DUONEB
Used for Chronic Bronchitis
NowPatient helps you obtain your DUONEB prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by Dey Pharma
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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DUONEB key facts
What is DUONEB?
DUONEB is the brand name for ipratropium bromide/albuterol sulfate and is available as an inhalation solution.
What dosages is DUONEB available in?
DUONEB is available as an inhalation solution that contains 3.0 mg of albuterol sulfate (equivalent to 2.5 mg (0.083%) of albuterol base) and 0.5 mg of ipratropium.
What is DUONEB used for?
DUONEB is a SAMA/SABA and is used to treat shortness of breath in people with chronic obstructive pulmonary disease (COPD) who need more than one bronchodilator.
How does DUONEB work?
DUONEB is a combination of two medications that work together to make it easier to breathe. Ipratropium is a short-acting muscarinic antagonist (SAMA), a type of anticholinergic medication. It works by blocking a chemical called acetylcholine from squeezing (tightening) the airways in your lungs. Albuterol is a short-acting beta-agonist (SABA). It works by relaxing the muscles in your lungs to open up your airways.
How do I take DUONEB?
DUONEB is typically given as 1 vial inhaled through the mouth by nebulization 4 times per day, and up to 2 additional doses (for a total maximum of 6 doses per day) if needed for wheezing or shortness of breath.
Is it safe for me to take DUONEB?
DUONEB 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 a history of hypersensitivity to any of its
components, or to atropine and its derivatives.
DUONEB Common Side Effects
Common side effects of DUONEB include:
- Lung problems
- Sore throat
- Chest pain
- Bronchitis
- Diarrhea
- Urinary tract infection
DUONEB Serious Side Effects
Serious side effects are rare with DUONEB. Contact your healthcare provider immediately if you experience any of the following.
- Serious allergic reaction: hives, swelling of your face, lips, or tongue, difficulty breathing
- Sudden narrowing of your airways: difficulty breathing, wheezing, chest pain or tightness, cough
- Heart problems: dizziness, fatigue, weakness, tremor, irregular heartbeat, worsening symptoms of heart problem you already have
Effects of other drugs, drug classes and over-the-counter products on DUONEB
The following medications may interact with DUONEB:
- Anticholinergic agents – Potential for an additive interaction with concomitantly used anticholinergic medications
- beta-adrenergic agents – Caution is advised in the co-administration of DUONEB and other sympathomimetic agents due to the increased risk of adverse cardiovascular effects
- beta-receptor blocking agents – May decrease the effects of albuterol
- Non-potassium sparing diuretics (such as loop or thiazide diuretics) – May cause electrocardiogram (ECG) changes and/or hypokalemia
- Monoamine oxidase inhibitors or tricyclic antidepressants – DUONEB should be administered with extreme caution to patients being treated with monoamine oxidase inhibitors or tricyclic antidepressants, or within 2 weeks of discontinuation of such agents because the action of albuterol sulfate on the cardiovascular system may be potentiated
Who makes DUONEB?
Dey Pharma
Is DUONEB safe in pregnancy?
It is not known if DUONEB will harm your unborn baby. If you become pregnant while receiving DUONEB, talk to your healthcare provider.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my DUONEB prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your DUONEB prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient DUONEB savings programs work?
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.
Are the NowPatient DUONEB savings programs suitable for everyone, regardless of insurance status?
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 DUONEB | Canadian Prescription Savings* for DUONEB | DUONEB Drug Coupon* | DUONEB 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.
Are the NowPatient drug savings programs suitable for brand and generic versions of DUONEB?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for DUONEB | Canadian Prescription Savings* for DUONEB | DUONEB Drug Coupon* | DUONEB 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.
If you have Medicare Part D or Medicare Advantage and none of the DUONEB savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the DUONEB 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 DUONEB, 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).
I am uninsured or underinsured and none of the DUONEB prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, DUONEB 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 DUONEB for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the DUONEB prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can 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, 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.
If I have federal, state or commercial insurance and none of the DUONEB 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?
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 DUONEB
If you are having trouble paying for your DUONEB 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 DUONEB you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- DUONEB 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 DUONEB
- If DUONEB 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 DUONEB
If you are having trouble paying for your DUONEB medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for DUONEB 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 DUONEB
- If DUONEB 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 DUONEB
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 DUONEB 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 DUONEB you will need to meet the following criteria:
- You must be currently insured and have coverage for DUONEB
- 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.
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 on 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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