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Lower the Cost of Your Envarsus XR Prescription
- Option 2
Telehealth Visit
Connect with licensed clinicians via secure online video consultations. Get prescriptions, medication refills, and expert medical advice from home. Fast, affordable virtual healthcare delivered straight to your door.
UnavailableUnavailable - Option 3
Rx Advantage Card
Our savings card can be used in over 65,000 pharmacies and could save you up to 90% on the cost of your medication. Suitable for insured, underinsured and uninsured individuals. This is not health insurance and cannot be used in conjunction with insurance.
- Option 4
Patient Assistance Programs
Patient assistance programs (PAPs) are sponsored by pharmaceutical companies and can mean you can obtain your medications at no cost to you. Suitable for insured, underinsured and uninsured individuals who are financially constrained.
UnavailableUnavailable - Option 5
Drug Coupons
For those who are commercially insured, drug manufacturer coupons can help reduce your out-of-pocket costs. Eligible for commercially insured only.
UnavailableUnavailable
VIRTUAL HEALTHCARE
What to Expect From Your Online Video Consultation
How do I check if I’m eligible for a video consultation?
Video consultations are suitable for most patients who do not need a physical examination. They may not be appropriate if you require hands-on physical examination or need laboratory tests that cannot be done remotely. Video consultations are not a substitute for your regular doctor if you have a serious or life-threatening condition.
How do I complete my health profile?
Before booking, ensure your health profile is up to date. Your clinician will use this information to provide safe, personalised care. You may need to provide current medications and supplements, known allergies and adverse reactions, existing medical conditions, previous surgeries or hospitalisations, family medical history (where relevant), current symptoms or health concerns, height and weight (for BMI calculation), and blood pressure readings (where required).
How do I check my device is ready for a video consultation?
Make sure NowPatient has permission to access your camera and microphone, you have a stable internet or Wi-Fi connection, and you are using a compatible smartphone, tablet, or PC.
How do I select a service?
Log in to your NowPatient account and navigate to the relevant Service Card on your homepage. Follow the prompts for the service you need (e.g., NHS Pharmacy First, Weight Loss, Buying Treatments Online). Please remember, some services have eligibility requirements before you can book a consultation.
How do I choose a date for my appointment?
Select your preferred consultation date. You can add notes at this stage to help the clinician prepare for your session. Click Continue.
How do I choose a time for my appointment?
Select your preferred appointment time from the available slots and click Continue. Slots are available up to 7 days in advance.
How do I choose a clinician?
Browse available clinicians trained for your chosen service. You can filter by gender or spoken languages. Each clinician's full name, licence number, and specialist credentials are displayed. Select your preferred clinician and click Continue.
How do I review my booking?
Check the summary of your appointment and read the Pre-consultation Requirements for tips on how to prepare. Click Continue.
What safety information do I need to provide?
Enter your consultation address (where you will be during the call) and emergency contact details. You can also opt in to receive an SMS reminder 30 minutes before your appointment.
How do I confirm my booking?
Click Confirm Booking. You will receive an in-app confirmation pop-up, push and in-app notifications, and a confirmation email with details of what to expect.
How do I take my blood pressure via the app?
Some services require a recent blood pressure reading before your consultation. If prompted, open the blood pressure tool in the NowPatient app, read and agree to the disclaimer, enter your age, height, and gender, and follow the on-screen instructions. The tool uses your smartphone's front-facing camera — no cuff or wearable required. Classified as a Class I Medical Device (CE and UKCA certified). Available on iOS and Android only.
How do I join my video consultation?
At your scheduled time, open the NowPatient app and join your consultation.
How does identity verification work?
Your clinician will introduce themselves and verify your identity. Please have your ID ready.
What declarations do I need to confirm?
You will be reminded that you must complete the consultation for yourself, disclose all medical conditions, illnesses, and operations, disclose all prescription medications you are currently taking, and provide accurate and honest responses throughout. Withholding or providing false information can severely harm your health.
What happens during my clinical assessment?
Your clinician will carry out an assessment relevant to your chosen service. Depending on the service, this may lead to issuance of a prescription (added to your cart), guided counselling, discussion of test results, or general health advice.
What does it mean to consent to inform my doctor?
With your consent, your clinician may inform your regular doctor of the consultation outcome. NowPatient strongly recommends agreeing to this, as your GP is responsible for your overall care.
How will I receive my post-consultation summary?
You will receive a notification summarising the outcome of your appointment, any referrals made to your doctor, and any advice given by your clinician. If a referral letter was issued, you can view it in the Documents section of your account.
How do I complete my order if treatment was prescribed?
If your clinician prescribed a treatment, go to your Cart, complete any payment exemptions (such as NHS Exemption Declaration if applicable), select Checkout, choose your delivery address and method, confirm your billing address, review your order and submit payment. Your order will be sent to NowPatient’s licensed online pharmacy for processing and dispatch.
How do I complete the feedback survey?
You may receive a short survey about your experience. NowPatient encourages all patients to complete it — your feedback helps improve the service for everyone.
How do I cancel a video consultation, and what happens if I miss my appointment?
To cancel an appointment:
Go to the Consultations section of your account.
Select Upcoming Consultations.
Choose the appointment you wish to cancel.
Click Cancel and confirm.
Please cancel at least 24 hours in advance.
Missed appointments: After two missed appointments, your booking rights will be temporarily revoked. Contact the NowPatient support desk if you believe this was applied in error.
How do I contact NowPatient for help and support?
Contact Method | Details |
UK Phone | +44 20 388 51 500 |
US Phone | 1-866-967-1977 |
Hours (UK) | Monday–Friday, 9am–6pm GMT |
Hours (US) | Monday–Friday, 8am–5pm EST |
Support |
HOW IT WORKS
Common Questions About This Service
How does NowPatient help with medication costs?
NowPatient offers five different ways to reduce the cost of your Envarsus XR prescription. Each program works differently and has its own eligibility rules. The FAQs below explain what each option is, how to find out whether it is available for Envarsus XR, and exactly how to use it.
How do I know which savings option is right for me?
Not sure which option to choose? Here is a quick guide:
- Uninsured or any insurance, want instant savings → Rx Advantage Card (Option 3)
- Commercially insured, brand-name drug → Drug Coupon (Option 5)
- Uninsured and low income → Patient Assistance Program (Option 4)
- US patient, want to compare international prices → Canadian Rx Savings (Option 1)
- Need a prescription or want clinical advice → Telehealth Visit (Option 2)
What is Canadian Rx Savings and how does it work?
What is the Canadian Rx Savings program?
Canadian Rx Savings connects you with Prescription Help, a licensed Canadian pharmacy partner. Because prescription drug prices in Canada are regulated by the government, many medications cost significantly less than they do in the United States — sometimes 50–80% less for the same brand-name drug.
Is Canadian Rx Savings available for Envarsus XR?
Availability depends on whether Prescription Help currently stocks Envarsus XR and can ship it to your location. On the Envarsus XR page you will see the Canadian Rx Savings panel showing either a price and available options, or the message 'Medication not available'. If it shows as unavailable you can check back at a later date, as stock changes regularly.
How do I use Canadian Rx Savings?
If Canadian Rx Savings is shown as available for Envarsus XR, follow these steps:
- Click the Canadian Rx Savings option on the Envarsus XR page.
- You will be directed to the NowPatient Canadian Rx Savings price comparison tool.
- Enter your medication details and dosage to see the price available through Prescription Help.
- If you wish to proceed, you should open a NowPatient account.
- Add the medication to your Cart and complete the checkout process.
- A valid US prescription is required.
- Prescription Help will process and ship your order from a licensed Canadian pharmacy.
- Delivery is typically by tracked international mail. Shipping times vary but are typically 7–10 working days.
Who is eligible for Canadian Rx Savings?
Canadian Rx Savings is suitable for US residents regardless of insurance status — insured, underinsured, or uninsured. It cannot be used in combination with Medicare or Medicaid. You must have a valid prescription issued by a licensed US physician.
What is a Telehealth Visit and how does it work?
What is a Telehealth Visit?
A Telehealth Visit allows you to consult with a licensed clinician via a secure online video call — from your home, on your schedule. Clinicians can assess your condition, issue or renew prescriptions, advise on your treatment, and in some cases prescribe more cost-effective alternatives to expensive brand-name drugs.
Is the Telehealth Visit available for Envarsus XR?
On the Envarsus XR page, the Telehealth Visit panel will display either a booking option or show as 'Unavailable'. Telehealth availability for specific medications is subject to clinician scope of practice and clinical suitability. If it shows as unavailable for Envarsus XR specifically, other savings options on the page may still apply.
How do I book a Telehealth Visit?
If Telehealth is shown as available, follow these steps:
- Create a NowPatient Account.
- Search for your medication.
- If available, click the Telehealth Visit option on the Envarsus XR savings page.
- Select a date and time that suits you from the available appointment slots.
- Join your video consultation at the scheduled time using the secure NowPatient platform.
- The clinician will review your case and, if clinically appropriate, issue or renew your prescription.
- Your prescription will be dispensed directly through NowPatient.
Who is eligible for a Telehealth Visit?
Telehealth visits are available to US residents. You do not need insurance to book a consultation. Fees vary by clinician and appointment type. The service is not a substitute for emergency care.
What is the Rx Advantage Card and how does it work?
What is the Rx Advantage Card?
The NowPatient Rx Advantage Card is a free prescription savings card that can reduce the cost of medications by up to 90% at more than 65,000 participating pharmacies across the United States, including major chains such as CVS, Walgreens, Walmart, Rite Aid, and Kroger. It is not health insurance — it is a discount program that negotiates lower prices directly with pharmacies on your behalf.
Is the Rx Advantage Card available for Envarsus XR?
The Rx Advantage Card is available for the vast majority of FDA-approved medications including generics. You can check the exact price at your preferred pharmacy by using the Rx Advantage Card pharmacy price checker on NowPatient. The discount amount will vary by pharmacy and location.
How do I use the Rx Advantage Card?
- Visit the Rx Advantage Card section on the Envarsus XR page and click 'Save up to 90%'.
- Use the pharmacy price checker to find the lowest Envarsus XR price near you.
- Download or print your free Rx Advantage Card from NowPatient — no registration required.
- Present the card at the pharmacy counter when collecting your prescription. You can also show it on your phone, from your NowPatient documents section of the app.
- The discounted price is applied immediately at the point of dispensing.
- The card can be used repeatedly for all your prescriptions — it never expires.
Who is eligible for the Rx Advantage Card?
The Rx Advantage Card is available to anyone in the United States — insured, underinsured, or uninsured. It is particularly useful for patients who have not yet met their insurance deductible, whose insurance does not cover a particular drug, or who simply want to compare prices before using their insurance. It cannot be used together with insurance at the point of sale. The Rx Advantage Card is NOT insurance.
What are Patient Assistance Programs (PAPs) and how do they work?
What is a Patient Assistance Program?
Patient Assistance Programs (PAPs) are charitable programs run by pharmaceutical manufacturers. They provide eligible patients with their prescribed medications at little or no cost. PAPs are designed for people who are uninsured, underinsured, or who cannot otherwise afford their medication, regardless of whether a generic is available.
Is a PAP available for Envarsus XR?
PAP availability for Envarsus XR depends on which manufacturer is sponsoring the program and whether a qualifying program currently exists for this molecule. On the Envarsus XR savings page the PAP panel will either show available program details or display 'Unavailable'. Because Envarsus XR is available as a generic from multiple manufacturers, a branded PAP (e.g., for Emend) may exist even when the generic panel shows as unavailable.
You can also check by visiting the NowPatient PAP eligibility checker:
How do I apply for a Patient Assistance Program?
- Click the PAP option on the Envarsus XR savings page, or use the PAP eligibility checker linked above.
- Enter your medication name, dosage, household income, and insurance status.
- NowPatient will display any matching PAP programs and their eligibility criteria.
- Each program has its own application process. NowPatient provides direct links and guidance for each one.
- You will typically need to provide proof of income, proof of residency, and a completed enrollment form signed by your prescribing physician.
- Once approved, medication is usually shipped directly to your physician's office or your home at no charge.
- Approval timelines vary by manufacturer — typically 2 to 6 weeks.
- NowPatient can refer you to its PAP partner should you wish to pay them to handle the paperwork and submission.
Who is eligible for a Patient Assistance Program?
Eligibility varies by program but common criteria include:
- US residency
- Uninsured, underinsured, or unable to afford cost-sharing
- Household income below a specified threshold (often 200–400% of the federal poverty level)
- Valid prescription from a licensed US physician
Some programs also accept patients whose insurance does not cover the prescribed medication. Medicare and Medicaid patients may be eligible for certain programs. Always check the individual program's terms.
What are Drug Coupons and how can they help me lower the cost of my medication?
What are Drug Coupons?
Drug coupons (also called manufacturer copay cards or copay assistance programs) are issued by pharmaceutical companies to help commercially insured patients reduce their out-of-pocket costs. They work like a secondary payer — the coupon covers part or all of your insurance copay or coinsurance, so you pay less or even nothing at the pharmacy.
Are Drug Coupons available for Envarsus XR?
Drug coupon availability is linked to manufacturer programs. Generic medications often do not have manufacturer coupons, whereas branded versions may. On the Envarsus XR savings page, the Drug Coupons panel will show either a coupon offer or display 'Unavailable'. You can also check via the NowPatient drug coupons eligibility checker:
Search Drug Coupons for Envarsus XR
If no coupon is available for generic Envarsus XR, you may wish to check whether a coupon exists for the brand.
How do I use a Drug Coupon?
- Click the Drug Coupons option on the Envarsus XR savings page, or use the eligibility checker linked above.
- Confirm your commercial insurance status — coupons cannot be used with Medicare, Medicaid, or other government-funded insurance.
- If a coupon is available, you will receive a coupon code or savings card either digitally or by mail.
- Present the coupon at the pharmacy alongside your prescription and insurance card.
- The pharmacy will bill your insurance first, then apply the coupon to reduce or eliminate your remaining copay.
- Some coupons apply automatically via your pharmacy's system — no card needed.
Who is eligible for Drug Coupons?
Drug coupons are strictly for patients with commercial (private) health insurance. They cannot legally be used by patients covered under:
- Medicare Part D
- Medicaid
- Any other government-funded health programme
This restriction is set by the manufacturers themselves in compliance with federal anti-kickback laws. Uninsured patients should use the Rx Advantage Card or Patient Assistance Program options instead.
More great savings
View Related Generics
MEDICAL INFORMATION
Envarsus XR Key Facts
What is Envarsus XR?
Envarsus XR is the brand name for tacrolimus and is available as an extended-release tablet formulation.
What dosages is Envarsus XR available in?
Envarsus XR is available in the strengths 0.75 mg, 1 mg, and 4 mg oral extended-release tablets. It is created with proprietary MeltDose® technology to improve the release and absorption of tacrolimus over 24 hours.
What is Envarsus XR used for?
Envarsus XR is indicated for the prophylaxis of organ rejection in de novo kidney transplant patients in combination with other immunosuppressants.
Envarsus XR is also indicated for the prophylaxis of organ rejection in kidney transplant patients converted from tacrolimus immediate-release formulations in combination with other immunosuppressants.
How does Envarsus XR work?
Envarsus XR is a once-daily, extended-release version of tacrolimus, a medication used to prevent organ rejection in kidney transplant patients. It belongs to a class of drugs called calcineurin inhibitors, which work by suppressing the immune system. It contains the active ingredient tacrolimus.
Mechanism of Action
Tacrolimus blocks an enzyme called calcineurin, which is essential for activating T-cells, the white blood cells that can attack a transplanted organ. It does this by binding to a protein called FKBP12, forming a complex that stops calcineurin from working. This reduces the production of interleukin-2 and other signals needed for T-cell activity, lowering the risk of rejection.
Unique Technology
Envarsus XR uses MeltDose® technology to improve how tacrolimus is absorbed in the body. This helps the drug dissolve better in the gut, providing smoother, more consistent levels of the drug in the bloodstream over time.
How do I take Envarsus XR?
Envarsus XR is taken once daily, usually in the morning, and should be taken at the same time each day to maintain steady levels in the bloodstream. It must be taken on an empty stomach, either at least one hour before or two hours after a meal, since food can affect how the medication is absorbed. The tablet should be swallowed whole with a glass of water and should never be crushed, chewed, or split, as this would interfere with its extended-release properties.
Patients taking Envarsus XR should avoid grapefruit and grapefruit juice, which can alter how the drug is processed in the body and increase the risk of side effects. It’s important not to miss doses, but if a dose is missed and it’s close to the time for the next one, the missed dose should be skipped, never doubled. Regular blood tests are necessary to monitor tacrolimus levels and adjust the dose as needed. Doctors may also check kidney function, liver enzymes, and other lab values to ensure the medication remains safe and effective.
Envarsus XR is not interchangeable with other forms of tacrolimus, such as Prograf or Astagraf XL. If switching from another formulation, the healthcare provider will carefully determine a new dose. Always follow your doctor’s instructions closely and do not make any changes without medical advice.
Is it safe for me to take Envarsus XR?
Envarsus XR is generally safe when used exactly as prescribed and closely monitored by a healthcare provider. It is an FDA-approved medication commonly used to prevent organ rejection in kidney transplant patients.
However, it has a narrow therapeutic range, meaning the difference between an effective dose and a harmful one is small. Because of this, patients need regular blood tests to monitor tacrolimus levels, as well as kidney, liver, and other health markers. While effective, Envarsus can cause side effects such as kidney toxicity, high blood pressure, high blood sugar or new-onset diabetes, increased risk of infections due to immune suppression, tremors, headaches, or in rare cases, increased risk of certain cancers like skin cancer and lymphoma.
It may not be suitable for individuals with severe liver problems, a history of tacrolimus intolerance, or those taking certain interacting medications. Despite these risks, when taken under strict medical supervision with proper follow-up, Envarsus XR can be a safe and vital part of transplant care.
Envarsus XR Common Side Effects
Common side effects of Envarsus XR (tacrolimus extended-release) can affect several body systems, particularly because the drug suppresses the immune system. While not everyone experiences them, the following are frequently reported:
General & Metabolic
- Headache
- Fatigue or weakness
- Fever
- Insomnia
Kidney-Related
- Increased creatinine levels (a sign of reduced kidney function)
- Decreased urine output
- Swelling (edema)
Cardiovascular
- High blood pressure (hypertension)
- Fast heart rate (tachycardia)
Blood Sugar & Metabolism
- High blood sugar (hyperglycemia)
- New-onset diabetes after transplant (NODAT)
Neurological
- Tremors (shakiness)
- Numbness or tingling
- Dizziness
Gastrointestinal
- Diarrhea
- Nausea or vomiting
- Abdominal pain
- Constipation
Immune & Infections
- Increased risk of infections due to immune suppression
- Upper respiratory infections
- Urinary tract infections (UTIs)
Lab Abnormalities
- Elevated potassium (hyperkalemia)
- Low magnesium (hypomagnesemia)
- Abnormal liver enzymes
If you experience any of these side effects, especially tremors, sleep disturbances, or signs of kidney issues, it’s important to contact your doctor.
Envarsus XR Serious Side Effects
Serious side effects of Envarsus XR (tacrolimus extended-release) are less common but potentially life-threatening. These effects often require immediate medical attention and may lead to hospitalization or changes in treatment. Here are the most important ones to be aware of:
Kidney Damage (Nephrotoxicity)
Tacrolimus can cause significant damage to the kidneys, especially at high levels. Signs include reduced urine output, swelling, elevated creatinine, or electrolyte imbalances.
Serious Infections
Because Envarsus suppresses the immune system, it increases the risk of severe infections, including:
- Opportunistic infections (e.g., CMV, BK virus)
- Fungal infections (e.g., aspergillosis)
- Bacterial sepsis
Symptoms may include fever, chills, cough, or confusion.
Neurotoxicity
High tacrolimus levels can cause:
- Seizures
- Severe tremors
- Confusion or delirium
- Speech or coordination problems
New-Onset Diabetes After Transplant (NODAT)
Envarsus can impair blood sugar control, leading to diabetes, especially in those with risk factors.
High Blood Pressure and Heart Issues
It can cause severe hypertension, arrhythmias, or even heart failure in some patients.
Liver Damage (Hepatotoxicity)
May result in elevated liver enzymes or liver dysfunction. Symptoms include jaundice (yellowing of the skin/eyes), dark urine, or abdominal pain.
Cancer Risk
Long-term use increases the risk of certain cancers, particularly:
- Lymphoma (Post-transplant lymphoproliferative disorder, or PTLD)
- Skin cancer (especially with sun exposure)
Anaphylaxis or Allergic Reactions
Rare but serious allergic responses can occur, including rash, swelling, difficulty breathing, or anaphylactic shock.
Important:
These risks are why regular blood monitoring, kidney and liver function tests, and clinical evaluations are critical while taking Envarsus XR. If you experience symptoms like severe fatigue, mental changes, unusual bruising, persistent fever, or difficulty breathing, seek medical attention immediately.
Effects of other drugs, drug classes and over-the-counter products on Envarsus XR
Envarsus XR (tacrolimus extended-release) has many potential drug and food interactions that can significantly affect its levels in the body. Because it has a narrow therapeutic window, even small changes in absorption or metabolism can lead to serious side effects or reduced effectiveness.
1. Drugs That Increase Tacrolimus Levels, which in turn increase the risk of toxicity. The following drug classes inhibit CYP3A enzymes, which slows the breakdown of tacrolimus:
- Antifungals: ketoconazole, itraconazole, fluconazole, voriconazole
- Macrolide antibiotics: erythromycin, clarithromycin
- HIV protease inhibitors: ritonavir, lopinavir
- Calcium channel blockers: diltiazem, verapamil
- Grapefruit and grapefruit juice (a strong CYP3A4 inhibitor)
2. Drugs That Decrease Tacrolimus Levels. The following drug classes induce CYP3A enzymes, speeding up tacrolimus metabolism:
- Anticonvulsants: phenytoin, carbamazepine, phenobarbital
- Rifampin (an antibiotic used for tuberculosis)
- St. John’s Wort (an herbal antidepressant)
3. Drugs That Increase Risk of Side Effects:
- NSAIDs (like ibuprofen, naproxen): increase kidney risk
- Other nephrotoxic drugs: aminoglycosides, amphotericin B, cisplatin
- Diuretics: may worsen electrolyte disturbances (especially potassium and magnesium)
- ACE inhibitors/ARBs: may increase risk of high potassium and kidney issues
- Statins: increase risk of muscle toxicity (rhabdomyolysis) when used with tacrolimus
4. Vaccines
Live vaccines (like MMR, varicella, or yellow fever) should be avoided during treatment, as the immune system is suppressed and response may be inadequate or dangerous.
5. Food Interactions
Grapefruit and grapefruit juice should be completely avoided.
High-fat meals can affect absorption and may delay or reduce drug levels.
Always take Envarsus XR on an empty stomach (1 hour before or 2 hours after a meal).
Who makes Envarsus XR?
Veloxis Pharmaceuticals, Inc.
Is Envarsus XR safe in pregnancy?
If you are able to become pregnant, you should use effective birth control before and during treatment with Envarsus XR.
What is the generic name for Envarsus XR?
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.
Experienced a Side Effect?
Report to Yellow Card (UK) or MedWatch (US)
HOW IT WORKS
Order Delivery Guide
How will my order be delivered?
All orders are shipped in discreet and unmarked packaging, making them suitable for delivery to your home, workplace, or a neighbour. For your protection and safety, your first order can only be delivered to the address that is registered with NowPatient. Future orders can be delivered to any address you choose.
Where does NowPatient deliver?
NowPatient delivers to the UK, Europe, and worldwide. NHS services (such as NHS Online Pharmacy and NHS Pharmacy First) are available to patients in England only. Our private services and online pharmacy are available across the UK, with international shipping available to European and worldwide addresses. Please note that some remote or rural postcodes may experience slightly longer delivery times, and tracking availability for worldwide orders may vary depending on the destination country.
What delivery options are available?
UK orders are shipped via Royal Mail Tracked 24 & Signed, with next-day delivery as standard. European deliveries are sent via Royal Mail Tracked and typically arrive within 3–5 working days. Worldwide deliveries take 7–21 working days and are tracked where available in the destination country.
Delivery charges apply for most services. Shipping is included in the price for patients using our Get Treated Privately service in England, and is free for NHS Quit Smoking Service orders.
When will my order be dispatched?
We aim to dispatch all orders placed Monday to Friday before 3:00pm on the same working day. Orders placed after 3:00pm, or over weekends and bank holidays, will be dispatched on the next available working day.
Do you offer next-day delivery?
Yes. All UK orders are shipped via Royal Mail Tracked 24 & Signed, which delivers next day as standard. To qualify for same-day dispatch, please place your order before 3:00pm Monday to Friday. Orders placed after this time, or over weekends and bank holidays, will be dispatched on the next available working day.
Do you deliver temperature-sensitive or cold-chain medications?
Yes. We use a specialist courier service for all thermo-sensitive deliveries (such as insulin, GLP-1 weight loss injections like Mounjaro, and other refrigerated medications). Cold chain-validated packaging is used throughout the entire delivery process to ensure product quality, safety, and efficacy are always maintained.
How is cold-chain packaging handled?
Temperature-sensitive products are packed using validated cold chain packaging that maintains the required storage temperature throughout transit. Your parcel will normally receive an estimated delivery window from the courier on the day of delivery, so you can ensure someone is available to receive it. If you have concerns about receiving a cold-chain delivery, please contact our customer care team in advance.
Do you deliver controlled drugs?
Yes. Controlled drugs are delivered using a specialist courier service to ensure secure and compliant handling in accordance with UK regulations. These deliveries will always require a signature upon receipt.
How do I track my order?
Once your order has been dispatched, you will receive a dispatch notification containing your tracking details. You can also view your tracking information at any time in the 'Notification Feed' section on your account dashboard. Tracking is available for all delivery options.
Will I receive status updates about my order?
Yes. NowPatient uses a structured notification system to keep you fully informed throughout the order process. Every time your order status changes — from approval through to dispatch and delivery — you will be notified immediately. Notifications are sent via email and appear in the 'Notifications' section of your account homepage (accessible via the bell icon). This includes updates when your treatment is approved, dispensed, and shipped.
What order statuses will I see?
You can expect to see the following key status updates: Order Received, Prescription Approved (where applicable), Order Dispensed, Dispatched (with tracking reference), and Delivered.
Can I change my delivery address?
For your first order, delivery must be made to the address registered with NowPatient at the time of sign-up. This is a safety measure to verify your identity and protect your account. From your second order onwards, you can select from any saved address in your account or add a new delivery address during checkout.
Can I have my order delivered to my workplace or a neighbour?
Yes. From your second order onwards, you can have your medication delivered to any address, including your workplace, a family member's address, or a neighbour. All parcels are sent in discreet, unmarked packaging, so the contents will not be identifiable.
How do I update or add a new delivery address?
You can manage your delivery addresses directly within your NowPatient account settings. Additional addresses can also be added during the checkout process when selecting your delivery address. Simply select 'Add a new address' and enter the required details.
What should I do if my order hasn't arrived?
If you have not received your order within the expected delivery window, please first check your tracking details in the 'Notification Feed' section of your account dashboard. If after 10 days of dispatch you have still not received your delivery, please contact our customer care team and we will work to resolve the issue as quickly as possible.
What if my order arrives damaged?
If your order arrives in a damaged condition, please do not use the medication and contact our customer care team immediately. Please retain the original packaging and, if possible, take photographs of the damage, as this will help us raise a claim with the courier and arrange a replacement for you as quickly as possible.
My tracking shows delivered but I haven't received my parcel — what should I do?
First, check with any neighbours or safe locations at your property (such as a porch or outbuilding). If you still cannot locate your parcel, please contact our customer care team and we will investigate the matter with the courier on your behalf.
What happens if I miss my delivery?
If you miss a delivery, the courier will typically leave a card with instructions for rescheduling or collecting your parcel from a local depot. For cold-chain deliveries, it is particularly important to arrange redelivery promptly to maintain product integrity. If you have concerns about a missed cold-chain delivery, please contact our customer care team for guidance.
If you ship international, do I need to handle duties?
No. Our prices include customs duties, wherever you are located.
How are NHS repeat prescriptions delivered?
Once your GP has approved your prescription request, NowPatient's regulated online pharmacy will dispense and dispatch your medication. You will be notified at each stage of the process. NHS prescriptions are dispatched via Royal Mail Tracked 24 & Signed for next-day delivery, provided the order is placed before 3:00pm on a
working day.
Is delivery free for NHS prescriptions?
No. There is a small cost applied to all NHS prescription deliveries. This allows us to keep our service operational. NHS Quit Smoking Service orders qualify for free delivery. If you are using the Get Treated Privately service in England, shipping is included within the consultation and treatment price.
Can I specify a preferred delivery date for my NHS prescription?
At this time, NowPatient dispatches orders on the same working day if placed before 3:00pm Monday to Friday. All UK NHS prescriptions are sent via Royal Mail Tracked 24 & Signed for next-day delivery, so you can plan accordingly once you receive your dispatch notification.
How are private prescription medications delivered after a telehealth consultation?
Following your telehealth or video consultation, if a treatment is prescribed, it will be added to your cart automatically. After you complete checkout and payment, your order is sent to NowPatient's regulated online pharmacy for processing. You will receive status updates at every stage and your medication will be dispatched in discreet, unmarked packaging.
How quickly will I receive medication after my consultation?
If your consultation and checkout are completed before 3:00pm on a working day, we aim to dispatch your medication the same day. The total time to delivery will depend on the delivery method you select at checkout.
Is the packaging discreet?
Yes. All NowPatient orders are shipped in plain, unmarked packaging with no branding or indication of the contents on the outside. The packaging is suitable for delivery to your home, workplace, or a neighbour.
Will my parcel require a signature?
Yes. All UK orders are sent via Royal Mail Tracked 24 & Signed, which requires a signature upon delivery. Controlled drug deliveries will always require a signature regardless of the shipping method. For cold-chain deliveries, a signature is required to ensure someone is available to receive the medication promptly and maintain product integrity. For European and worldwide orders, signature requirements may vary depending on the destination country and the service available.
How do I contact NowPatient about a delivery issue?
You can reach our customer care team through the NowPatient website or app. Go to your account and use the Help or Contact Us section to raise a query. Our team is available to assist with any delivery-related concerns including missing parcels, tracking queries, or delivery address changes.
What are NowPatient's customer care hours?
Please visit the Contact Us section of the NowPatient website or app for up-to-date information on our customer care operating hours and available contact methods.
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What Customers Love About Our Service
We want everyone to be happy and healthy, that’s what keeps us going. Read what some of them have to say about us.
Medicines Experts
Meet Our Medical Team
We are a broad skilled and passionate group of clinicians with experience of operating in regulated health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do. You can read more about our medical team by visiting the medical team page or learn more about how we curate content by visiting our editorial process
Ihtesham Sabri
Medical Director
Navin Khosla
UK Responsible Person (UKRP), Pharmacist Independent Prescriber, Clinical Safety Officer (CSO), Pharmacist
Ketan Patel
Pharmacist Independent Prescriber, Pharmacist
Jamie Winn
US Board Certified Pharmacist
Monica Khosla
Medical Writer
Daniel Cheung
Pharmacist Independent Prescriber, Pharmacist
Amish Patel
Pharmacist Independent Prescriber, Superintendant Pharmacist, Pharmacist
Stefano Mirabello
Pharmacist Independent Prescriber, Clinical Safety Officer (CSO), Pharmacist
DeLon Canterbury
US Board Certified Pharmacist/PGX & Deprescribing Specialist
Aseel Hamoud Bedan
Hospital Consultant
Rajive Patel
Medical Writer