to be health or lifespan limiting issues are assessed by me as a specialist, and we make sure risk mitigation occurs - or at least is advised.
I see people with unmanaged items, they are not even aware of, simply wanting their rapamycin.
So if one designed a system that properly went through and assessed all these items, and we made sure the patients got a proper review, then yes, from that point forward, pretty easy to just generate Rx’s and follow-up.
The problem is, that there is medicolegal risk to giving an Rx without actually properly assessing the person. I’d guess this service is doing this without properly assessing, if done on a a patient they have little information on, and done in a 5-10 minute consult.
However, on the other side of this - if I were a patient, yes, I’d probably use Push to just get my Rx …. But I know I’ve got everything else assessed and managed, probably much like the very well informed on this board.
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In fact there is zero synchronous consult but they do collect relevant medical data via form to make the decision. And that is a much better system than traditional in person doctor visits for a variety of reasons.
I do all of my visits by telemedicine, and I totally agree that not having someone leave their home for MOST things is sensible. There are however times when I need to have the person reviewed in person to safely assess things.
In my opinion, and as someone who has worked for a medical board before, on the medical assessment and safety side of things, this is almost certainly low quality medical practice that is risky. A two way dialogue is best practice for complex care - which this should be.
I guess the good news, is that Rapamycin is a low risk drug when taken cyclically - the real risk here is the missed opportunity to give the patient a true expert review.
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