Managing Genital Warts: Prescription Options and Treatment Costs in Taiwan - Urology

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Doctor, I have already visited the outpatient department at Taipei Hospital and confirmed that I have genital warts.
However, they do not have the medication for genital warts in stock, so I can only purchase it out-of-pocket at a pharmacy.
The treatment can only be done through electrosurgery, but genital warts are prone to recurrence.
I would like to ask if the hospital can issue a prescription for the medication that is not in stock so that I can buy it directly from the pharmacy? (If so, would it still be out-of-pocket?)
I also found online that there is a medication called Podophyllotoxin (commonly known as Wart Remover) that is covered by health insurance.
Why did the doctor at Taipei Hospital say that it is not covered? If it is currently covered by health insurance, could you recommend a hospital in the Taipei area that has it available? Otherwise, I have to pay out-of-pocket for testing before electrosurgery, and the recurrence is a significant financial burden.

alan, 20~29 year old female. Ask Date: 2021/08/19

Dr. Li Xinyi reply Urology


The medications available at each hospital are constantly changing, and the regulations for health insurance reimbursement are also evolving.
This does not mean that a hospital will necessarily have a medication or that it can be prescribed under health insurance.
For instance, I personally do not support the use of topical ointments, so I would not issue a prescription for them to patients.
In other words, you cannot demand that a physician prescribe medication to a patient, because if there are complications from the application, it would be the physician's responsibility.

Reply Date: 2021/08/19

More Info


Managing genital warts, also known as condylomata acuminata, can be a challenging experience, especially when it comes to treatment options and associated costs. In Taiwan, there are several approaches to treating genital warts, including topical medications, cryotherapy, and surgical options like electrosurgery.
Firstly, regarding your question about obtaining a prescription for a topical treatment from a hospital that does not stock it, yes, it is possible for a physician to write you a prescription for a medication that is not available in the hospital's pharmacy. You can take this prescription to a local pharmacy to purchase the medication. However, whether or not you will have to pay out of pocket depends on whether the medication is covered by Taiwan's National Health Insurance (NHI). If the medication is not listed under the NHI's coverage, you will indeed need to pay for it yourself.

As for the specific medication you mentioned, "汰疣凝" (Tai-Yau-Ning), it is a topical treatment that is often used for the management of warts. There can be confusion regarding its coverage under the NHI. While some healthcare providers may state that it is not covered, it is essential to verify this information with the NHI or directly with the pharmacy. The coverage can sometimes change, and not all healthcare providers may be aware of the latest updates.

If you are looking for hospitals in the Taipei area that provide NHI-covered treatments for genital warts, it is advisable to contact hospitals directly or consult with your healthcare provider for recommendations. Some hospitals may have specific dermatology departments that are more familiar with the latest treatment options and NHI coverage.

In terms of treatment costs, the expenses can vary widely based on the treatment modality chosen. For instance, topical treatments may be less expensive than procedures like cryotherapy or electrosurgery. Electrosurgery, while effective, can lead to higher costs due to the need for follow-up visits and the potential for recurrence, which is a common issue with genital warts.
Recurrence is indeed a significant concern with genital warts, as the human papillomavirus (HPV), which causes these warts, can remain dormant in the body even after the warts have been treated. This means that even after successful treatment, there is a possibility of new warts developing. Regular follow-ups with your healthcare provider are essential to monitor for any recurrence and to discuss ongoing management strategies.

In summary, if you are considering treatment options for genital warts in Taiwan, it is crucial to have open communication with your healthcare provider about your treatment preferences, potential costs, and the latest information regarding NHI coverage. This will help you make informed decisions and manage your condition effectively while minimizing out-of-pocket expenses.

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