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MULTAQ and PRADAXA in Mexico

10893 Views 13 Replies 2 Participants Last post by  RVGRINGO
My US cardiologist has prescribed Pradaxa 150mg. twice a day and MULTAQ 400mg. twice a day. Both are quite expensive but covered under my insurance and I can have them shipped from the US at a fairly reasonable price. My concern is if I should run out under conditions where I can't reorder in time. (Needless to say I'm watching real close and trying to make sure the insurance company will allow me to refill in time to receive the shipment before I run out.

I can't find any source for MULTAQ in Mexico. Does anyone know of one?

Pradaxa-R is available in 70mg. and 110mg. capsules. According to my cardiologist, there's a significant reason to take 150mg. twice a day. Higher doses are extremely risky. Lower doses could make the drug ineffective. Two 70mg. caps twice a day would be the only fallback available. Again, does anyone know of a source for the 150mg. cap of Pradaxa in Mexico?

Thanks, I'll appreciate any info you can provide greatly.
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You should talk to a Mexican cardiologist and ask his recommendation.
Unless you use MBE, you cannot have medicines mailed into Mexico. MBE has a license, but you'll pay through the nose. If you buy locally, you can apply to your insurance for reimbursement.
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I had two stents installed in the USA and four more installed in Guadalajara. The Guadalajara experience was superior in all respects. In the USA, I had to fight for my insurance coverage and it was very stressful at a very bad time. I finally won and they paid me 100% to shut up. The games they play!
In Guadalajara, I paid by credit card, submitted the bills and the credit card receipt for payment by my US insurance company and, surprise, they paid 66% without a word. My Mexican cardiologist, who lives nearby, is Houston trained (still goes there on request), known from Tokyo to Moscow and know the insurance 'games', so that the 66% just happened to cover what I actually owed him in Mexican pesos. :)
By the way, the better hospitals in Guadalajara are more like 5 star resorts; good food, waiters in tuxedos, DVD library at no charge, lots of personal care and support; not at all like in the USA, where I spent much of my career in hospitals every day. Infection control is better in Mexico's private hospitals, which must compete for 'business' and the best doctors vie to practice at the best hospitals and maintain offices there. Since there is no malpractice insurance or culture of 'ambulance chasers', the poor doctors end up in the villages or out of business. It works!
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I'm required, by my retirement insurance, to keep both parts A+B Medicare, at a cost of $100 per month, even though I can't use it in Mexico. However, it keeps my BCBS managed state retirement health package alive and, though it wants to be secondary to Medicare, it reverts to Primary in the absence of Medicare coverage outside of the USA. So, up to certain lifetime limits and the usual US insurance procedures, it can work. "Insurance" doesn't really exist in the USA any more.
If you can buy insurance in Mexico, you can decide the deductables. There are no 'co-pay' or 'minimums', etc. in many cases. In fact, the insurance often covers everything, even transportation and follow-up care, medications, etc. Of course, the premiums increase with your age, until you can't afford it any more. You must also buy it when you are younger; often younger than typical retirement age. However, if you retire to Mexico early, it is the way to go; at least until 65 or 70.
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