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Is the cost of your dexamethasone 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 dexamethasone 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 dexamethasone?What can I do if I am uninsured and cannot afford my dexamethasone?What can I do if I am insured with Medicare and cannot afford my dexamethasone?Am I eligible for the Rx Advantage Card and how much does dexamethasone cost without insurance?What will my out-of-pocket cost be for dexamethasone when using the Rx Advantage Card?Is it legal for me to pay cash for dexamethasone 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 dexamethasone and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a dexamethasone co-pay program?Is there a dexamethasone Patient Assistance Program (PAP)?What should I do if I take too much dexamethasone?What are the benefits of NowPatient?What is generic dexamethasone?FDA approval of dexamethasoneActive ingredient of dexamethasoneUS brand name of dexamethasone and manufacturerUK brand name of dexamethasone and manufacturerPrescription requirement for dexamethasoneAvailability of dexamethasone in the UK with NHS prescriptionConditions treated by dexamethasoneHow does dexamethasone work?Forms of dexamethasone availableDosage of dexamethasoneDirections for dexamethasone useWarnings and precautions for dexamethasoneUse of dexamethasone if pregnant or planning pregnancyPossible side effects of dexamethasoneDrug interactions of dexamethasoneSimilar drugs to dexamethasoneSourcesPeople also asked
Navin Khosla NowPatientGreen tick
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 dexamethasone?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing dexamethasone 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 dexamethasone 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 dexamethasone?

If you cannot afford the cash price of dexamethasone 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 dexamethasone 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 dexamethasone?

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 dexamethasone cost without insurance?

Our website gives savings options to customers who wish to purchase dexamethasone, 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 dexamethasone when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for dexamethasone 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 dexamethasone 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 dexamethasone cash price you pay can be typically cheaper than your plan copay.

How do I check prices for dexamethasone 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 dexamethasone 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 dexamethasone co-pay program?

Generic medications like dexamethasone do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of dexamethasone. You can search the brand name of dexamethasone 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 dexamethasone Patient Assistance Program (PAP)?

Generic medications like dexamethasone do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of dexamethasone. You can search the brand name of dexamethasone 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 dexamethasone?

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using dexamethasone. 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 dexamethasone. 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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What is generic dexamethasone?

Generic dexamethasone refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of dexamethasone

Dexamethasone is approved by the U.S. Food and Drug Administration (FDA) for various indications, including the treatment of inflammatory and immune-related conditions.

Active ingredient of dexamethasone

The active ingredient of dexamethasone is dexamethasone.

US brand name of dexamethasone and manufacturer

Dexamethasone is available in the US under various brand names, including Decadron and DexPak. The manufacturers may vary depending on the brand names.

UK brand name of dexamethasone and manufacturer

In the UK, dexamethasone is available under various brand names, including Dexafree, Dropodex, Eythalm, Maxidex. The manufacturer may vary depending on the brand name.

Prescription requirement for dexamethasone

A prescription (Rx) is required for dexamethasone in both the US and the UK.

Availability of dexamethasone in the UK with NHS prescription

Dexamethasone is available in the UK with an NHS prescription.

Conditions treated by dexamethasone

Here are some of the conditions that dexamethasone is used to treat:

  • Inflammatory conditions: Dexamethasone is often prescribed to reduce inflammation in the body. It can be used to treat conditions like arthritis, bursitis, tendinitis, and other inflammatory joint disorders
  • Allergic reactions: Dexamethasone is effective in managing severe allergic reactions, including allergic rhinitis, asthma, and severe allergic skin reactions like hives or angioedema
  • Asthma: As an anti-inflammatory medication, dexamethasone can help control and prevent asthma attacks by reducing inflammation in the airways
  • Autoimmune disorders: Dexamethasone is frequently used in the treatment of various autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus (SLE), and multiple sclerosis
  • Organ transplants: After an organ transplant, dexamethasone is commonly prescribed to suppress the immune system and prevent the body from rejecting the new organ
  • Cancer: In cancer treatment, dexamethasone can be used to manage symptoms like nausea, vomiting, and swelling caused by chemotherapy drugs. It may also be used to alleviate symptoms of certain types of cancer

How does dexamethasone work?

Dexamethasone belongs to a class of medications called steroids (also known as corticosteroids or glucocorticoids). It works by reducing inflammation and suppressing the immune response in the body. This helps alleviate symptoms associated with inflammatory and immune-related conditions.

Forms of dexamethasone available

Dexamethasone is available in various forms, including oral tablets, injections, and eye/ear drops.

Dosage of dexamethasone

The dosage of dexamethasone may vary depending on the specific condition being treated, the severity of the condition, and other individual factors. It is important to follow the recommended dosage instructions the healthcare provider provides.
If you take dexamethasone once a day and miss a dose, take it as soon as you remember. If you do not remember until the following day, skip the missed dose and take the next one at the usual time.
If you take it 2 or 3 times a day, take the missed dose as soon as you remember, unless it’s less than 2 hours until your next dose. In this case, skip the missed dose and take the next one as normal.
Do not take a double dose to make up for a forgotten one.

Directions for dexamethasone use

Dexamethasone should be taken or administered as directed by the healthcare provider. The specific instructions may include the timing of administration, dosage adjustments, and any necessary precautions.
Store dexamethasone tablets at room temperature away from moisture and heat.

Warnings and precautions for dexamethasone

  • Dexamethasone should be used with caution and under the supervision of a healthcare provider, as it can have potential side effects and interactions with other medications
  • Abrupt discontinuation of dexamethasone should be avoided, and the dosage should be gradually tapered off as directed by the healthcare provider
  • Taking dexamethasone tablets or liquid can mean you’re more likely to get infections. Tell your doctor if you get an infection, such as coronavirus (COVID-19), or if you come into contact with anyone who has measles, chickenpox or shingles while you’re taking dexamethasone
  • Always inform your healthcare provider about all the medications you are taking, including prescription, over-the-counter, and herbal supplements, to ensure safe and effective treatment

Use of dexamethasone if pregnant or planning pregnancy

The use of dexamethasone during pregnancy and breastfeeding should be discussed with a healthcare provider. The potential benefits and risks should be evaluated on an individual basis.

Possible side effects of dexamethasone

In clinical trials some common adverse effects of dexamethasone included:

  • Dexamethasone can stimulate appetite, leading to increased food intake and potential weight gain
  • This medication can cause fluid retention, leading to swelling in the hands, feet, or lower legs
  • Dexamethasone can interfere with sleep patterns, causing difficulty falling asleep or staying asleep
  • Some individuals may experience mood changes, irritability, or increased anxiety while taking dexamethasone
  • Dexamethasone can elevate blood sugar levels, which may be problematic for individuals with diabetes or prediabetes
  • Prolonged use of dexamethasone can weaken bones and increase the risk of osteoporosis or fractures
  • Dexamethasone can suppress the immune system, making individuals more susceptible to infections and delaying wound healing
  • Dexamethasone may cause stomach irritation, leading to symptoms such as indigestion, nausea, or stomach ulcers
  • Some individuals may experience skin reactions such as rash, itching, or acne while taking dexamethasone
  • Long-term use of dexamethasone can increase the risk of developing cataracts or glaucoma
  • Dexamethasone can disrupt hormone levels in the body, leading to menstrual irregularities or changes in libido
  • Prolonged use of dexamethasone can suppress the function of the adrenal glands, which may result in adrenal insufficiency when the medication is discontinued abruptly

Long-term use or high doses of dexamethasone can lead to serious side effects. It is important to promptly report any concerning symptoms to a healthcare provider.

Drug interactions of dexamethasone

Dexamethasone may interact with the following medications:

  • Taking dexamethasone with NSAIDs (Nonsteroidal Anti-inflammatory Drugs) such as ibuprofen or aspirin may increase the risk of gastrointestinal bleeding or ulcers
  • Dexamethasone can reduce the effectiveness of medicines to treat heart and blood problems, such as warfarin, high blood pressure medicine and water tablets (diuretics)
  • Dexamethasone may raise blood glucose levels, potentially counteracting the effects of antidiabetic medications. Dose adjustments may be necessary
  • Dexamethasone can weaken the immune system, potentially reducing the effectiveness of vaccines. It is advisable to consult with your healthcare provider before receiving any vaccinations
  • Dexamethasone may reduce the efficacy of certain antifungal medications like ketoconazole or itraconazole. Dose adjustments may be needed. You should not use dexamethasone if you have a fungal infection anywhere in your body
  • Dexamethasone can decrease the effectiveness of anticonvulsant medications like phenytoin or carbamazepine. Frequent monitoring and dosage adjustments may be required
  • Dexamethasone can interact with certain antibiotics, such as rifampin, erythromycin, and clarithromycin. These antibiotics can increase the metabolism of dexamethasone, leading to reduced effectiveness. Your healthcare provider may need to adjust the dosage of dexamethasone or switch to a different antibiotic
  • Dexamethasone can decrease the effectiveness of estrogen-containing medications, such as oral contraceptives or hormone replacement therapy. It is important to discuss alternative contraception methods with your healthcare provider if you are taking dexamethasone
  • Dexamethasone can increase the loss of potassium from the body. When combined with medications that also cause potassium loss, such as diuretics or certain asthma medications, it can lead to dangerously low potassium levels. Regular monitoring of potassium levels may be required
  • Dexamethasone can weaken the immune system, which may reduce the effectiveness of live vaccines. It is recommended to consult with your healthcare provider before receiving any live vaccines
  • Dexamethasone can interact with other medications that affect the immune system, such as immunosuppressants or immunomodulatory drugs. These interactions can lead to decreased effectiveness of both medications or increased risk of side effects. Close monitoring and dosage adjustments may be necessary when using dexamethasone with other immune-modulating medications

Similar drugs to dexamethasone

Other corticosteroid medications, such as prednisone and hydrocortisone, may be used as alternatives to dexamethasone for the treatment of inflammatory and immune-related conditions.

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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