If you examine your claims data, you’ll likely discover that among your “Top 50 Most Expensive Drugs” is a line item for generic “metformin HCL ER”. Metformin HCL is a longstanding, very inexpensive diabetes treatment. There metformin HCL ER treatments that are very inexpensive. So the question is: Why would this line item be among your “Top 50” most expensive drugs? The answer: There are certain generic forms of metformin HCL ER that are absurdly expensive, while others bear the low-costs that you’d expect. But it’s reasonably likely that many (if not most) of your beneficiaries are unknowingly using the high-cost forms of this drug. To help you understand what is taking place, we provide you with the following Chart, reflecting, first, the “immediate release” version of metformin, and then the 3 “extended release” generic versions of this drug. Our 3 columns for each drug identify each of the dosage strengths, the GSN identifiers, and the per ‘unit’ cost based on current retail Average Acquisition Costs (AACs). Diabetes is a chronic disease that afflicts 25.8 million Americans. Insulin, one of the primary treatments for diabetes, has been around since the 1920s. A few big pharmaceutical firms dominate the insulin market due to lengthy patents and lack of generic competition. Yet, somehow the drug is still priced beyond the reach of many Americans. Insulin is a biologic drug, which means that it is made up of living organisms rather than chemical compounds. One of our advocates recently left a comment on our Facebook page regarding this problem, which encouraged us to take a closer look at it. This makes it more difficult to copy, which biotech companies often use as justification for the exorbitant prices they charge for the drugs. Medication nonadherence (patients not taking medicine as prescribed) is undeniably related to diabetes-related health complications that result in emergency room visits and lost productivity. We’ve had anecdotal evidence from a consumer of a big price hike on her Humalog insulin this year. When she was trying to find out further information about the price increase, she was told by her insurance company to expect the drug to go up 25 percent more in December. News reports indicate that the cost of Lantus, a top-selling insulin produced by Sanofi, has gone up twice already this year, first 10 and then 15 percent. Fluconazol tinidazol Prandini olympics Metformin Er For Sale OnlinePharmacyworldwidestore best ED products - Generic Levitra, Tadalafil Cialis, Vardenafil levitra with lowest price and high quality Metformin ER 500mg Tablets;. Price Select Quantity Below. Prescription Required In Stock - Select Quantity Tablets - 30 Tablets $ 9.00. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. Actualy in my state the walmart price for metformin er is $9.00 a month. The regular is $4.00. AM, March 21, 2008 Rob said. I reluctantly started on 500mg of Metformin ER this morning. I use the word "reluctantly" because I am not a diabetic but I am Insulin Resistant. My fasting blood sugar was 168 this morning. Most people think diabetes comes from pancreas damage, due to autoimmune problems or insulin resistance. But for many people diagnosed “Type 2,” the big problems are in the liver. What are these problems, and what can we do about them? The liver is one of the most complicated organs in the body, and possibly the least understood. It plays a huge role in handling sugars and starches, making sure our bodies have enough fuel to function. When there’s a lot of sugar in the system, it stores some of the excess in a storage form of carbohydrate called glycogen. When blood sugar levels get low, as in times of hunger or at night, it converts some of the glycogen to glucose and makes it available for the body to use. Easy to say, but how does the liver know what to do and when to do it? Ponce de Leon completed medical school at the University of Texas at Houston and general surgery training at Baylor University Medical Center in Dallas. He is a pioneer in advanced laparoscopic surgery, having recently performed the first single-incision adrenolectomy in Texas. He also specializes in bariatric surgery, including the LAP-BAND® system. Ponce de Leon is a fluent Spanish speaker and stays active in the Hispanic community. 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I take 4x 500 of the Metformin ER and it costs me about $7 for a 3 month supply. If you get the brand name it is very expensive. Make sure you check you are pricing the generic Metformin ER.