Question 1

How can I lower the cost of my bisoprolol/hydrochlorothiazide

Accepted Answer

You can lower cost of your bisoprolol/hydrochlorothiazide using one of the 4 following drug savings programs: Rx Advantage Card for bisoprolol/hydrochlorothiazide, Canadian Prescription Savings for bisoprolol/hydrochlorothiazide, bisoprolol/hydrochlorothiazide Drug Coupons, bisoprolol/hydrochlorothiazide Patient Assistance Programs

Question 2

What dosages is bisoprolol/hydrochlorothiazide available in?

Accepted Answer

bisoprolol/hydrochlorothiazide is available as a 2.5 mg/6.25 mg, 5 mg/6.25 mg, and 10 mg/6.25 mg oral tablet.

Question 3

What is bisoprolol/hydrochlorothiazide used for?

Accepted Answer

bisoprolol/hydrochlorothiazide is a beta-blocker and diuretic that is used to treat high blood pressure.

Question 4

How does bisoprolol/hydrochlorothiazide work?

Accepted Answer

bisoprolol/hydrochlorothiazide is a combination of two different medications that both work to lower blood pressure.
Bisoprolol is a cardioselective beta blocker. It works by blocking chemicals that attach to receptors on the heart. This slows down your heart rate and lowers your blood pressure.
Hydrochlorothiazide is a thiazide diuretic (water pill) that makes you urinate more. It works in your kidneys to remove extra water and certain electrolytes, which helps lower your blood pressure.

Question 5

How do I take bisoprolol/hydrochlorothiazide?

Accepted Answer

bisoprolol/hydrochlorothiazide is typically started at 2.5 mg/6.25 mg (bisoprolol / hydrochlorothiazide) by mouth once daily. If needed, your provider will raise your dose every 2 weeks. The maximum recommended dose of bisoprolol/hydrochlorothiazide is 20 mg/12.5 mg (bisoprolol / hydrochlorothiazide) by mouth once daily.

Question 6

Is it safe for me to take bisoprolol/hydrochlorothiazide?

Accepted Answer

bisoprolol/hydrochlorothiazide 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 if you have any of the following:
Sinus bradycardia (a type of slow heartbeat)
Heart block greater than first degree
Shock
Heart failure
Not producing urine
Allergy to sulfa-containing medications

Question 7

bisoprolol/hydrochlorothiazide Common Side Effects

Accepted Answer

Common side effects of bisoprolol/hydrochlorothiazide: Dizziness  Headache  Tiredness  Diarrhea  Muscle pain Chest pain

Question 8

bisoprolol/hydrochlorothiazide Serious Side Effects

Accepted Answer

Serious side effects are rare with bisoprolol/hydrochlorothiazide. Contact your healthcare provider immediately if you experience any of the following.

Severe allergic reaction: difficulty breathing, swelling of the tongue, mouth, or throat, hives
Heart failure: trouble breathing, fast weight gain, feeling very tired, chest pain, swelling in the legs, ankles, or feet
Bronchospasm: tightness in the chest, trouble catching your breath, difficulty breathing, wheezing, cough, dizziness, extreme tiredness

Question 9

Effects of other drugs, drug classes and over-the-counter products on bisoprolol/hydrochlorothiazide

Accepted Answer

The following medications may interact with bisoprolol/hydrochlorothiazide: Catecholamine-depleting drugs may have an additive effect when given with beta-blocking agents.  Patients may be unresponsive to the usual doses of epinephrine used to treat allergic reaction.  CYP2D6 Inhibitors are likely to increase bisoprolol/hydrochlorothiazide concentration.  Concomitant use of glycosides, clonidine, and diltiazem and verapamil with beta-blockers can increase the risk of bradycardia.  Beta-blockers including bisoprolol/hydrochlorothiazide, may exacerbate the rebound hypertension that can follow the withdrawal of clonidine. Alcohol, barbiturates, or narcotics: Potentiation of orthostatic hypotension may occur. Antidiabetic drugs (oral agents and insulin) dosage adjustment of the antidiabetic drug may be required. Other antihypertensive drugs: Additive effect or potentiation. Cholestyramine and colestipol resins: Cholestyramine and colestipol resins bind the hydrochlorothiazide and reduce its absorption.  Corticosteroid, ACTH: Possible electrolyte depletion, particularly hypokalemia. Pressor amines (e.g., norepinephrine): Possible decreased response to pressor amines.  Skeletal muscle relaxants, nondepolarizing (e.g., tubocurarine): Possible increased responsiveness to the muscle relaxant. Lithium: Generally should not be given with diuretics. Non-steroidal anti-inflammatory drugs: May reduce the diuretic, natriuretic, and antihypertensive effects of loop, potassium-sparing and thiazide diuretics.

Question 10

Who makes bisoprolol/hydrochlorothiazide?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is bisoprolol/hydrochlorothiazide safe in pregnancy?

Accepted Answer

bisoprolol/hydrochlorothiazide hasn’t been well-studied in human pregnancies. But animal studies suggest that it can cause harm to pregnant mothers and unborn babies. Please speak with your healthcare provider right away if you become pregnant or want to become pregnant.

Question 12

What is the brand name for bisoprolol/hydrochlorothiazide?

Accepted Answer

ZIAC

Question 13

How can NowPatient help me to lower the cost of my bisoprolol/hydrochlorothiazide prescription?

Accepted Answer

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your bisoprolol/hydrochlorothiazide prescription

Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient bisoprolol/hydrochlorothiazide savings programs work?

Accepted Answer

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.

Question 15

Are the NowPatient bisoprolol/hydrochlorothiazide savings programs suitable for everyone, regardless of insurance status?

Accepted Answer

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 bisoprolol/hydrochlorothiazide	Canadian Prescription Savings* for bisoprolol/hydrochlorothiazide	bisoprolol/hydrochlorothiazide Drug Coupon*	bisoprolol/hydrochlorothiazide 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.

Question 16

Are the NowPatient drug savings programs suitable for brand and generic versions of bisoprolol/hydrochlorothiazide?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for bisoprolol/hydrochlorothiazide	Canadian Prescription Savings* for bisoprolol/hydrochlorothiazide	bisoprolol/hydrochlorothiazide Drug Coupon*	bisoprolol/hydrochlorothiazide 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.

Question 17

If you have Medicare Part D or Medicare Advantage and none of the bisoprolol/hydrochlorothiazide savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide, 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).

Question 18

I am uninsured or underinsured and none of the bisoprolol/hydrochlorothiazide prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

Question 19

I am commercially or privately insured and none of the bisoprolol/hydrochlorothiazide prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

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.

Question 20

If I have federal, state or commercial insurance and none of the bisoprolol/hydrochlorothiazide 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?

Accepted Answer

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 bisoprolol/hydrochlorothiazide

If you are having trouble paying for your bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide you will need to meet one or all of the following criteria:

Your income is below 400% of the federal poverty level
bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide
If bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide

If you are having trouble paying for your bisoprolol/hydrochlorothiazide medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide
If bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide

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 bisoprolol/hydrochlorothiazide 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 bisoprolol/hydrochlorothiazide you will need to meet the following criteria:

You must be currently insured and have coverage for bisoprolol/hydrochlorothiazide
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.