Question 1

How can I lower the cost of my duloxetine

Accepted Answer

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

Question 2

What dosages is duloxetine available in?

Accepted Answer

duloxetine is available as a 20 mg, 30 mg, and 60 mg delayed-release oral capsule.

Question 3

What is duloxetine used for?

Accepted Answer

duloxetine is an SNRI used for major depressive disorder in adults, generalized anxiety disorder in people age 7 years and older, diabetic neuropathy (nerve pain caused by high blood sugar) in adults, fibromyalgia in adults (brand duloxetine approved for people age 13 years and older), and long-term muscle pain in adults.

Question 4

How does duloxetine work?

Accepted Answer

duloxetine is a serotonin and norepinephrine reuptake inhibitor (SNRI). It’s thought to help improve mood and pain by raising the level of chemicals called serotonin and norepinephrine in your brain.

Question 5

How do I take duloxetine?

Accepted Answer

duloxetine is typically ranges in dose from 30 mg to 60 mg by mouth once daily. Sometimes, your physician might divide your total daily dose into two smaller doses to be taken twice daily.

Question 6

Is it safe for me to take duloxetine?

Accepted Answer

duloxetine 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. You should not use this medication if you have taken an MAOI within the past 14 days or are currently being treated with linezolid or intravenous methylene blue.

Question 7

duloxetine Common Side Effects

Accepted Answer

Common side effects of duloxetine include:  Nausea Headache Dry mouth Drowsiness Trouble sleeping Feeling tired Constipation Dizziness Diarrhea Low appetite Excessive sweating Stomach pain

Question 8

duloxetine Serious Side Effects

Accepted Answer

Serious side effects are rare with duloxetine. Contact your healthcare provider immediately if you experience any of the following.  Suicidal thoughts or behaviors Serotonin syndrome: restlessness, fast heartbeat, diarrhea, nausea, vomiting, feeling very warm, abnormal eye movements, loss of balance, fever, muscle spasms, tremors Severe skin reaction: blisters, peeling rash, sores Liver damage: nausea, vomiting, loss of appetite, severe stomach pain, yellowing of skin or eyes

Question 9

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

Accepted Answer

The following medications may interact with duloxetine:  Potent inhibitors of CYP1A2 should be avoided Potent inhibitors of CYP2D6 may increase duloxetine concentrations

Question 10

Who makes duloxetine?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is duloxetine safe in pregnancy?

Accepted Answer

duloxetine use during the third trimester use may increase risk for symptoms of poor adaptation (respiratory distress, temperature instability, feeding
difficulty, hypotonia, tremor, irritability) in the unborn baby. There is a pregnancy exposure registry that monitors the pregnancy outcomes in women exposed to antidepressants, including duloxetine, during pregnancy. Healthcare providers are encouraged to register patients by contacting the National Pregnancy Registry for Antidepressants at 1-866-961-2388 or online at
women’s health

Question 12

What is the brand name for duloxetine?

Accepted Answer

CYMBALTA

Question 13

How can NowPatient help me to lower the cost of my duloxetine 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 duloxetine prescription

Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient duloxetine 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.

Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.

Question 15

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

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for duloxetine	Canadian Prescription Savings* for duloxetine	duloxetine Drug Coupon*	duloxetine 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 duloxetine savings options are applicable or affordable for me, what can you do?

Accepted Answer

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

Accepted Answer

If you are uninsured or underinsured (for example, duloxetine 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 duloxetine 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 duloxetine 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 duloxetine 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 duloxetine

If you are having trouble paying for your duloxetine 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 duloxetine you will need to meet one or all of the following criteria:

Your income is below 400% of the federal poverty level
duloxetine 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 duloxetine
If duloxetine 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 duloxetine

If you are having trouble paying for your duloxetine medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for duloxetine 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 duloxetine
If duloxetine 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 duloxetine

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 duloxetine 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 duloxetine you will need to meet the following criteria:

You must be currently insured and have coverage for duloxetine
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.