azacitidine
Used for Cancer
Are you tired of high medication costs? Our service offers unbeatable savings on your azacitidine prescription medication. We provide a range of solutions to help you save up to 100% on your medication costs*. Whether you are insured, uninsured, underinsured, or simply looking to reduce your out-of-pocket expenses, we've got you covered.
Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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Lower the cost of your azacitidine prescription
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azacitidine key facts
What dosages is azacitidine available in?
azacitidine is available in 100 mg single-dose vials.
What is azacitidine used for?
azacitidine is a type of chemotherapy that is used to treat:
- Certain types of myelodysplastic syndromes (MDS)
- Juvenile myelomonocytic leukemia (JMML)
How does azacitidine work?
azacitidine is a chemotherapy medication called a hypomethylating agent. The main way it fights blood cancers is by allowing these immature blood cells to grow up properly into healthy “adult” blood cells. Sometimes, this also leads to cell death of the immature blood cells.
How do I take azacitidine?
Your provider will calculate your dose of azacitidine using your body surface area (BSA, in units of m2), which takes into account your body weight and height.
MDS
- AZA is injected into the veins or under the skin daily for the first 7 days of a 28-day cycle. It’s recommended that this is repeated for at least 4 to 6 cycles
- The typical dose of azacitidine during the first treatment cycle is 75 mg/m2 daily. You’ll repeat this cycle as long as you continue to benefit from treatment and don’t have intolerable side effects. If needed, your provider might raise your dose after 2 treatment cycles
JMML
- azacitidine is injected into the veins daily for the first 7 days of a 28-day cycle. This treatment is typically repeated through 3 to 6 cycles
- Children aged 1 month to less than 1 year (or weighing less than 10 kg): The typical dose is 2.5 mg/kg daily
Children aged 1 year and older (and weighing 10 kg or more):
- The typical dose is 75 mg/m2 daily
Your dose of azacitidine might be different depending on your response to treatment or if you experience certain side effects.
Is it safe for me to take azacitidine?
azacitidine is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication in the following:
- Advanced Malignant Hepatic Tumors
- Hypersensitivity to Azacitidine or Mannitol
azacitidine Common Side Effects
Common side effects of azacitidine:
- Nausea
- Low red blood cells
- Low platelets
- Vomiting
- Fever
- Constipation
- Low white blood cells
- Injection site redness or warmth
- Diarrhea
- Bruising
- Trouble breathing
- Small red skin spots
- Injection site pain
- Joint pain
- Headache
azacitidine Serious Side Effects
Serious side effects are rare with azacitidine. Contact your healthcare provider immediately if you experience any of the following.
- Liver damage: tiredness, loss of appetite, nausea or vomiting, dark urine, right-side stomach pain, easy bruising or bleeding, or yellowing of the eyes or skin
- Kidney damage: blood in urine, changes in urination (more or less)
- High uric acid and electrolyte imbalances: dark urine, not urinating as much as usual, pain on either side of the lower back, racing heart, muscle cramps or spasms, numbness, nausea, vomiting
- Serious bleeding: unusual bleeding, easy bruising, blood in urine or stool, confusion, vision changes
- Serious infections: fevers, chills, sweating, trouble breathing
Effects of other drugs, drug classes and over-the-counter products on azacitidine
There are no major drug interactions listed for azacitidine. However, always let your physician and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking.
Who makes azacitidine?
Various FDA-approved generic manufacturers
Is azacitidine safe in pregnancy?
Based on its mechanism of action and findings in animals, azacitidine can cause fetal harm when administered to a pregnant woman. Females of reproductive potential should use effective contraception during treatment with azacitidine and for 6 months after the last dose. Males with female partners of reproductive potential should use effective contraception during treatment with azacitidine and for 3 months after the last dose. Report known or suspected pregnancy to your physicians immediately
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effectsDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my azacitidine prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your azacitidine prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient azacitidine savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient azacitidine savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for azacitidine | Canadian Prescription Savings* for azacitidine | azacitidine Drug Coupon* | azacitidine Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of azacitidine?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for azacitidine | Canadian Prescription Savings* for azacitidine | azacitidine Drug Coupon* | azacitidine Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the azacitidine savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the azacitidine drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for azacitidine, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a 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).
I am uninsured or underinsured and none of the azacitidine prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, azacitidine is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at 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.
If you are denied and all else fails, and if you have been prescribed azacitidine for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the azacitidine prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
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. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the azacitidine prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for azacitidine
If you are having trouble paying for your azacitidine medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for azacitidine you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- azacitidine is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers azacitidine
- If azacitidine is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for azacitidine
If you are having trouble paying for your azacitidine medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for azacitidine you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers azacitidine
- If azacitidine is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for azacitidine
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your azacitidine treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for azacitidine you will need to meet the following criteria:
- You must be currently insured and have coverage for azacitidine
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
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 on 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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Our dispensing pharmacy is regulated and authorized for internet sales by the General Pharmaceutical Council (GPhC), registration number 1036487. You can view our license credentials on the General Pharmaceutical Council website. Our superintendent pharmacist who is responsible for the safe and effective oversight of medicines supplies is Mr Amish Patel (Registration Number 2042705).
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Our head of US services is Dr. Jamie Winn.
You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
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