While India post is down, my Indian Pharma source ships from the middle east . Pretty much everything on their catalog is available, although shipping might take a little longer. They also reship.
For peptides, not much has changed as delivery from CN uses FedEx, etc now since June/July.
Has anyone discussed or considered using this forum to organized collective bulk purchases and deal negotiation? Seems now might a good time. Iām in.
If this is to be done, itās better to organize it privately so that the whole internet doesnāt read it.
This seems even harder to do than normal, given the shipping challenges. Larger shipment amounts seem likely to be even harder now. it seems the future could even be in micro-orders that can slip under the gift/$100 minimum. And, given the inexpensiveness of most Indian medications (and what I get the feeling are very small margins), it seems like a lot of work for little savingsā¦ but this is just my opinion.
That would be putting the cart before the horse kind of thing.
Without a reliable shipping method you wonāt get your order. That is what has changed. Address that and you can order away.
The EU proves such bans are pretty sustainable . Fortunately I can still prescribe rapamycin for myself
I got a years supply(312 1mg tablets) of sirolimus for $180 at CVS Pharmacy with Good RX. Go to GoodRX.com. Select CVS Pharmacy. They have a list of quantity options. the last option is custom. That is where I put in the 312 amount. Finding a doctor for a prescription is pretty easy. Good luck.
Bobo, how did the DR write the script? 6mg/wk and a years script? TIA
My PCP is a goddess of coding both for prescriptions and labs. 90x 2 mg rapamycin cost me $4 at my local pharmacy. I do not ask how she does it. Some unusual lab tests such as TTGF-b1 (TRANSFORMING GROWTH FACTOR BETA cost between $100 and $200 or more when ordered by my previous doc. I rarely have to pay anything when my current PCP orders it. Note that she has an awesome medical assistant who will call her friend at the lab to find out what codes insurance companies like.
While these are great prices, you should be aware that this goes on your lifetime record and may be accessed by health and life insurance companies. As sirolimus is commonly used by organ transplant patients, it could affect your ability to get insurance at all or increase the cost.
For health insurance, It would only affect insurance if youāre currently enrolled in a private supplemental Medicare plan and then try to change providers, in which case theyāre allowed to discriminate based on medical history. Otherwise, per Obamacare, they arenāt allowed to turn you down or increase rates based on past medical history or pre-existing conditions.
Yes - see these threads:
If anyone is looking for someone to be a guinea pig for their supplier, I volunteer. Iām in the USA and I have some urgency here as I need to order drugs for Long COVID. Send me a DM.
True as long as nothing changes in medical insurance regulation for the next few decades.
Post offices around the world are suspending shipping to the U.S. after President Trump ended a rule that meant tariffs did not apply to packages worth less than $800. Darian Woods and Wailin Wong from The Indicator explained why the end of the de minimis exemption is causing mayhem.
DARIAN WOODS, BYLINE: De minimis for China ended in May. The rest of the world, last Friday. The executive order said that goods from most countries would need to have a minimum duty of at least $80 paid at the border for the next six months.
WAILIN WONG, BYLINE: Itās worth pausing here to talk about who actually pays the tariff. Weāve talked about how importing businesses pay tariffs. A big shipment on a freight container, say, has a customs broker. They work with the American recipient to pay the tariff on the border. Well, if you, an everyday American, ordered something directly from a seller overseas, you are the importer. So you are on the hook. The goods only get released from the border once that money is paid.
WOODS: Thatās how it works in a lot of countries. But Derek Lossing, a logistics expert at Cirrus Global Advisors, says getting every recipient of every small parcel arriving into this country to pay up is going to be a nightmare, especially after the $80 minimum duty ends and it changes to whatever the import countryās tariff is.
DEREK LOSSING: Trying to get, you know, hundreds of recipients like yourself to pay $2.60 to a customs broker for the duty that they owe would be extremely difficult. In practicality, itās going to be paid by kind of the shipping company.
WONG: By the overseas postal service, in other words. So rather than be stung by thousands or millions of those owed duties and tariffs, postal services for a lot of shipments to the U.S. decided to just pause them.
WOODS: Derek says a lot of this comes down to IT systems and training.
LOSSING: Each post office around the world, whether thatās Australia or Germany or U.K., just does not have the systems in place to collect all the right information.
WONG: Itās been quite a mess. And we asked Customs and Border Protection whether it couldāve done anything more to avoid this.
WOODS: A CBP spokesperson said the agency is coordinating with carriers and trade partners to minimize disruption while securing revenue, strengthening border integrity and delivering long-term benefits to our national and economic security.
WONG: That brings us to the question of who exactly does benefit or lose out from the end of de minimis.
WOODS: A couple of economists tried to quantify exactly how much money households save by buying things online through de minimis shippers like those online stores. Pablo Fajgelbaum at UCLA is one of them. He says he found a strong connection between buying de minimis goods and how wealthy your neighborhood is.
PABLO FAJGELBAUM: Those that spend the most as a share of total income are the poorest.
WOODS: That means low-income ZIP codes will lose out on more, relatively speaking, from the end of de minimis.
FAJGELBAUM: For the poorest ZIP codes, in the order of $40 per person per year.
WONG: There will also be winners from de minimis ending. Derek Lossing says that increase in prices will be good for American retailers.
Source: Why the end of the de minimus tariff exemption is causing shipping chaos worldwide : NPR
One could hope that a question āMake America Healthy Againā and RFK Jās willingness to embrace āalternativeā therapies, he might relax restrictions on OTC drugs.
Yep, this seems to be the case. Things are in disarray in general because somebody keeps changing their mind, making deadlines, then ignoring them. The US government purportedly wants foreign investment in the US, but how is anybody supposed to make long-term investment decisions when the rules keep getting changed (by executive order, social media shitpost, or court order) almost every week?
I donāt think itās that comprehensive yet. My health care providers are wired into local pharmacies, but not into the DEA.
It has nothing to do with the DEA, but rather your medical records. There was a discussion about this very issue a while back in a different thread. Someone was denied insurance because the company flagged their past use of rapamycin/sirolimus. They wouldnāt even overturn their decision after an appeal and explanation.
Thereās not a whisper of rapamycin in my medical records. How would insurance companies learn that Iāve ordered it from India? Given your status as a clinician, you probably document every thing you prescribe or take yourself.
They wouldnāt. The discussion about this was related to someone who is getting it prescribed by their PCP.