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Is the cost of your amitriptyline too expensive?

You may qualify for programs where you can pay as little as $0 per fill, subject to income and insurance status.

This content is intended for US audiences only

NowPatient offers cost effective access to amitriptyline for everyone including those who are uninsured, those who have commercial insurance as well as those who are enrolled into state or federal programs like Medicaid, Medicare Part D, full Low Income Subsidy (LIS, “Extra Help”), TRICARE or Veterans (VA) Benefits.

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Table of contents
OverviewWhat can I do if I am commercially insured but cannot afford my amitriptyline?What can I do if I am uninsured and cannot afford my amitriptyline?What can I do if I am insured with Medicare and cannot afford my amitriptyline?Am I eligible for the Rx Advantage Card and how much does amitriptyline cost without insurance?What will my out-of-pocket cost be for amitriptyline when using the Rx Advantage Card?Is it legal for me to pay cash for amitriptyline even though I have insurance?Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?Does the Rx Advantage Card work with Commercial Insurance?How do I check prices for amitriptyline and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a amitriptyline co-pay program?Is there a amitriptyline Patient Assistance Program (PAP)?What should I do if I take too much amitriptyline?What are the benefits of NowPatient?What is generic amitriptyline?FDA approval of amitriptylineActive ingredient of amitriptylineUS brand name of amitriptyline and manufacturerUK brand name of amitriptyline and manufacturerPrescription requirement for amitriptylineAvailability of amitriptyline in the UK with NHS prescriptionConditions treated by amitriptylineHow does amitriptyline work?Forms of amitriptyline availableDosage of amitriptylineDirections for amitriptyline useWarnings and precautions for amitriptylinePossible side effects of amitriptylineSimilar drugs to amitriptylineSourcesPeople also asked
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Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 25 Jan 2024
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What can I do if I am commercially insured but cannot afford my amitriptyline?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing amitriptyline outside of your plan using the Rx Advantage card, with costs that are usually lower than a typical plan copay. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

If you cannot afford the cash price possibly due to income constraints, then there is the option of applying to state assistance programs like Medicaid. Often, you may be able to receive your amitriptyline without any costs at all. You can check Medicaid eligibility in your state by following this link HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application.

What can I do if I am uninsured and cannot afford my amitriptyline?

If you cannot afford the cash price of amitriptyline using the Rx Advantage card then there is the option of applying to state programs like Medicaid. Often, you may be able to receive your amitriptyline without any costs at all. You can check Medicaid eligibility in your state by following this link HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application.

What can I do if I am insured with Medicare and cannot afford my amitriptyline?

If you are insured with Medicare and have Part D or an Advantage drug plan but cannot afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you have a number of options:

Option

Savings Information

RX ADVANTAGE CARD

You can use the Rx Advantage to purchase the medication outside of your plan at prices that may be lower than you copay or co-insurance element. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

LOW INCOME SUBSIDY

If this is still too expensive or unaffordable then you can apply for federal support like Low Income Subsidy (LIS). To be eligible for Low Income Subsidy, you need to be resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

MEDICAID

Alternatively, you can check Medicaid eligibility in your state by following this link to the HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

Am I eligible for the Rx Advantage Card and how much does amitriptyline cost without insurance?

Our website gives savings options to customers who wish to purchase amitriptyline, as either a brand or generic, without the constraints of insurance. By using the Rx Advantage Card, users can save up to 90% on the cost of their medication. The card can be used at over 65,000 pharmacies nationwide, across America. Even if you are insured, in most cases the cash price will be significantly cheaper than your existing co-pay. NowPatient is able to negotiate discounts on bulk drug purchases with pharmacy owners meaning you can access lower medication prices at nearby pharmacies using our card that can be conveniently stored in your NowPatient account.

What will my out-of-pocket cost be for amitriptyline when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for amitriptyline using the Rx Advantage Card. If you are insured, your OOP expense can not be used against your plan deductible, if your plan has a deductible.

Yes. The Rx Advantage card is especially useful for people who have High-deductible health plans (HDHPs). It can be used for insured, uninsured, and underinsured persons.

Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?

No. We do not bill any federal or state insurance including Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug benefit). When you purchase your medication using the NowPatient Rx Advantage Card, you will be doing so out of pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket amitriptyline cash price you pay can be typically cheaper than your plan copay.

Does the Rx Advantage Card work with Commercial Insurance?

We do not bill your commercial insurance. When you purchase your medication using the Rx Advantage Card, from NowPatient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket amitriptyline cash price you pay can be typically cheaper than your plan copay.

How do I check prices for amitriptyline and how do I use the Rx Advantage Card?

You can search for the prices at nearby pharmacies using our website. Simply search your medication and enter your ZIP Code and we will show you the price of your drug at nearby pharmacies. If you are happy with the quote, you need to create an account with NowPatient and generate your card. Next, simply go to the pharmacy and fill your amitriptyline Rx. Ask the pharmacy to run the card and check the price, even if they tell you they have another card they use. Your card is stored safely in your NowPatient account.

Do I need to pay for the Rx Advantage Card?

No. The Rx Advantage prescription savings card is FREE to use and store for NowPatient users.

Is there a amitriptyline co-pay program?

Generic medications like amitriptyline do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of amitriptyline. You can search the brand name of amitriptyline and check to see if a co-pay program exists. Co-pay cards are programs run by pharmaceutical companies that offer you a direct way to lower your out-of-pocket costs for prescription drugs for eligible patients. The copay cards essentially allow physicians to prescribe medications that are clinically preferred.

Is there a amitriptyline Patient Assistance Program (PAP)?

Generic medications like amitriptyline do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of amitriptyline. You can search the brand name of amitriptyline and check to see if a co-PAP exists. PAPs are programs that are run and sponsored by pharmaceutical companies. They offer uninsured, insured, or underinsured individuals access to high-cost brand-name medications, which may otherwise be unaffordable.

What should I do if I take too much amitriptyline?

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using amitriptyline. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you've used too much amitriptyline. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

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What is generic amitriptyline?

Generic amitriptyline refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of amitriptyline

Amitriptyline is approved by the U.S. Food and Drug Administration (FDA) for the treatment of depression. It is also used off-label for the treatment of other conditions, such as chronic pain, migraines, and sleep disorders.

Active ingredient of amitriptyline

The active ingredient of amitriptyline is amitriptyline hydrochloride.

US brand name of amitriptyline and manufacturer

Amitriptyline is available in the US under various brand names, including Elavil and Vanatrip. The manufacturers may vary depending on the brand names.

UK brand name of amitriptyline and manufacturer

In the UK, amitriptyline is available under various brand names, including amitriptyline Actavis. The manufacturer may vary depending on the brand name.

Prescription requirement for amitriptyline

A prescription (Rx) is required for amitriptyline in both the US and the UK.

Availability of amitriptyline in the UK with NHS prescription

Amitriptyline is available in the UK with an NHS prescription.

Conditions treated by amitriptyline

Amitriptyline is primarily used for the treatment of depression. It is also prescribed off-label for the treatment of chronic pain, migraines, and certain sleep disorders, such as insomnia.

How does amitriptyline work?

Amitriptyline belongs to a class of medications called tricyclic antidepressants (TCAs). It works by increasing the levels of certain neurotransmitters, such as serotonin and norepinephrine, in the brain. This helps to improve mood, reduce depression symptoms, and relieve certain types of pain.

Forms of amitriptyline available

Amitriptyline is available in various forms, including oral tablets and oral solutions.

Dosage of amitriptyline

The dosage of amitriptyline may vary depending on the specific condition being treated, the severity of the condition, and other individual factors. Your doctor will probably start you on a lower dose of amitriptyline and gradually increase your dose. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for amitriptyline use

Amitriptyline should be taken as directed by the healthcare provider. The specific instructions may include the timing of administration, dosage adjustments, and any necessary precautions. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Warnings and precautions for amitriptyline

  • Amitriptyline may interact with other medications and substances, dosage adjustments or close monitoring may be necessary
  • Amitriptyline should not be taken with monoamine oxidase inhibitors (MAOIs) (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) as it can lead to a dangerous increase in serotonin levels, potentially causing serotonin syndrome
  • Amitriptyline should not be taken with selective serotonin reuptake inhibitors (SSRIs) (fluoxetine, sertraline, paroxetine)
  • It is important to avoid alcohol and sedatives while taking amitriptyline, as they can enhance the sedative effects of the medication, leading to excessive drowsiness or even respiratory depression
  • Patients with a history of heart disease should exercise caution when taking amitriptyline as it can potentially worsen existing cardiovascular conditions
  • Individuals with glaucoma, a condition characterized by increased pressure within the eye, need to be cautious while using amitriptyline. The medication can further elevate intraocular pressure, potentially leading to complications or worsening of symptoms. Regular monitoring by an ophthalmologist is recommended for patients with glaucoma who are prescribed amitriptyline
  • Amitriptyline may cause urinary retention in some individuals due to its anticholinergic effects on bladder function. Patients who already have difficulty emptying their bladder should exercise caution when using this medication and discuss any concerns or symptoms they experience with their healthcare provider promptly
  • It is important to inform the healthcare provider about any existing medical conditions, especially heart conditions, as well as any history of psychiatric disorders (bipolar disorder, schizophrenia) or suicidal thoughts
  • Amitriptyline passes into breast milk. Speak to your doctor before breast-feeding
  • Inform a healthcare professional about all medications including supplements being taken to prevent drug interactions

Possible side effects of amitriptyline

Common side effects of amitriptyline may include drowsiness, dry mouth, constipation, blurred vision, eye pain and weight gain. If these side effects persist or worsen, it is important to contact a healthcare provider. Serious side effects include an increased risk of suicide and irregular heartbeat. If you experience palpitations, dizziness, or trouble breathing while on this medication, seek medical attention promptly. In rare cases, some individuals may have a severe allergic reaction to amitriptyline. Symptoms such as difficulty breathing, swelling of the face or throat, rash, or hives require immediate medical attention. It’s essential to inform your doctor about any previous allergies before starting this medication. Always speak to a healthcare professional right away if you experience any adverse effects.

Similar drugs to amitriptyline

Other tricyclic antidepressants (TCAs), such as nortriptyline and imipramine, may be used as alternatives to amitriptyline for the treatment of depression and certain pain conditions.

Sources

Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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