Question 1

How can I lower the cost of my esomeprazole

Accepted Answer

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

Question 2

What dosages is esomeprazole available in?

Accepted Answer

esomeprazole is available as a 20 mg and 40 mg delayed-release capsule and 2.5 mg, 5 mg, 10 mg, 20 mg, and 40 mg delayed-release oral suspension.

Question 3

What is esomeprazole used for?

Accepted Answer

esomeprazole is a proton pump inhibitor that is used to treat:  Heartburn — OTC only Lower the risk of stomach ulcer due to nonsteroidal anti-inflammatory drugs (NSAID) Lower the risk of duodenal ulcer caused by Helicobacter pylori (H. pylori) infection Other medical conditions that cause too much stomach acid (e.g., Zollinger-Ellison syndrome)

Question 4

How does esomeprazole work?

Accepted Answer

esomeprazole is a proton pump inhibitor (PPI). It lowers the amount of acid in your stomach by blocking the final step of stomach acid production. This helps relieve heartburn and other stomach problems.

Question 5

How do I take esomeprazole?

Accepted Answer

esomeprazole is typically taken as 20 mg to 40 mg by mouth once daily. Dosing for children will depend on the child’s weight, age, and the reason they’re taking the medication.

Question 6

Is it safe for me to take esomeprazole?

Accepted Answer

esomeprazole 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 known hypersensitivity to proton pump inhibitors (PPIs) (angioedema and anaphylaxis have occurred.

Question 7

esomeprazole Common Side Effects

Accepted Answer

Common side effects of esomeprazole:  Headache Belly pain Diarrhea Nausea Passing gas Constipation Dry mouth

Question 8

esomeprazole Serious Side Effects

Accepted Answer

Serious side effects are rare with esomeprazole. Contact your healthcare provider immediately if you experience any of the following.  Severe stomach pain or diarrhea Kidney problems: urinating more or less than usual, fever, poor appetite Lupus symptoms: joint pain, skin rash on arms or cheeks that gets worse in the sunlight Serious skin reactions: blistering, peeling, or bleeding skin, fever, chills

Question 9

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

Accepted Answer

The following medications may interact with esomeprazole:  May affect plasma levels of antiretroviral drugs; use with atazanavir and nelfinavir is not recommended; if saquinavir is used with esomeprazole, monitor for toxicity and consider saquinavir dose reduction May interfere with drugs for which gastric pH affects bioavailability (e.g., ketoconazole, iron salts, erlotinib, digoxin and mycophenolate mofetil). Patients treated with esomeprazole and digoxin may need to be monitored for digoxin toxicity Combined inhibitor of CYP 2C19 and 3A4 may raise esomeprazole levels.Clopidogrel: esomeprazole decreases exposure to the active metabolite of clopidogrel May increase systemic exposure of cilostazol and an active metabolite. Consider dose reduction. Tacrolimus: esomeprazole may increase serum levels of tacrolimus Methotrexate: esomeprazole may increase serum levels of methotrexate

Question 10

Who makes esomeprazole?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is esomeprazole safe in pregnancy?

Accepted Answer

esomeprazole may cause harm to your unborn baby based on animal studies. You should talk to your healthcare provider before taking this medication if you are pregnant.

Question 12

What is the brand name for esomeprazole?

Accepted Answer

NEXIUM

Question 13

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

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

Question 14

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

Accepted Answer

No. Each program has applicability requirements. Please see below

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

Accepted Answer

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

Accepted Answer

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

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

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

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

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 esomeprazole 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 esomeprazole you will need to meet the following criteria:

You must be currently insured and have coverage for esomeprazole
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.