CHOP #4 has worked, and Milo’s scan today shows that he’s in remission again (before even getting his Epirubicin).

This cycle of chemo seemed to go better than previous protocols, until we got to the planned Epirubicin last week, and his neutrophils were too low. So we were back at North Downs Specialist Referals (NDSR) today for another go, and things were in better shape.

Chlorambucil prescription

For previous protocols NDSR have provided the Cholorambucil (and previously Cyclophosphamide) that’s been administered by my local vet. 6mg (3x 2mg tablets) was coming in at £41.77.

This time around the oncologist suggested that he give me a prescription (£20) and that I get the tablets from an online pharmacy such as Weldricks, where the tablets are £2.49ea. I registered an account, uploaded a scan of the prescription, and placed an order as soon as I got home from NDSR. With refrigerated shipping all 12 tablets (for the whole protocol) came in at £36.67, saving £110.41 over the protocol.

But then nothing happened for a few days, and the clock was ticking towards the day the first dose was due. On closer reading of the confirmation email I found:

If you have a Vet controlled drug order you must send your paper prescription to the address below.

There had been no mention of this in the ordering process :0

I got the paper prescription into the post. But later that day (before it could possibly have arrived) there was a shipping confirmation, and I was able to pick the next day to receive the tablets.

It was a little stressful, but we’re all set now :)

Prompt payment from ManyPets

As I write this ManyPets are up to date on paying all claims, with the last two settled same day :)

The claim for the prescription mentioned above took a little longer to settle, as I hadn’t claimed for the online pharmacy invoice whilst waiting for it to be fulfilled. But that’s all straightened out now.

Past parts:

1. diagnosis and initial treatment

2. first setback

3. back on track

4. second setback

5. easing the pace

6. counting the cost

7. fat boy

8. done CHOPping for now

9. scans

10. relapse

11. remission

12. complications

13. more H

14. three

15. scans (again)

16. relapse redux

17. remission redux

18. OK but delays

19. four

20. extended remission

21. CHOP #4