Question 1

How can I lower the cost of my erlotinib

Accepted Answer

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

Question 2

What dosages is erlotinib available in?

Accepted Answer

erlotinib is available as a 25 mg, 100 mg, and 150 mg oral tablet.

Question 3

What is erlotinib used for?

Accepted Answer

erlotinib is a tyrosine kinase inhibitor and is used to treat:
Metastatic non-small cell lung cancer (NSCLC) in certain adults
Advanced, unresectable, or metastatic pancreatic cancer, in combination with gemcitabine (Gemzar)

Question 4

How does erlotinib work?

Accepted Answer

erlotinib is a tyrosine kinase inhibitor. It blocks certain proteins from attaching to a specific target on cells called the epidermal growth factor receptor (EGFR). EGFR is found on both healthy and cancer cells, and is important for cell growth. Cancer cells usually have more EGFR proteins than noncancerous cells. When EGFR is blocked by erlotinib, cancer cells can’t grow and spread as well.

Question 5

How do I take erlotinib?

Accepted Answer

erlotinib is dosed as follows: NSCLC: The typical dose is 150 mg by mouth once daily, on an empty stomach. Pancreatic cancer: The typical dose is 100 mg by mouth once daily, on an empty stomach. erlotinib is usually taken in combination with gemcitabine (Gemzar).

Question 6

Is it safe for me to take erlotinib?

Accepted Answer

erlotinib 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.

Question 7

erlotinib Common Side Effects

Accepted Answer

Common side effects of erlotinib:  Rash Diarrhea Loss of appetite Extreme tiredness Cough Difficulty breathing Nausea Infection

Question 8

erlotinib Serious Side Effects

Accepted Answer

Serious side effects are rare with erlotinib. Contact your healthcare provider immediately if you experience any of the following.

Stroke: severe headaches, visual changes, sudden confusion, weakness on one side of the body, dizziness, trouble speaking or walking
Serious lung problems: extreme tiredness, dry cough, trouble catching your breath (especially after an activity), fast and shallow breathing, chest discomfort
Kidney problems: blood in the urine, painful urination, dark urine
Liver damage: dark urine, right-sided stomach pain, yellowing of the eyes or skin, tiredness, loss of appetite, nausea, vomiting
Damage to the gut: fevers, chills, nausea, vomiting, feeling bloated, intense stomach pain
Severe skin reactions: painful blisters, skin wounds, peeling skin, painful sores in your mouth or around your eyes
Serious bleeds: bleeding or bruising that doesn’t stop or go away, large amount of bleeding, blood in the urine, throwing up blood, bloody or black and tarry stool

Question 9

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

Accepted Answer

The following medications may interact with erlotinib:  CYP3A4 inhibitors or a combined CYP3A4 and CYP1A2 inhibitor increase erlotinib plasma concentrations. Avoid concomitant use. If not possible, reduce erlotinib dose CYP3A4 inducers decrease erlotinib plasma concentrations. Avoid concomitant use. If not possible, increase erlotinib dose Cigarette smoking and CYP1A2 inducers decrease erlotinib plasma concentrations. Avoid concomitant use. If not possible, increase erlotinib dose Drugs that increase gastric pH decrease erlotinib plasma concentrations For proton pump inhibitors avoid concomitant use if possible. For H-2 receptor antagonists, take erlotinib 10 hours after H-2 receptor antagonist dosing. For use with antacids, separate dosing by several hours

Question 10

Who makes erlotinib?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is erlotinib safe in pregnancy?

Accepted Answer

Based on animal data, erlotinib may cause fetal harm. You should talk to your healthcare provider before taking this medication if you are pregnant. erlotinib should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Question 12

What is the brand name for erlotinib?

Accepted Answer

TARCEVA

Question 13

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

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

Question 14

How do the NowPatient erlotinib 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 erlotinib 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 erlotinib	Canadian Prescription Savings* for erlotinib	erlotinib Drug Coupon*	erlotinib 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 erlotinib?

Accepted Answer

No. Each program has applicability requirements. Please see below

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

Accepted Answer

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

Accepted Answer

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

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

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

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

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 erlotinib 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 erlotinib you will need to meet the following criteria:

You must be currently insured and have coverage for erlotinib
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.