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dabigatran etexilate

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Is the cost of your dabigatran etexilate too expensive?

You may qualify for programs where you can pay as little as $0 per fill, subject to income and insurance status.

This content is intended for US audiences only

NowPatient offers cost effective access to dabigatran etexilate for everyone including those who are uninsured, those who have commercial insurance as well as those who are enrolled into state or federal programs like Medicaid, Medicare Part D, full Low Income Subsidy (LIS, “Extra Help”), TRICARE or Veterans (VA) Benefits.

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Table of contents
OverviewWhat can I do if I am commercially insured but cannot afford my dabigatran etexilate?What can I do if I am uninsured and cannot afford my dabigatran etexilate?What can I do if I am insured with Medicare and cannot afford my dabigatran etexilate?Am I eligible for the Rx Advantage Card and how much does dabigatran etexilate cost without insurance?What will my out-of-pocket cost be for dabigatran etexilate when using the Rx Advantage Card?Is it legal for me to pay cash for dabigatran etexilate even though I have insurance?Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?Does the Rx Advantage Card work with Commercial Insurance?How do I check prices for dabigatran etexilate and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a dabigatran etexilate co-pay program?Is there a dabigatran etexilate Patient Assistance Program (PAP)?What should I do if I take too much dabigatran etexilate?What are the benefits of NowPatient?US brand name of dabigatran etexilate and manufacturerUK brand name of dabigatran etexilate and manufacturerIs dabigatran etexilate available in the UK on the NHS?Prescription requirement for dabigatran etexilateFDA approval of dabigatran etexilateActive ingredient of dabigatran etexilate and mechanism of actionUses of dabigatran etexilateForms of dabigatran etexilateDosage of dabigatran etexilatePrecautions and warnings for dabigatran etexilateSide effects of dabigatran etexilateDrug interactions SourcesPeople also asked
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Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 25 Jan 2024
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What can I do if I am commercially insured but cannot afford my dabigatran etexilate?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing dabigatran etexilate outside of your plan using the Rx Advantage card, with costs that are usually lower than a typical plan copay. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

If you cannot afford the cash price possibly due to income constraints, then there is the option of applying to state assistance programs like Medicaid. Often, you may be able to receive your dabigatran etexilate without any costs at all. You can check Medicaid eligibility in your state by following this link 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.

What can I do if I am uninsured and cannot afford my dabigatran etexilate?

If you cannot afford the cash price of dabigatran etexilate using the Rx Advantage card then there is the option of applying to state programs like Medicaid. Often, you may be able to receive your dabigatran etexilate without any costs at all. You can check Medicaid eligibility in your state by following this link 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.

What can I do if I am insured with Medicare and cannot afford my dabigatran etexilate?

If you are insured with Medicare and have Part D or an Advantage drug plan but cannot afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you have a number of options:

Option

Savings Information

RX ADVANTAGE CARD

You can use the Rx Advantage to purchase the medication outside of your plan at prices that may be lower than you copay or co-insurance element. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

LOW INCOME SUBSIDY

If this is still too expensive or unaffordable then you can apply for federal support like Low Income Subsidy (LIS). To be eligible for Low Income Subsidy, you need to be 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).

MEDICAID

Alternatively, you can check Medicaid eligibility in your state by following this link to the 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.

Am I eligible for the Rx Advantage Card and how much does dabigatran etexilate cost without insurance?

Our website gives savings options to customers who wish to purchase dabigatran etexilate, as either a brand or generic, without the constraints of insurance. By using the Rx Advantage Card, users can save up to 90% on the cost of their medication. The card can be used at over 65,000 pharmacies nationwide, across America. Even if you are insured, in most cases the cash price will be significantly cheaper than your existing co-pay. NowPatient is able to negotiate discounts on bulk drug purchases with pharmacy owners meaning you can access lower medication prices at nearby pharmacies using our card that can be conveniently stored in your NowPatient account.

What will my out-of-pocket cost be for dabigatran etexilate when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for dabigatran etexilate using the Rx Advantage Card. If you are insured, your OOP expense can not be used against your plan deductible, if your plan has a deductible.

Yes. The Rx Advantage card is especially useful for people who have High-deductible health plans (HDHPs). It can be used for insured, uninsured, and underinsured persons.

Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?

No. We do not bill any federal or state insurance including Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug benefit). When you purchase your medication using the NowPatient Rx Advantage Card, you will be doing so out of pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket dabigatran etexilate cash price you pay can be typically cheaper than your plan copay.

Does the Rx Advantage Card work with Commercial Insurance?

We do not bill your commercial insurance. When you purchase your medication using the Rx Advantage Card, from NowPatient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket dabigatran etexilate cash price you pay can be typically cheaper than your plan copay.

How do I check prices for dabigatran etexilate and how do I use the Rx Advantage Card?

You can search for the prices at nearby pharmacies using our website. Simply search your medication and enter your ZIP Code and we will show you the price of your drug at nearby pharmacies. If you are happy with the quote, you need to create an account with NowPatient and generate your card. Next, simply go to the pharmacy and fill your dabigatran etexilate Rx. Ask the pharmacy to run the card and check the price, even if they tell you they have another card they use. Your card is stored safely in your NowPatient account.

Do I need to pay for the Rx Advantage Card?

No. The Rx Advantage prescription savings card is FREE to use and store for NowPatient users.

Is there a dabigatran etexilate co-pay program?

Generic medications like dabigatran etexilate do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of dabigatran etexilate. You can search the brand name of dabigatran etexilate and check to see if a co-pay program exists. Co-pay cards are programs run by pharmaceutical companies that offer you a direct way to lower your out-of-pocket costs for prescription drugs for eligible patients. The copay cards essentially allow physicians to prescribe medications that are clinically preferred.

Is there a dabigatran etexilate Patient Assistance Program (PAP)?

Generic medications like dabigatran etexilate do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of dabigatran etexilate. You can search the brand name of dabigatran etexilate and check to see if a co-PAP exists. PAPs are programs that are run and sponsored by pharmaceutical companies. They offer uninsured, insured, or underinsured individuals access to high-cost brand-name medications, which may otherwise be unaffordable.

What should I do if I take too much dabigatran etexilate?

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

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US brand name of dabigatran etexilate and manufacturer

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

UK brand name of dabigatran etexilate and manufacturer

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

Is dabigatran etexilate available in the UK on the NHS?

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

Prescription requirement for dabigatran etexilate

dabigatran etexilate is a prescription medication and requires a prescription from a healthcare provider.

FDA approval of dabigatran etexilate

dabigatran etexilate 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 etexilate was approved based on the RE-LY trial, an international clinical trial involving 18,000 people.

Active ingredient of dabigatran etexilate and mechanism of action

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

Uses of dabigatran etexilate

dabigatran etexilate 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 etexilate works by inhibiting the action of thrombin, a protein involved in the blood clotting process. By preventing thrombin from functioning properly, dabigatran etexilate 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 etexilate 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 etexilate is used as a treatment to prevent the recurrence of DVT and PE in patients who have already experienced these conditions.
dabigatran etexilate is also indicated for the prophylaxis of DVT and PE following hip replacement surgery.

Forms of dabigatran etexilate

dabigatran etexilate 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 etexilate

The dosage of dabigatran etexilate 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 etexilate 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 etexilate

  • dabigatran etexilate 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 etexilate and increase the risk of bleeding
  • There is a higher risk of bleeding with dabigatran etexilate 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 etexilate 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 etexilate 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 etexilate. 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 etexilate

Common side effects of dabigatran etexilate 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 etexilate 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 etexilate. 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 etexilate. 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 etexilate. These drugs can also affect platelet function and increase the likelihood of bleeding complications
  • dabigatran etexilate is metabolized by the enzyme CYP3A4 in the liver. Taking strong CYP3A4 inhibitors, such as ketoconazole or ritonavir, can increase the levels of dabigatran etexilate in the body and increase the risk of bleeding
  • dabigatran etexilate 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 etexilate in the body and increase the risk of bleeding

Sources

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 in 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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