DabigatranPrices, Coupons & Savings

Mail Order Pharmacy

1. Medication
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   US ONLY
2. Dabigatran Etexilate Mesylate

   Generic for Pradaxa

   Rx

   150mg

   30 capsules $217.5 USD

   30 capsules $217.5 USD - 7.25 USD/capsule
   Save $27.90

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Do you need a prescription for dabigatran?

Yes, dabigatran is only available with a valid physician Rx.

How much is dabigatran without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase dabigatran, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for dabigatran in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a dabigatran savings card?

Yes. Save up to 90% on your dabigatran with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a dabigatran coupon provider in the US?

No. Now Patient does not provide dabigatran coupons or FREE dabigatran samples.

Do you accept commercial, Medicare or Medicaid coverage for dabigatran in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much dabigatran?

US

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using dabigatran. 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 dabigatran. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

UK

If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

US brand name of dabigatran and manufacturer

Dabigatran is available in the US under the brand name Pradaxa. It is manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.

UK brand name of dabigatran and manufacturer

Dabigatran is available in the UK under the brand name Pradaxa. It is also manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.

Is dabigatran available in the UK on the NHS?

Yes, dabigatran (Pradaxa) is available on the NHS in the UK. It can be prescribed by healthcare professionals for eligible patients.

Prescription requirement for dabigatran

Dabigatran is a prescription medication and requires a prescription from a healthcare provider.

FDA approval of dabigatran

Dabigatran has received FDA (Food and Drug Administration) approval for several indications, including the prevention of stroke and systemic embolism in patients with non-valvular atrial fibrillation, the treatment and prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE), and the prevention of recurrent DVT and PE. Dabigatran was approved based on the RE-LY trial, an international clinical trial involving 18,000 people.

Active ingredient of dabigatran and mechanism of action

Dabigatran belongs to a class of medications known as direct oral anticoagulants (DOACs). The active ingredient in dabigatran is dabigatran etexilate. It works by inhibiting thrombin, a key enzyme involved in the formation of blood clots. By inhibiting thrombin, dabigatran helps prevent the formation of blood clots and reduces the risk of stroke, systemic embolism, and other thrombotic events.

Uses of dabigatran

Dabigatran is a medication that is primarily used to treat and prevent blood clots. It belongs to a class of drugs known as direct oral anticoagulants (DOACs) or direct thrombin inhibitors. Blood clots can form in the blood vessels, and if left untreated, they can pose serious health risks such as stroke, deep vein thrombosis (DVT), and pulmonary embolism (PE).
Dabigatran works by inhibiting the action of thrombin, a protein involved in the blood clotting process. By preventing thrombin from functioning properly, dabigatran helps to prevent the formation of blood clots. This medication is particularly useful in conditions such as atrial fibrillation (AFib) not caused by heart valve issues and venous thromboembolism (VTE), where the risk of blood clot formation is higher.
Atrial fibrillation is a heart condition characterized by irregular and rapid heartbeat, which can cause blood to pool and form clots in the atria of the heart. These clots can then travel to other parts of the body and cause blockages in the blood vessels. Dabigatran is prescribed to patients with AFib to reduce the risk of stroke and systemic embolism.
Venous thromboembolism refers to the formation of blood clots in the veins, usually in the legs (DVT) or lungs (PE). Dabigatran is used as a treatment to prevent the recurrence of DVT and PE in patients who have already experienced these conditions.
Dabigatran is also indicated for the prophylaxis of DVT and PE following hip replacement surgery.

Forms of dabigatran

Dabigatran is available in the form of oral capsules. The specific strength of the capsules will depend on the prescribed dosage and indication.

Dosage of dabigatran

The dosage of dabigatran will vary depending on the specific indication and individual patient factors. It is important to follow the dosage instructions provided by your healthcare provider.
If you miss a dose of dabigatran capsules, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Precautions and warnings for dabigatran

• Dabigatran can increase the risk of bleeding, including serious or potentially life-threatening bleeding. It should be used with caution in patients with an increased risk of bleeding, such as those with certain medical conditions or undergoing invasive procedures
• It is important to inform your healthcare provider about all your medications, including over-the-counter drugs, supplements, and herbal products, as they may interact with dabigatran and increase the risk of bleeding
• There is a higher risk of bleeding with dabigatran if you’re 75 or older, have kidney disease, a history of stomach or intestinal tract ulcers or bleeding, or take other medications that increase the risk of bleeding events (such as aspirin or non-steroidal anti-inflammatories, like ibuprofen)
• Dabigatran should not be abruptly discontinued without consulting your healthcare provider, as this may increase the risk of thromboembolic events and hemorrhagic complications
• Tell your healthcare provider if you are breastfeeding or plan to breastfeed
• Regular monitoring of renal function is important during dabigatran therapy
• It is important to inform your healthcare professional about all medications you are taking, including prescription, over-the-counter, and herbal products, before starting dabigatran. They can help determine if any potential drug interactions exist and make necessary adjustments to your treatment plan to ensure your safety

Side effects of dabigatran

Common side effects of dabigatran may include:

• Gastrointestinal symptoms, such as nausea, dyspepsia, indigestion, and stomach pain
• Bleeding, including nosebleeds and gum bleeding
• Easy bruising
• Fatigue
• Headache

Contact your healthcare provider if you experience any severe or persistent adverse effects.

Drug interactions 

• The concomitant use of dabigatran with other anticoagulant medications such as warfarin, heparin, enoxaparin, rivaroxaban and apixaban can significantly increase the risk of bleeding. Combining multiple blood-thinning medications can increase the effects and potentially lead to severe bleeding complications
• NSAIDs like ibuprofen, aspirin, or naproxen can also increase the risk of bleeding when taken with dabigatran. These medications can interfere with platelet function and may cause gastrointestinal bleeding or other bleeding complications
• Drugs such as clopidogrel or ticagrelor, which are commonly used to prevent blood clots in patients with certain heart conditions, should be avoided with dabigatran. Combining these medications can increase the risk of bleeding
• Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): Certain antidepressant medications, such as fluoxetine, sertraline, or venlafaxine, can increase the risk of bleeding when taken with dabigatran. These drugs can also affect platelet function and increase the likelihood of bleeding complications
• Dabigatran is metabolized by the enzyme CYP3A4 in the liver. Taking strong CYP3A4 inhibitors, such as ketoconazole or ritonavir, can increase the levels of dabigatran in the body and increase the risk of bleeding
• Dabigatran is also a substrate of the P-gp (P-glycoprotein) inhibitor transporter. Taking P-gp inhibitors, such as verapamil, quinidine, amiodarone or dronedarone, can increase the concentration of dabigatran in the body and increase the risk of bleeding

Sources

• MedlinePlus. Dabigatran
• Drugs.com. Dabigatran