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Is the cost of your dofetilide 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 dofetilide 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 dofetilide?What can I do if I am uninsured and cannot afford my dofetilide?What can I do if I am insured with Medicare and cannot afford my dofetilide?Am I eligible for the Rx Advantage Card and how much does dofetilide cost without insurance?What will my out-of-pocket cost be for dofetilide when using the Rx Advantage Card?Is it legal for me to pay cash for dofetilide 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 dofetilide and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a dofetilide co-pay program?Is there a dofetilide Patient Assistance Program (PAP)?What should I do if I take too much dofetilide?What are the benefits of NowPatient?What is generic dofetilide?FDA approval of dofetilideActive ingredient of dofetilideUS brand name of dofetilide and manufacturerUK brand name of dofetilide and manufacturerPrescription requirement for dofetilideAvailability of dofetilide in the UK with NHS prescriptionConditions treated by dofetilideHow does dofetilide work?Forms of dofetilide availableDosage of dofetilideDirections for dofetilide useWarnings and precautions for dofetilideDrug interactions with dofetilideUse of dofetilide during pregnancyUse of dofetilide while breastfeedingPossible side effects of dofetilideSimilar drugs to dofetilideSourcesPeople 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 dofetilide?

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

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

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 dofetilide cost without insurance?

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

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

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

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

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

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

Generic dofetilide 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 dofetilide

Dofetilide is approved by the U.S. Food and Drug Administration (FDA) for the treatment of certain irregular heart rhythms, such as atrial fibrillation or atrial flutter.

Active ingredient of dofetilide

The active ingredient of dofetilide is dofetilide.

US brand name of dofetilide and manufacturer

Dofetilide is available in the US under the brand name Tikosyn. It is manufactured by Pfizer Inc.

UK brand name of dofetilide and manufacturer

In the UK, dofetilide is not marketed.

Prescription requirement for dofetilide

A prescription (Rx) is required for dofetilide in the US.

Availability of dofetilide in the UK with NHS prescription

Dofetilide is not available in the UK.

Conditions treated by dofetilide

Dofetilide is primarily used for the treatment of certain irregular heart rhythms, particularly atrial fibrillation or atrial flutter.

How does dofetilide work?

Dofetilide belongs to a class of medications known as antiarrhythmic drugs specifically a class III antiarrhythmic agent. It works by blocking certain electrical channels in the heart, which helps to restore and maintain a normal heart rhythm.
The main way dofetilide works is by blocking certain potassium channels in the heart. These channels, known as rapid delayed rectifier potassium channels, play a crucial role in the repolarization of cardiac cells. By blocking these channels, dofetilide prolongs the action potential duration and refractory period of the heart.
By prolonging the action potential duration, dofetilide helps to restore a regular rhythm in the heart. It does this by preventing certain abnormal electrical signals or impulses from rapidly firing and causing chaotic rhythms. This allows the heart to beat in a more coordinated and regular manner.

Forms of dofetilide available

Dofetilide is available in the form of oral capsules.

Dosage of dofetilide

The dosage of dofetilide may vary depending on the individual’s condition, medical history, and response to the medication. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for dofetilide use

Dofetilide should be taken exactly as directed by the healthcare provider. The medication is usually taken orally, with or without food. It is important to take dofetilide consistently and continue the prescribed treatment course.

Warnings and precautions for dofetilide

  • Dofetilide may cause certain side effects, including changes in heart rhythm, dizziness, and chest pain. It may also increase the risk of life-threatening ventricular arrhythmias. Close monitoring is necessary during treatment
  • One of the major concerns with dofetilide is the risk of a type of abnormal heart rhythm called torsades de pointes. Certain medications can increase this risk when taken together with dofetilide
  • If you have impaired renal function or your creatinine clearance falls below a certain threshold, taking dofetilide may be contraindicated. Additionally, if you have hypokalemia (low potassium levels), low magnesium levels or long QT syndrome, it is important to consult with your healthcare provider before starting dofetilide treatment. These pre-existing conditions can affect the safety and effectiveness of this medication in managing heart rhythm disorders
  • It is important to inform your healthcare provider about all the medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements. They can evaluate the potential adverse effects and make necessary adjustments to your treatment plan to ensure the safety and effectiveness of the medications

Drug interactions with dofetilide

 Some examples of medications that can interact with dofetilide include:

  • Taking dofetilide with other cardiovascular or antiarrhythmic drugs such as digoxin, and verapamil can increase the risk of developing abnormal heart rhythms
  • Cimetidine and trimethoprim-sulfamethoxazole can increase the levels of dofetilide in the blood, potentially leading to an increased risk of side effects
  • Diuretic medications such as furosemide and hydrochlorothiazide can lower potassium levels in the body. Low potassium levels can increase the risk of developing abnormal heart rhythms when combined with dofetilide
  • Macrolide antibiotics, such as erythromycin and clarithromycin, can interact with dofetilide and increase the risk of abnormal heart rhythms
  • Antifungal medications, such as ketoconazole and itraconazole, can interact with dofetilide and increase the risk of abnormal heart rhythms
  • Certain selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants can interact with dofetilide and increase the risk of abnormal heart rhythms

Use of dofetilide during pregnancy

The use of dofetilide during pregnancy should be carefully considered, and the potential risks and benefits should be discussed with a healthcare provider. The medication is generally not recommended during pregnancy unless the potential benefits outweigh the risks.

Use of dofetilide while breastfeeding

It is not known whether dofetilide passes into breast milk. The use of dofetilide while breastfeeding should be discussed with a healthcare provider, considering the potential risks and benefits for the mother and the infant.

Possible side effects of dofetilide

In clinical trials common side effects of dofetilide may include dizziness, headache, and abnormal taste sensations.
Serious side effects are possible but less common:

  • Dofetilide can cause a lengthening of the QT interval, which is a measurement of the electrical activity in the heart. QTC (QT prolongation) can increase the risk of a dangerous heart rhythm called torsades de pointes, which can lead to fainting or even sudden cardiac arrest
  • In some cases, dofetilide can trigger ventricular tachycardia, a rapid and potentially life-threatening heart rhythm originating from the lower chambers of the heart. This condition requires immediate medical attention

Similar drugs to dofetilide

Other antiarrhythmic medications used for the treatment of irregular heart rhythms include amiodarone, sotalol, and flecainide.

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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