Question 1

How can I lower the cost of my bumetanide

Accepted Answer

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

Question 2

What dosages is bumetanide available in?

Accepted Answer

bumetanide is available as a 0.5 mg, 1 mg, and 2 mg oral tablet.

Question 3

What is bumetanide used for?

Accepted Answer

bumetanide is a diuretic (water pill) used for swelling (edema) due to congestive heart failure, liver problems, or kidney problems.

Question 4

How does bumetanide work?

Accepted Answer

bumetanide is a loop diuretic (water pill) that makes you urinate more. It works in the kidneys to get rid of extra water and electrolytes (like sodium and potassium), which helps ease swelling.

Question 5

How do I take bumetanide?

Accepted Answer

bumetanide is typically taken by mouth once daily. Depending on your condition, your provider might ask you to take it every other day or every 2 days.

Question 6

Is it safe for me to take bumetanide?

Accepted Answer

bumetanide 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 take this medication if you have anuria, hepatic coma or in states of severe electrolyte depletion until the condition is improved or corrected.

Question 7

bumetanide Common Side Effects

Accepted Answer

Common side effects of bumetanide include:  Changes in electrolyte levels Muscle cramps Dizziness Headache Nausea

Question 8

bumetanide Serious Side Effects

Accepted Answer

Serious side effects are rare with bumetanide. Contact your healthcare provider immediately if you experience any of the following.  Severe dehydration: feeling thirsty, lightheadedness, dry mouth, dark colored urine, urinating less Low levels of potassium in the blood: muscle weakness and spasms, tiredness, heart racing, constipation, tingling or numbness, nausea, vomiting, muscle pain, confusion Stevens-Johnson Syndrome and toxic epidermal necrolysis: skin pain, fever, body aches, red rash, peeling skin, blisters, sores

Question 9

Effects of other drugs, drug classes and over-the-counter products on bumetanide

Accepted Answer

The following medications may interact with bumetanide:

Drugs With Nephrotoxic Potential – There has been no experience with the concurrent use of bumetanide with drugs known to have a nephrotoxic potential. Therefore, the simultaneous administration of these drugs should be avoided
Lithium – Lithium should generally not be given with diuretics because they reduce its renal clearance and add a high risk of lithium toxicity
Probenecid – Pretreatment with probenecid reduces both the natriuresis and hyperreninemia produced by bumetanide. Thus, probenecid should not be administered concurrently with bumetanide
Indomethacin – Indomethacin blunts increases in urine volume and sodium excretion so concurrent therapy with bumetanide is thus not recommended

Antihypertensives: bumetanide may potentiate the effect of various antihypertensive drugs, necessitating a reduction in the dosage of these drugs.

Question 10

Who makes bumetanide?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is bumetanide safe in pregnancy?

Accepted Answer

It is not known if bumetanide will harm your unborn baby. If you become pregnant while receiving bumetanide, talk to your healthcare provider.

Question 12

What is the brand name for bumetanide?

Accepted Answer

BUMEX

Question 13

How can NowPatient help me to lower the cost of my bumetanide 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 bumetanide prescription

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

Question 14

How do the NowPatient bumetanide 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 bumetanide 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 bumetanide	Canadian Prescription Savings* for bumetanide	bumetanide Drug Coupon*	bumetanide 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 bumetanide?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for bumetanide	Canadian Prescription Savings* for bumetanide	bumetanide Drug Coupon*	bumetanide 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 bumetanide savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the bumetanide 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 bumetanide, 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 bumetanide prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, bumetanide 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 bumetanide 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 bumetanide 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 bumetanide 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 bumetanide

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

Your income is below 400% of the federal poverty level
bumetanide 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 bumetanide
If bumetanide 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 bumetanide

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

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 bumetanide 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 bumetanide you will need to meet the following criteria:

You must be currently insured and have coverage for bumetanide
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.