Sirolimus now available at TrumpRx dot gov ($0.66/mg)

Another Trump scam. I would not buy anything with his name on it …ever.

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that’s your choice but this isn’t a trump bashing board. take it elsewhere. Thx.

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thx. i’ll check it out. but I wonder if it is less expensive than from where most of us get it from

I would not either event if it were free.

Do you know if push health has Dr’s via tele med who can prescribe 0 .1% topical rapamyacin? Lost my TX source after covid My prescriber used Custom Scripts Pharmacy FL. I am in VA.

Sorry, I don’t know.

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Just need to pair this with a reasonable priced US based Dr who will prescribe

Where’s the scam, imagine being upset that many pharma prices match what most of the world pays instead of being scammed by big pharma to pay incredably marked up prices in the US.

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There are less expensive prescribers on Push. Who prescribes on Trump RX, Dr. Trump? :rofl:

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Why not just use HealthSpan? TrumpRX price seems comparable to them. Those who don’t use HealthSpan, why not? Is there a better provider? I have had no issues.

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Heathspan offers the prescription as well as the sale of the rapamycin, with TrumpRX its just the fulfillment (so you still need to find a doctor to give you the prescription, and there is the cost associated with that).

Both are good options, as is the India option… pros and cons to each. Do what makes sense for you and your situation…

Sourcing Channel Estimated Cost Medical Oversight Legal & Regulatory Status Quality Assurance & Bioavailability
Telehealth Providers (e.g., AgelessRx, GetHealthspan) High $64 to $100+ per month Built-In Includes physician intake, triage, and optional lab tracking. Fully Legitimate Operates within standard US state medical and pharmacy boards. High Sourced from accredited US compounding or commercial generic pharmacies.
Low-Cost Fulfillment (e.g., Cost Plus Drugs, TrumpRx) Moderate ~$30 per month for 30x 1mg generic tablets None Natively Requires an external prescription from an independent physician. Fully Legitimate Regulated US pharmacies operating within FDA frameworks. High FDA-approved generics with verified manufacturing and dissolution profiles.
Grey Market (e.g., Indian Online Pharmacies) Low ~$0.5 to $0.80 per 1mg tablet ($10 to $40/month) None Self-directed titration without clinical screening or monitoring. Regulatory Gray Zone Technically violates FDA personal importation laws; risk of border seizure. Variable Major manufacturers are highly capable, but shipping transit and coatings vary.

Deep-Dive Analysis of Sourcing Channels

1. Longevity-Focused Telehealth Providers

Platforms such as AgelessRx and Healthspan offer vertically integrated services combining clinical evaluation, prescription issuance, and fulfillment.

  • Pros:
    • Clinical Safety Net: Provides direct access to physicians familiar with intermittent geroscience dosing protocols (e.g., 5–6mg once weekly), reducing the risk of continuous-dose immunosuppression mistakes.
    • Regulated Supply: Sourced via domestic pharmacies, ensuring cold-chain integrity where applicable and standard US quality assurance.
    • Streamlined Logistics: Eliminates the friction of finding a sympathetic local physician or managing international customs.
  • Cons:
    • Financial Premium: Significant markup on the raw chemical cost to subsidize the platform’s clinical infrastructure and physician networks.
    • Rigid Protocols: Limited flexibility for advanced users seeking custom titration schedules, personalized dosing intervals, or concurrent adjuvant strategies (e.g., co-administration with grapefruit juice to inhibit CYP3A4).

2. Low-Cost Domestic Fulfillment Services

Direct-to-consumer pharmacy disruptors like Mark Cuban’s Cost Plus Drugs and federal price-comparison integrations like TrumpRx aggregate and distribute deeply discounted generic medications.

  • Pros:
    • Optimized Cost-to-Safety Ratio: Delivers domestic, FDA-approved generic sirolimus at true cash prices (~$1 per 1mg tablet) without premium middleman markups.
    • Guaranteed Galenic Quality: Assures precise molecular purity and standard enteric coating designs, which are vital for surviving gastric acid and achieving uniform serum concentration.
  • Cons:
    • The Prescription Bottleneck: Fulfillment requires an active, valid US prescription. Because longevity is an unapproved indication, the vast majority of traditional primary care physicians refuse to prescribe sirolimus due to perceived liability and safety concerns related to organ-transplant level data.
    • Fragmented Care: Separates the clinical monitoring (blood panels, lipid track tracking) entirely from the medication acquisition process.

3. Grey Market Indian Online Pharmacies

This channel relies on direct cross-border ordering from wholesale pharmaceutical exporters in India, bypasses domestic prescription mandates, and utilizes manufacturers like Biocon (Rapacan) or Zydus (Siromus).

  • Pros:
    • Absolute Lowest Cost: Provides unparalleled affordability, reducing the financial barrier for individuals on strict budgets or those planning high-dose, long-term experimental protocols.
    • Bypasses Gatekeepers: Eliminates the necessity of convincing a physician or paying for recurring telehealth subscriptions.
  • Cons:
    • Pharmacokinetic Uncertainty: Rapamycin possesses low native bioavailability and degrades rapidly in gastric acid. While Tier-1 Indian manufacturers (e.g., Biocon, Zydus) maintain robust global operations, community-driven blood testing on platforms like Rapamycin.news reveals considerable individual variance in peak serum levels (Cmax​). This suggests potential inconsistencies in enteric coating stability or batch degradation.
    • Supply Chain Vulnerability: Packages are subject to seizure by US Customs and Border Protection under personal importation bans. Furthermore, packages can experience extreme temperature fluctuations during international transit, potentially causing chemical degradation.
    • Payment and Counterfeit Risks: Transactions frequently demand high-friction, non-reversible payment methods (e.g., international wire transfers, cryptocurrency), exposing the buyer to financial fraud or counterfeit product risk without recourse.
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It currently costs me $77 for a prescription on ‘Push’. You’re getting a prescription cheaper than that from them?

And if you’re trying to say you got a prescription filled for less, where did you fill it? Using the Inside Rx coupon?

I pay 100 per month for 6 mg per week, so that’s about 0.64 per 1 mg pill, so I don’t think healthspan is any more expensive than the other options.

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Your math doesn’t make sense to me.

You get just over 24mg a month and pay $100. That is $4 a mg, right?