I am encountering the same issues at my private practice clinic. I've reached out to the health dept as well but they cannot help me. I have no 340b and I am not planning to get one. I just treated a patient this week with Syphilis and prescribed Doxy.
My clinic cannot afford to buy this super expensive drug.
If the pt prefers an injectable, I send them to the health dept for tx.
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William Amistad, Jr.
Yuma AZ
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Original Message:
Sent: 06-29-2025 12:04
From: Tagbo Ekwonu
Subject: Cost of Bicillin without 340b
The average cost of Bicillin LA 2.4 MU for treating Syphilis is $7000 for a box of 10. A box of 10 from Henry Schein, a medical supplier, costs $10,000.
I don't have 340 b, but I have a large HIV population and a high rate of Syphilis diagnosis. It seems the only option I have is to treat them all with Doxycycline or send them to the local health department. Medicaid, Medicare, and commercial insurance do not pay enough to cover the cost. I will appreciate any recommendations on getting Bicillin at a cheaper rate.
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Tagbo Ekwonu
Charlotte NC
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