Dear listmates,

I recently had occasion to ask a CNM colleague to prescribe  APNO for  a mom
whose cracks wouldn't heal even though we have worked on latch several  times.
 The co-pay was going to be $40.00, as the pharmacy charge  was $100.  Long
story short, the mom was unwilling to pay the $40.00 for  the APNO.  Is this
the going rate for a compounded Rx?   Has  anyone tried an OTC clotrimazole
product to mix with prescription mupirocin  and betamethazone?  Another pharmacy
told me they have made this before;  their cost is $76.00 and it would again
incur a $40.00 co-pay.  If anyone  has any suggestions about how to get around
this high cost, I would love to hear  them.  Thank you for your imput.

Mary-Jane  Sackett, RN, IBCLC, RLC
Pittsfield,  MA


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