Oxymorphone Er Generic By Global Pharmacy (Page 4)
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Hi,

Since I heard that Impax finally got the green light to distribute Oxymorphone ER (Opana ER) generic through Global Pharmacy. I didn't hesitate to rush to my PM doc and he instantly had me switch to this new drug. He prescribed me 40 mg twice per day to treat my busted back & fibromyalgia.

I noticed the pill is round in shape with G74 on one side with nothing on the other. The color for the 40 mg ER tablet is an orangy/gold color. Ever since Endo ruined their product with the new TRF formulation. I promised myself to jump back on the bandwagon as soon as the generics were released.

Today is a great day for all who suffer chronic pain. Yay! 8-)

Moon

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Re: Eileen (# 169)

Well I told you guys I would get back to you after I spoke with the owner of my PM office. He said "ONLY the Opana ER is affected I'm good to go on the generic oxymorphone ER'S" so that's coming straight from the horse's mouth!! I mean this guy has NOTHING to gain by lieing to me. I helped him get a lot of his patients when he opened his own PM office and we've know each other for 8yrs!!! S5o how can this be I guess we just wait, see, and listen to as much Information as possible. Or until I get another letter in the mail saying that the generic oxymorphone ER'S by Global/I'mpax are done.

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Re: Ann (# 163)

I totally agree Ann on every side of what u hav written. We had little reason to believe that as physicians that they wld ever turn their backs on us as most hav done, as they were so kind & caring 4 the last 6 years then January hit & their real faces were revealed to me anyway. Unfortuneately, I now hv little to no trust in in Drs in general & I recognize that needs to change, as I hav always maintained a fairly good attitude in regard to them helping or @ least trying in the past. I usually will take responsibility if I am wrong abt something or even only partially incorrect, I can move fwd, however in the pain debackle that has hit us, countered with what they have underhandedly done to all of us as whole, I No longer hav respect 4 them in the medical field. Again I am giving 2 God to help me through this & will never be disillusioned again with any1 regarding my health concerns as it's all abt 2 dry up?????????? ??2 all of you & remain keen & aware!

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Re: Rawdog (# 167)

Can i bring to yur attention that I hav never said u were "stupid" quite the opposite. Basically what I am implying that as far as My PM goes our circumstances r not real special regarding our needs. I will say it sounds as though u hav put a lot of trust in every1 who is on the team regarding yur pain issues down 2 the pharmacy who dispenses them to you. I also see that you do indeed research yours meds which certainly gives you an advantage somewhat 2 go toe to toe with your PM Dr, however my feelings are that unless every1 on your pain team goes 2 bat 4 you, u may b disillusioned in the end. I know this is a cynical statement, however that's precisely how I interpret this whole "pain debackle" as from what I hav read & experienced myself these last 8 months ppl are just feeling abandoned by Drs & IMO rightfully so, clearly our circumstances are not real special now that they hav made the catered decision of either cutting down our meds or cutting them off, IMO due to no monetary reward anymore in the form of "kickbacks"????

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Re: Eileen (# 164)

I'm not stupid Eileen I know some PM docs get kick backs for writing certain brands. I actually know the owner and PM doc gave me his personal cell number. So I'm about to call and text the owner of the clinic and see if he can get to the bottom of this once and for all stay tuned I'll post as soon as I find out what's going on. And also gonna do some research on these 3 new drugs Xtampza,Hyslinga and Zohydro

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Re: Get it right and be aware (# 161)

Wow thanks for that bit of info very informative. I probably could get switched to the patches I don't have any problems with them sticking the problem I do have is getting prescribed them I couldn't take anything below the 50mcg. The 12.5 and 25mcg are a joke and I find they don't last a full 3 days plus the withdraw off of those is complete HELL don't know if I want to go down that road. And it's not that hydrocodone works well for me I just wanted some info about it and see if anyone had any good feedback. And as far as Hyslinga and Xtampza I've heard they don't work well at all so I kind of want to stay what with I know and have tried before and the 60mg oxycontin is just o.k. and haven't had a 100mg morphine in years but I know they were just o.k. too. This just all sucks I can't believe their taking my oxymorphone away

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Re: Ann (# 163)

I am sorry 4 yur bad experience also Ann, it almost sounds like the same PM I go 2, cookie cutter! I am not even sure what xtampia is?? Will look it up but oxymorphone is 3 times stronger than any opinion from what I hav been told, also had a pretty productive life which proves it was stronger. I am switching insurance companies when open enrollment comes up my friend has found me a medical FDR that will take care of all if me, he doesn't care about the guidelines as he has told my friend. So I am really hoping this is the answer be I clearly cannot live like this or nor shld any1 be subjected to meds that imo are life sustaining ??

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Re: Rawdog (# 157)
I hate to inform you but u seem to think that they actually care about u as a pain patient. When things were good & they were getting kickbacks they put on the facade that they actually gave a hoot, but now that there is very little in it as far as monetary reward 4 them their true colors come out. When u get tapered down the first x that should be yur clue, & if u complain u r considered a "difficult patient" Good luck & don't give up on yourself.

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Re: Eileen (# 162)

Oh, I am so sorry, I want to cry. I was on the oxymorphone ER 40 also for several years plus 4 of the 10 IR for breakthru and all of a sudden when I went to appt to my pain management Doc and he said, "well, they are taking Opana Ers off market." I tried to explain that he wrote for Oxymorphone ER 40, which Endo says there isn't a generic, but there is. I was so aggravated he gave me 18mg Xtampza to start, and he said that it was stronger than Oxymorphones and I knew something was up, and no way could it be stronger. Obviously, he's been bribed with money, so he's taking advantage of the Endo Opana ban. So Now, Xtampza has gone in to make their millions by giving Doctors financial incentives. Plus, after calling to tell the doctors office that the 38mg Xtampza was worthless and I wanted to take my Global oxymorphones again since it worked. He had them call me back and say he won't change me anymore to anything different, like I had been the one wanting the prior change! That did it, he out and out lied by semantics, making me think that Opana was gone in every form, generic and all. My doctor had always been so understanding before. I really loved him. I am so hurt, and I know the drug epidemic is going to explode more than ever before. Not because of deterrent or not deterrent drugs. But, people are simply getting more desperate, that they will turn to more dangerous drugs than before. You hide and watch, it will be more than ever imagined!

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Re: Rawdog (# 157)

I live in PA & in regard to my situation only it has been a nightmare. They dropped me down from 40mg opana back in march, then 30 next month, then was switched to oxymorphone er 30mg due 2 an allergic rx to either fillers or the red dye in the opana 30mg er, when opana was pulled they refused to prescribe oxymorphone er as they said to comply wth CDC which I believe was not to put any redflags up as I knw 4 a fact they were getting "kickbacks" from drug company as I received a gift card years ago from PM that had opana on it as compensation 4 somethg they did wrong regarding my rx. Even though I had a documented allergy to morphine they placed me on morphine 30 mg er 3X a day & didn't tell me as I was in the hospital & my son picked them up & pharmacist did not want to release them due to allergy but I tried to get a hold of PM & they denied that anything was on my chart abt allergy & was told that is what the dr ordered. I took them 4 3 days wth Benadryl & had welts everywhere so called PM 4 an emergency appt. went in & the dr basically only had a dialogue wth medical assistant & said why is she on morphine when it states on her chart she has had anaphylaxis, no reply from med asst. he did state that he wld place me on OxyContin 30mg er 3 times a day & I told him my insurance wld not cover them & he said don't worry they will. Then went pharmacy after living on my breakthrough meds 4 5 days as they supposedly working on authorization only to find out they were OxyContin 20 mg 2 times a day. I thgt well I will call, too bad basically that's what he ordered. In a nutshell only been on them 2 weeks & they do not cover 24 hrs I am in withdrawal daily, it's not pretty. I just got out of the hospital again 4 a blood clot & their records revealed that I was on opana er 40mg 3X a day so they were still using them in the hospital as of the beginning of August. I hav no clue if oxymorphone is still going to exist 4 pain patients as yourself as in my experience it's basically up to the doctor 4 now. I am hoping there is an end in sight to suffering as my friend has found another dr who is not PM 4 me but I need to switch insurance companies as he does not take upmc. Hv to wait 4 open enrollment. Just wanted to add what I hav only heard about zohydro & that it is frowned on by physicians & insurance rarely covers. As far as OxyContin I don't know if it is dose related as I only hav 20mg 2x daily with breakthrough med of oxymorphone 10mg ir 2x daily but definitely doesn't even come close to covering the pain. After being on opana 40mg er 4 3X daily the most part of 7 yrs I am suffering but will say the clinidine patch my FMD gave me does help the leg pain. For now no social life but remain hopeful wth a new physician.

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Re: Rawdog (# 160)

My real name isn't get it right and I feel really weird that I wrote that. Makes me seem far more pretentious than I actually am.

The truth is I truly despise the FDA for this move. If they think this will improve public health they are children. Whatever though. I have taken a lot in my day, been on everything there is, with the exceptions being zohydro (I guess hysingla for that matter) and xtampza.

I think we are all in for trouble. If you are like me, and the fentanyl patch was not good, your best bet would (again in my opinion) be high mg morphine. After that, high mg oxycontin or maybe xtampza though I haven't tried it. I have personally never had zohydro but maybe since it probably depends, at least in part, on what your goal is. I hope you are all about health and quality of life, real pain relief as fleeting as that is. I have no reason to think you aren't, but in today's world its sad to have to even think about that I guess.

Anyways, my doctor is amazing, my pharmacist is a real gem and she really takes care of me. I have no reason to doubt any thing they have said. I guess I will share I went through a temp month back and forth with my pharmacist about the ban. At first she said it was both, then she said nope it's only brand name you are ok! Then she said she sent an email about generic just to make sure she could get my script as she assumed all the brand name folk would switch to generic and only after that did she find out it was banned too.

After all that is when my PM brought it up. I am lucky I have never asked for an early refill or had something go cross with the pharmacy so my support team there is honest and there for me. Anyways, it seems to me that the newest, strongest pain pill is probably xtampza if you can get it. For me, I would go for 100mg morphine if you got the 40mg oxymorphone. That is the 3x multiplier with an additional 18-20% cross tolerance reduction.

Maybe the xtampza is something special and worth a discussion. If you haven't tried fent patches they are life savers for some. I wish my skin worked right with them. Maybe hydrocodone works well for you? Not me though so I don't even pretend that's an option. Even xtampza for me is scary because they are so damn small. So those are the only things out there man. With the exception of pretty scary IR options but we are only talking ER at the moment.

Anyways. I hope it works out for you. I live in Seattle by the way.

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Re: Eileen (# 159)

What state do you live in Eileen? And what state do you live in Get It RIGHT? I'm in South Florida so I guess I'll ask my insurance company and or my cool pharmist lady and see what they say.
My next question is what do I get switched to I'm thinking maybe Zohydro anyone have any experience with it I think the strongest ER mg they make is 80 I know it's only hydrocodone but... or if my doctor will write me the 60mg oxycontin I'd get those but their so expensive and my insurance won't want to cover it and morphine 60s are garbage the 100mgs are o.k. but once again having my doc write that high is a 50/50 shot so.... anyone have any ideas please let me know

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Re: Rawdog (# 157)

My PM stated they wld no longer be prescribing oxymorphone er as of a month ago as they said they r following gov guidelines but do not know if it is just PM making this catered decision to cover their asse$$, however they continue to rx the oxymorphone IR which has no timed release &!is most likely easier to abuse. My pharmacy states they r not sure if they can get oxymorphone ir hav to wait until tmr. I agree they are going to leave us with little to no choices in the near future.

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Re: Rawdog (# 157)

I would bring it up. Pharmacies where I live have posted notices about this very thing. I want to keep getting the one thing that has worked but everything I hear from my PM and my pharmacist is this is gone in just a couple of months.

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Re: Get it right and be aware (# 153)

YOU state that "However the generic has most definitely been banned and will not ship after the month of December" first can I ask how you know this information and where did you get it from(the info) and why would Global/Impax just sit there and not fight this tooth and nail? You would think between my PM doctor and the pharmacy someone would have said something to me like: Hey in the very near future your ER pain medication is no longer going to be made so you need to start thinking and talking with your doctor to figure out how you will proceed in the coming months and start weighing out your options:?Cause once again no-one has even hinted at or whispered anything like what your saying. So that is really my question to you Get it Right and be Aware where did you hear or get that info please and thank you

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Re: timalan (# 146)

No, if a tablet is 10 mg or 40mg Er, that is the amount of oxymorphone in the tablet. It simply will spread that particular amount thru body in 12 hours.

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Re: timalan (# 146)

The oxymorphone ER only comes on 40mg. as the strongest form. I think they have a 30, 20 and 10mg. ER as well. But just make sure that you call your insurance company and have your doctor send in any necessary paperwork to the insurance company to get it approved. I have had to do this So many times I can't count and had to pay out of pocket for it on numerous occasions and it ain't cheap! Was reimbursed by insurance. But just go to local small pharmacies and have them order it. If it takes them awhile then see your PM doctor early to give them time to stock it and then they should order it every month for you without delay. Hope this helps. Anyone living in West Palm Beach can go to My Community Pharmacy in Wellington and try there.

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I'm not sure what the outcome of the generic oxymorphone is going to be, or how much longer we have before it gets removed. But I did get a letter in the mail from my insurance company stating that Opana ER is no longer gonna be available after September 1st . I just filled my oxymorphone 30mg ER on Sat so I won't know anything more until next month if their gonna give me any problems

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This is not true, and it is kind of unfair to give legitimate pain patients, especially those who are currently taking the global brand oxymorphone already, this incorrect, false hope.

Back on the day (after opana was reformulated for anti abuse purposes) Endo fought against generic manufacturers to claim they were not safe for the public compared to their, newly patented, formula. At that time, they lost their suit due to a judge saying that the new formulation of opana led users to inj. rather than insufflate. After this, Endo had generic oxymorphone listed as a grade B generic, fundamentally different from their brand name (or what a grade A generic would be).

Moving forward, the FDA unilaterally chose to pull opana from the market. It stands to reason that a grade B generic, again fundamentally different from the brand name, would not be lumped in and removed at the same time.

HOWEVER, the generic has most definitely been banned from production. The FDA has stated they want to make legitimate patients have as easy of a transition off as possible. As a result, they are allowing shipments of medication, for current patients, to be shipped through December. New patients will not be prescribed this generic, or brand name, nor will any pharmacies receive shipments of Endo brand Opana ER, or Global brand generic Oxymorphone ER, after December of 2017.

Endo brand Opana IR as well as generic (many brands) oxymorphone IR will still be manufactured and shipped for patients in the normal 5mg or 10mg doses.

Without getting too political, this is simply another instance of the US Government taking freedom of choice, freedom to pursue happiness and quality of life, as well as forcing the 'free market' in all three cases to be hindered, eliminated and obscured. Whether you are on the left or the right, this is a sad move by an ever expanding government.

This awful move was to the absolute and profound detriment of any legitimate oxymorphone ER pain patients. The type of cowardly, back-handed move that only weak men/women of even weaker governmental organizations would even consider.

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They still going to make the generic for opana Er.???

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For the Opana ER users this is great news! But I have been on the generic form(G74 ) and think it is very close to the Original Opana ERs. I have been on it since it came out.(Don't know the exact date) but it's been at least 6 months. And I am very happy with it! Those who are or think they will be affected by Plane being removed, do not worry, just have your doctor write it for Oxymorphone ER. And your pharmacist may have to order it( mine takes 24 hrs.) no worries! You will get it! (At least in Fl.). So don't freak out people, just make sure your insurance covers it or have your doctor send in the paperwork for it and you will get it! Screw Endo Pharmaceutical for caving in!

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