Friday, May 2, 2025

Valtoco

And now Valtoco is only being dispensed in 5 packs! Most of my patients prescribed Valtoco never use it. Why are insurers approving this?

Concentrate (diazePAM Oral)

5 mg/mL (per mL): $5.00

Liquid (Valtoco 10 MG Dose Nasal)

10MG/0.1ML (per each): $439.12

Gel (diazePAM Rectal)

10 mg (per each): $364.06

Charges from Lexidrug.
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2 comments:

  1. Galen Breningstall, MDMay 19, 2025 at 9:50 AM

    Cheap Diazepam Intensol (5 mg/mL) has been utilized extensively as a rescue medication for seizures, generally given buccally. I have not yet seen evidence for the superiority of Valtoco vs Diazepam Intensol.

    Solution (Nayzilam Nasal)

    5MG/0.1ML (per each): $400.15

    Solution (Midazolam HCl-Sodium Chloride Intravenous)

    50MG/50ML 0.8% (per mL): $0.29

    A colleague wrote: Most sensible strategy - and evidence based - is to use the vials of midazolam (10 mg/2 mL) and prepare syringe in advance with correct dose - supposed to be stable for reasonable time - keep in fridge - vial is cheap and atomizers are really cheap 

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  2. Galen Breningstall, MDMay 28, 2025 at 7:35 AM

    From a nurse practitioner:

    I thought you might appreciate this. I sent a script for the new 5 pack of Valtoco and my family was told this

    "Hy-Vee pharmacy told me the total would be $1200, and that our prescription plan covered only $600 of the $1800."

    Back to buccal diazepam.

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