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Cocker Specific Discussion => Health => Topic started by: siam on October 03, 2015, 12:53:35 PM

Title: Antibiotic price query UPDATE
Post by: siam on October 03, 2015, 12:53:35 PM
Alfie was pretty unwell last weekend due to an infection which caused him to be sick, have severe diarrhoea and a temperature. The vet gave him antibiotic and antisickness injections and he got 7 days of antibiotic tablets and Canikur to follow up with. My son was billed £80 for 28 Metronidazole 100mg tablets and £93.98 for the consultation, injections and one Canikur 30mls (we already had a 60ml one). He queried the cost of the tablets so payment was withheld for them until it could be verified. When i phoned midweek they still couldn't tell me, but today we have been billed for an outstanding amount of £80 for the tablets.
We have looked online to try and establish a price but so far have only found prices in dollars at higher strengths. However, based on dollar prices and taking into account the strengths, we've worked out that we could get a bottle of 500 for the same price as what we were charged £80 for 28.
Has anybody else's dog been prescribed Metronidazole and remember how much they were charged? We were wondering if we've been charged for the full bottle of tablets rather then the 28 as this previously happened with an injection Alfie was given when we were billed with the total contents of the bottle rather than the few mls in the syringe.
Title: Re: Antibiotic price query
Post by: Mudmagnets on October 03, 2015, 01:07:38 PM

Don't know if this will help at all (at least it is in £'s but not sure if it is the tablet required
https://www.vetuk.co.uk/index.php?main_page=advanced_search_result&search_in_description=1&keyword=Metronidazole

Title: Re: Antibiotic price query
Post by: siam on October 03, 2015, 01:30:38 PM

Don't know if this will help at all (at least it is in £'s but not sure if it is the tablet required
https://www.vetuk.co.uk/index.php?main_page=advanced_search_result&search_in_description=1&keyword=Metronidazole

Yes it does, thanks. They're charging £3.35 for 7 less tablets but they're 4 times stronger!
Title: Re: Antibiotic price query
Post by: tenaille on October 03, 2015, 02:16:19 PM
Hi,
Seems to be a cheap item,  7p per 200mg tablet, needs a vets prescription.

http://www.chemistdirect.co.uk/metronidazole-tablet-200mg/prd-ks7

Beau was just prescribed this as one of 3 different antibiotics following his lipfold surgery this week (the swab they took showed 3 different bacteria, including very resistant pseudomonas). I didn't see the price as the whole bill is going direct to the insurance company but I will check at his follow up appointment on Monday.
Title: Re: Antibiotic price query
Post by: siam on October 03, 2015, 02:56:06 PM
Thanks for that Tenaille. From your reply and the price from the site Mudmagnets linked me to it looks like there's still an error with it despite the fact that it was meant to have been checked out. I was all set to pay it and put a claim in with the insurance as the whole bill is just under £180 said we should double check.
Title: Re: Antibiotic price query
Post by: feelreid on October 03, 2015, 08:27:22 PM
Hi, I was actually ar the vets yesterday and the lady in front of me was having this exact conversation with the receptionist, apparently the Internet companies can buy the drugs in such bulk amounts they get them much cheaper than individual vets, therefore vets must charge more? The lady wasn't very impressed unsurprisingly!!

Sent from my SM-A300FU using Tapatalk

Title: Re: Antibiotic price query
Post by: Jaysmumagain on October 03, 2015, 09:33:33 PM
Sorry but taking the buying in bulk out of the picture the tablets are still a bog standard cheap and long standing antibiotic - very effective but not  a swanky new wonder drug.  The only factor I can see is that the 100mg tabs are not usual strength for adults so may be a a veterinary product hence a higher price. But no way that cost. Tt's almost £3 per tablet >:D

If you have pet insurance I would tell the vet you are concerned that the antibiotic  price will be queried by the insurer.  Also ask to speak directly with the vet.

Now for my tale - a few years ago a friends dog had thyroid tabs, she got 3 months at a time from the vets.
Then vets got swallowed up into a group practice. Next time it had doubled in price.  She questioned the price and was told the drug had increased in price.  Still not having it she asked to see the vet, on seeing the vet the same story was relayed - so my friend said she would ask her local pharmacist if he good tell her had the price to the NHS on thyroid tablets risen so dramatically and why.
She left the vets paying the previous price.

Julie

.
Title: Re: Antibiotic price query
Post by: tenaille on October 03, 2015, 10:09:25 PM
Beaus Metronidazole tablets supplied by the vet are normal 200mg size, his dose is 3 per day, taken as 1 and 1/2 in the morning and evening. The tablets just break in half for 100mg.  According to the website you can buy the same item with either a doctor or vet prescription.
Title: Re: Antibiotic price query
Post by: its.sme on October 04, 2015, 08:23:58 AM
It's amazing how different the prices can be between the Vet and a Pharmacy, the issue is when it's for a shortish period of time and you need them straight away, sometimes the Pharmacy needs to order it in and that can take a week >:(

Do you think another vet could give you a quote for the same tablets, that way you have a comparison ?
Title: Re: Antibiotic price query
Post by: siam on October 04, 2015, 08:54:15 AM
It's amazing how different the prices can be between the Vet and a Pharmacy, the issue is when it's for a shortish period of time and you need them straight away, sometimes the Pharmacy needs to order it in and that can take a week >:(

Do you think another vet could give you a quote for the same tablets, that way you have a comparison ?

It was an emergency appointment and they had the tablets in stock. It's a pretty big vet practice up in the Highlands here - they have 2 branches in town and another one 60 miles away. I'm going to go in tomorrow and discuss it with them. I wanted an idea from others on COL to see if the price was roughly the same as what they were being charged by a vet. Alfie is 6 years old, has skin allergies and been prone to infections over the years but it's always been around £30 for 7 days of tablets. That of course was for a different antibiotic.
Title: Re: Antibiotic price query
Post by: Jaysmumagain on October 04, 2015, 01:55:48 PM
I would really mention the fact that these are a very long standing antibiotic and very cheap, if you want to mention that they were issued as Metronidazole the generic tablet and not Flagyl the brand name to add to the fact that they are a cheap tablet.

www.petdrugsonline.co.uk/prescriptions/m?&orderby=0&page=2   

this company show full price of 200mg as 29 pence per tab, but sell them for 16 pence each.  One could expect a dispensing charge etc, but if the tabs at full price were £9 a dispensing charge would be £70.....am sure it is an error.

Julie
Title: Re: Antibiotic price query
Post by: siam on October 04, 2015, 02:03:51 PM
Hopefully we can get it sorted out tomorrow. We have definitely been itemised for Metronidazole tablets and not Flagyl. I think we've been charged for the entire bottle!
Title: Re: Antibiotic price query
Post by: MIN on October 04, 2015, 03:11:19 PM
vet uk advertise Metronidazole 400mg x 21 tablets for £3.35
Title: Re: Antibiotic price query
Post by: siam on October 04, 2015, 03:42:06 PM
vet uk advertise Metronidazole 400mg x 21 tablets for £3.35

Mudmagnets linked me to that site and I saw that thanks - so the 100mg x 28 tablets that I'm being charged £80 for are the equivalent of 7 of those 400gm tablets on vet.co.uk which would be £1.11!
Title: Re: Antibiotic price query
Post by: Mudmagnets on October 04, 2015, 04:12:29 PM
vet uk advertise Metronidazole 400mg x 21 tablets for £3.35

Mudmagnets linked me to that site and I saw that thanks - so the 100mg x 28 tablets that I'm being charged £80 for are the equivalent of 7 of those 400gm tablets on vet.co.uk which would be £1.11!

You could print the page off and take it into the vets tomorrow  ;) see then what their excuses are!!
Title: Re: Antibiotic price query
Post by: its.sme on October 04, 2015, 04:36:55 PM
vet uk advertise Metronidazole 400mg x 21 tablets for £3.35

Mudmagnets linked me to that site and I saw that thanks - so the 100mg x 28 tablets that I'm being charged £80 for are the equivalent of 7 of those 400gm tablets on vet.co.uk which would be £1.11!

You could print the page off and take it into the vets tomorrow  ;) see then what their excuses are!!

The more information you go in with the more likely they are to re look at it, what they do after that is not guaranteed but you never know, I would call other vets to see how much they would charge and go from there.

Good luck.
Title: Re: Antibiotic price query
Post by: siam on October 04, 2015, 06:11:13 PM


You could print the page off and take it into the vets tomorrow  ;) see then what their excuses are!!

That's what I was planning to do!!  ;)
Title: Re: Antibiotic price query
Post by: PennyB on October 05, 2015, 12:07:46 PM
I suppose also that you need to question how much it costs for vets to buy in as they have to use certain suppliers - I used to buy ruby's glaucoma meds from the local pharmacy with a private prescription and my vets said it cost them more than that to even purchase it and they had no choice in the matter
Title: Re: Antibiotic price query
Post by: siam on October 05, 2015, 02:27:26 PM
Have just come back from the vet's and am no further forward. The person who was meant to be checking the price of the tablets was only in 1 day last week and the girls on reception today didn't know if she had done so. Now they have mentioned another member of staff who will be asked to check it out  :-\
Title: Re: Antibiotic price query
Post by: Jaysmumagain on October 05, 2015, 05:17:53 PM
Did you mention that they had two practices, if the other is bigger I would ring them and say you have not got any further and you feel you are being fobbed off......if the other is bigger I would certainly give phoning them a try.  Tell them the story of price abnormality.

Don't let them think you are backing down.

Julie
Title: Re: Antibiotic price query
Post by: siam on October 05, 2015, 07:25:59 PM
Did you mention that they had two practices, if the other is bigger I would ring them and say you have not got any further and you feel you are being fobbed off......if the other is bigger I would certainly give phoning them a try.  Tell them the story of price abnormality.

Don't let them think you are backing down.

Julie

The practice I go to is the main one. Will give the next member of staff a chance to check out the price then see what the outcome is.
Title: Re: Antibiotic price query
Post by: Pearly on October 05, 2015, 09:15:33 PM
I'm just in from the vets - Coral has some skin irritation which looks to be an allergy - 14 days Cefalexin 250mg, 10 days Prednidale, Stronghold for 2 dogs and 2 cats plus consultation which involved an eye check, anal glands empty (as she was scooting but we think this is due to being itchy) and check on her nether regions as she's now 8.5 months old.  Also included was a skin scrape and check for mites (none thankfully) grand total is £83.50.

This from a practice branch of a large group in rural Shropshire! You've definitely been over charged, sorry....,
Title: Re: Antibiotic price query
Post by: siam on October 05, 2015, 10:13:58 PM
I'm just in from the vets - Coral has some skin irritation which looks to be an allergy - 14 days Cefalexin 250mg, 10 days Prednidale, Stronghold for 2 dogs and 2 cats plus consultation which involved an eye check, anal glands empty (as she was scooting but we think this is due to being itchy) and check on her nether regions as she's now 8.5 months old.  Also included was a skin scrape and check for mites (none thankfully) grand total is £83.50.

This from a practice branch of a large group in rural Shropshire! You've definitely been over charged, sorry....,

Yes!! Your money has definitely gone a lot further - compared to £175 for consultation, 28 tablets, 2 injections and 1x 30mls Canikur.
Title: Re: Antibiotic price query
Post by: Pearly on October 05, 2015, 10:58:59 PM
It does depend on the product though - a vitamin K injection for a cat (12 years ago) was £75!

It is worth querying though, if only to obtain a breakdown of costs, it may highlight an error  ;)
Title: Re: Antibiotic price query
Post by: siam on October 05, 2015, 11:30:37 PM
It does depend on the product though - a vitamin K injection for a cat (12 years ago) was £75!

It is worth querying though, if only to obtain a breakdown of costs, it may highlight an error  ;)

I do have a breakdown of the costs, hence the query on the price of the antibiotic tablets at £80 which are standard ones, available online at a fraction of the price I'm being charged.
Title: Re: Antibiotic price query
Post by: siam on October 06, 2015, 07:59:57 PM
I was back at the surgery today picking up Alfie's regular monthly supply of Apoquel so I asked if they'd checked out the cost of the Metronidazole. They haven't, but one of the young vets glanced at the screen as she passed and commented it didn't look right. Apparently the bill shouldn't have been sent out till the Metronidazole price was checked.
Title: Re: Antibiotic price query
Post by: tenaille on October 07, 2015, 12:19:53 PM
Just checked Beaus current bill for his lipfold surgery.
Metronidazole  21*200mg tablets was £11.10p including vat
Title: Re: Antibiotic price query UPDATE
Post by: siam on October 08, 2015, 10:45:50 PM
The surgery phoned about the Metronidazole tablets. It was wrongly priced on the system and the vet hadn't checked the pricing when he prescribed the tablets. We are being charged £10 for 200mg x 14 tablets which is equivalent to the 100mg x 28 Alfie had, so it's a big difference to the £80 we were being charged, so am very glad I continued to query the costing.
Title: Re: Antibiotic price query
Post by: Mudmagnets on October 08, 2015, 10:52:44 PM
The vet phoned about the Metronidazole tablets. For some reason they are having difficulty in getting a price for the 100mg size tablet so we are being charged £10 for 200mg x 14 tablets which is equivalent to the 100mg x 28 Alfie had, so it's a big difference to the £80 we were being charged, so am very glad I continued to query the costing.

That is great news  :banana: certainly worth pursuing and not giving up.

Will deffo be asking for an itemised bill for any operations or procedures myself in future.
Title: Re: Antibiotic price query UPDATE
Post by: MIN on October 08, 2015, 10:58:09 PM
good news
Title: Re: Antibiotic price query
Post by: siam on October 08, 2015, 11:03:22 PM
That is great news  :banana: certainly worth pursuing and not giving up.

Will deffo be asking for an itemised bill for any operations or procedures myself in future.

I agree - I was just discussing the itemised bill the other day and saying that unless it's Alfie's regular monthly supply of Apoquel I'm going to ask for the full itemised bill instead of just being given the card receipt.
Title: Re: Antibiotic price query UPDATE
Post by: julie1 on October 09, 2015, 09:58:48 AM
Great news..................but it shouldn't happen, how many others have NOT queried the cost.