Question 1

How can I lower the cost of my Capecitabine

Accepted Answer

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

Question 2

What dosages is Capecitabine available in?

Accepted Answer

capecitabine is available as a 150 mg and 500 mg oral tablet.

Question 3

What is Capecitabine used for?

Accepted Answer

capecitabine is an antimetabolite and is used for the following: Colon cancer:  After the tumor has been surgically removed Advanced or metastatic colon cancer  Rectal cancer:  Together with radiation before or after surgery Advanced or metastatic rectal cancer Metastatic breast cancer Metastatic gastric, esophageal, or gastroesophageal junction (EGJ) cancer Pancreatic cancer, after the tumor has been surgically removed

Question 4

How does Capecitabine work?

Accepted Answer

capecitabine is an antimetabolite chemotherapy. Once it gets inside the body, capecitabine is converted into fluorouracil, which is the active form of this medication. It prevents cells from making the genetic material needed to grow and multiply. Because cancer cells tend to grow much faster than healthy cells, fluorouracil ends up affecting cancer cells more. As a result, cancer cells can’t grow and spread as well.

Question 5

How do I take Capecitabine?

Accepted Answer

capecitabine dose is based on your body surface area (BSA), which takes into account your height and weight. The dose and duration of therapy also depends on what type of cancer you’re being treated for, and what other anticancer medications or treatments (e.g., radiation) you’re receiving.  The typical dose ranges between 625 mg/m2 – 1250 mg/m2 by mouth twice a day If you’re receiving radiation, you’ll usually take capecitabine during radiation treatment, which can last several weeks If you’re not receiving radiation, capecitabine is commonly taken for 2 weeks out of every 3-week treatment cycle

Question 6

Is it safe for me to take Capecitabine?

Accepted Answer

capecitabine 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.

Question 7

Capecitabine Common Side Effects

Accepted Answer

Common side effects of capecitabine:  Hand-and-foot syndrome Diarrhea Nausea Fatigue or tiredness Stomach pain Vomiting Open mouth sores

Question 8

Capecitabine Serious Side Effects

Accepted Answer

Serious side effects are rare with capecitabine. Contact your healthcare provider immediately if you experience any of the following.  Severe diarrhea or blood in your stool Severe skin reactions: rash, blisters, peeling skin, painful swelling Heart problems: heart attack, chest pain, abnormal heart rhythm

Question 9

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

Accepted Answer

The following medications may interact with capecitabine:  Anticoagulants: Monitor anticoagulant response (INR or prothrombin time) frequently in order to adjust the anticoagulant dose as needed Phenytoin: Monitor phenytoin levels in patients taking capecitabine concomitantly with phenytoin. The phenytoin dose may need to be reduced Leucovorin: The concentration of 5-fluorouracil is increased and its toxicity may be enhanced by leucovorin CYP2C9 substrates: Care should be exercised when capecitabine is coadministered with CYP2C9 substrates Food reduced both the rate and extent of absorption of capecitabine

Question 10

Who makes Capecitabine?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is Capecitabine safe in pregnancy?

Accepted Answer

capecitabine may cause harm to your unborn baby. capecitabine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Question 12

What is the brand name for Capecitabine?

Accepted Answer

Xeloda

Question 13

How can NowPatient help me to lower the cost of my Capecitabine 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 Capecitabine prescription  Rx Advantage Card Drug Coupons Patient Assistance Programs Canadian Prescription Savings  Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient Capecitabine 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.   Rx Advantage Card Drug Coupons Patient Assistance Programs Canadian Prescription Savings  Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.

Question 15

Are the NowPatient Capecitabine 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 Capecitabine Canadian Prescription Savings* for Capecitabine Capecitabine Drug Coupon* Capecitabine 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 Capecitabine?

Accepted Answer

No. Each program has applicability requirements. Please see below      Rx Advantage Card* for Capecitabine Canadian Prescription Savings* for Capecitabine Capecitabine Drug Coupon* Capecitabine 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 Capecitabine savings options are applicable or affordable for me, what can you do?

Accepted Answer

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

Accepted Answer

If you are uninsured or underinsured (for example, Capecitabine 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 Capecitabine 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 Capecitabine 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 Capecitabine 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 Capecitabine If you are having trouble paying for your Capecitabine 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 Capecitabine you will need to meet one or all of the following criteria:  Your income is below 400% of the federal poverty level Capecitabine 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 Capecitabine If Capecitabine 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 Capecitabine If you are having trouble paying for your Capecitabine medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for Capecitabine 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 Capecitabine If Capecitabine 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 Capecitabine 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 Capecitabine 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 Capecitabine you will need to meet the following criteria:  You must be currently insured and have coverage for Capecitabine 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.

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What dosages is Capecitabine available in?

What is Capecitabine used for?

How does Capecitabine work?

How do I take Capecitabine?

Is it safe for me to take Capecitabine?

Capecitabine Common Side Effects

Capecitabine Serious Side Effects

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

Who makes Capecitabine?

Is Capecitabine safe in pregnancy?

What is the brand name for Capecitabine?

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