The medications are generally e-scripted into one of our two national pharmacies that cover your state. One is Pharmacy Solutions in Arlington, TX (817-274-0050), and the other is Care First Specialty Pharmacy (856-267-0528) in New Jersey. These pharmacies compound and provide the best prices on various repurposed drugs and send them to you quickly by airmail.

Generally, patients get their medications two to four days after their Virtual Consult.

One of the more common repurposed drugs is mebendazole, which is prohibitively expensive at these standard pharmacies; therefore, compounding is necessary to make it affordable for daily use. They incorporate the traditional repurposed drugs in the same mailing package for convenience and organization for the patient to determine the proper way to take the medications. Using individual insurance plans and pharmacies directed by health insurance frequently leads to a detailed pre-approval analysis of repurposed drugs and off-label use. MMC strives to provide the lowest cost service, and we do not have staff to attempt to process through standard pharmacies and insurance plans, which are highly time-consuming.

For safe prescribing, we need to meet at least every three months and decide at each meeting whether it needs to be shorter than that at one-month or two-month intervals. The patient’s needs and resources to cover the cost of frequent meetings determine the virtual visit intervals. MMC sees patients frequently early on, and we lengthen to three-month intervals when the medications get into a steady state without frequent changes.

If working directly with HealNavigator.com, one can go to their website and reenlist at the proper interval (MMC/Heal Navigators – Start a conversation). If one is only working with MMC, go to the Service Page, initiate a Follow-up path, and schedule yourself when convenient. ( Service Plans – Meakin Metabolic Care )

Generally, the main issues to review are liver function stability by looking at the ALT and AST. Other general measures of liver health include the albumin level, alkaline phosphatase, and more, but these former ones are our main measures. Within the complete metabolic panel (CMP), one can also review the renal function stability by looking at the BUN and creatinine. We also ask patients to get a general complete blood count (CBC) to ensure their public bone marrow function is safe to proceed, especially if they’re at risk from recent chemotherapy. This precaution is extra, as our repurposed drugs generally do not impact bone marrow function.

For primarily the safety labs, we suggest avoiding additional costs and encourage the patients to use their standard monthly labs with their local care program. We have more extensive programs such as MD Predict Panel, C-MOP, and MOP that have comprehensive laboratory reviews done through Quest laboratory drawing centers closest to your home. These programs incorporate the cost of the labs in the program cost to save the patient’s expensive walk-in retail rates for laboratory testing. We can add low-cost labs for existing patients in these services, such as tumor markers, food sensitivity programs, age calculators, insulin sensitivity testing, and more. These laboratory prices are much lower than any walk-in rate you can find and will incorporate the medical review at your next MMC visit. ( Individual Labs – Meakin Metabolic Care )

Using your current labs is an option if you can upload the needed labs and prefer to go this route. Generally, paying directly out of pocket will be 5 to 10 times more expensive than what we offer, and sometimes general physicians may want to order something less than the 12 tubes/ labs that the Predict Panel incorporates.

This problem comes up often, and for those that live in New Mexico, Alaska, Rhode Island, Delaware, or Hawaii, we suggest they try to set up their Virtual Consult in a family member or friend’s location in one of the 45 states we cover. For those in other countries, we set up coaching calls to discuss metabolic support for their cancer, knowing there is no option for prescribing pharmaceuticals or laboratory tests in their country. Once a good discussion occurs and we generate an action plan, they can take the information to their local physician and have a reasonable chance of initiating the proper prescriptions. One should still schedule through the MMC website with a quick consultation. ( Service Plans – Meakin Metabolic Care )