Estratest Law Change January 2012 (Page 2)
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Greetings,

Since my wife has been having the same problem obtaining Estratest in California, I decided to do a little research on the problem. Here is what I found:

Estratest is a combination of Esterified Estrogens and Methyltestosterone. Methyltestosterone is a Class III restricted drug on the Drug Enforcement Administrations controlled substance schedule. Methyltestosterone is an oral steroid with mild anabolic steroid effects. Estratest had been previously exempted from the Class III restricted drug schedule.

There was a change in the law or regulations on January 1st that eliminated this exemption. This means that the drug manufacturers, distribution centers and drug stores or doctors now have a completely new system for reporting the sale and transfer of Estratest. It also requires a new prescription form and can not be prescribed for more than a six month period on any one prescription.

When they said it was "quarantined", they probably meant it was not going to be distributed until the manufacturer/distributer could meet all of the new reporting requirements for distribution of a Class III controlled substance. There could also be a problem for the manufacturers in obtaining the Methyltestosterone for inclusion in the Estratest since it is a Class III controlled substance.

At one time there were eight pharmasutical firms manufacturing Estratest. There are now only three.
Hopefully, those three firms will still find it profitable to manufacture Estratest.

It appears that post-menapausal women are the victims of the unintended consequences of the governments zeal to restrict anabolic steroid abuse.

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That is great to know. But my CVS says the wholesalers do not have it? What are our options?

Other pharmacies are saying it is blocked out indefinitely and no timeframe or possibility to get. How do we fix this disconnect among pharmaceuticals, wholesalers, and our local pharmacies?

Thank you from someone who was a mess for two months after not being able to find a single pill in all of New York State!

Elena

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Generic Estratest is not discontinued, I sell pharmaceuticals for a living. We carry both Amneal and Creekwood pharmaceuticals.

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Mike, I have been told it has been discontinued due to the issue with the DEA. Although it is on the exempt list, pharmacies are slow to catch up. I got my Covaryx today and I can only hope that I don't get any side effects from it. Going without Estratest the last week has resulted in all kinds of problems! Thanks for the info and I will keep you posted on the Covaryx.

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Well, I finally hit the end of generic Estratest here, but I found an alternative! I did more calling and found out only manufacturer of it in US is Amneal and they are waiting on exemption from either DEA or FDA. Anyhow I was told since it is no longer available it is fine to get it compounded. Call around and see if you have any pharmacies willing to do so. Not hard here. I could not get a testosterone shot. They laughed hard at that one. It sounded great to me though! Don't give up on it.

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Yes, Mike, thank you! I read that Estratest can be ordered through a pharmacy in Canada. I also discovered what another person here mentioned -- that the equivalent product with the same active ingredients is something called Covaryx (NDC #: 1152801001). I got this from the person who listed the pharmaceutical company that produces it (Centrix). A very nice woman named Holly explained the entire situation to me and gave me great information. Wholesale distributers are McKesson, Cardinal, and AmeriSource. My local pharmacies here in NY have it listed in the computer and claimed they can order it, but there appears to be a delay in delivery as well as a very high price tag. You are right...post menopausal women who have been taking this comfortably for years are the ones suffering here. I have been having terrible side effects and am going to get some Covaryx tomorrow! One more piece of information I received was that if you tell your pharmacist you want Covaryx in place of Estratest (which they will say is inexplicably blocked in their systems), they can substitute it without a new script.

Hope this information helps someone else in need here!

Elena

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Hi Elana,

There is another thread with more information about the Estratest situation. Look at:
Discuss/Estratest-generic-on-indefinite-back-order-240263_s2.htm

My wife has somewhat solved the problem by taking Premarin daily and getting monthly testosterone shots. It was what she was doing before they came out with Estratest. Another poster on that thread got her medications through a pharmacy in Canada.

They still do not have Estratest in any form in our local pharmacies.

Good luck with your search.

Mike

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Mike, I just found your message online as I am having a big problem obtaining estratest. I have side effects with the other HRT. Do you have any other leads to obtain estratest? I used to live in CA but now I live in New York. Thank you! Elena {edited for privacy}

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I have called centrix pharmaceuticals , a manufacturer of Estratest, and they said that there is no hold up. 205-991-9870. In TX and TN Estratest is exempt from the controlled substance act. Call your state board of pharmacy or dea. I did and was able to get my RX fixed. They were a God send! deadiversion.usdoj.gov/fed_regs/rules/2006/fr0303.htm That is the dea exemption list. There is a newer one out, although the info has not changed as far as estratest is concerned. Call State Board of Pharmacy as it can vary state to state. Greasy wheel gets the grease! I am glad that they helped me. Maybe they can help you too.

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