Question 1

How can I lower the cost of my flecainide

Accepted Answer

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

Question 2

What dosages is flecainide available in?

Accepted Answer

flecainide is available as 50 mg, 100 mg, and 150 mg oral tablet.

Question 3

What is flecainide used for?

Accepted Answer

flecainide is an antiarrhythmic that is used for the:
Prevention of paroxysmal supraventricular tachycardias (PSVT)
Prevention of paroxysmal atrial fibrillation/flutter (PAF)
Prevention of ventricular arrhythmias

Question 4

How does flecainide work?

Accepted Answer

flecainide is an antiarrhythmic. It works by blocking sodium channels, which play a major part in your heart’s electrical activity. When your heart is firing too quickly in an abnormal rhythm (arrhythmia), flecainide slows down the electricity to help your rhythm return to normal.

Question 5

How do I take flecainide?

Accepted Answer

The typical adult starting dose is 50 mg to 100 mg by mouth twice a day, and the maximum recommended daily dose is 300 mg to 400 mg per day depending on the reason for use.
Children have specialized dosing based on height and weight. Your child’s heart specialist will decide the appropriate dose.

Question 6

Is it safe for me to take flecainide?

Accepted Answer

flecainide 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 pre-existing second- or third-degree AV block, or with right bundle branch block when associated with a left hemiblock (bifascicular block), unless a pacemaker is present to sustain the cardiac rhythm should complete heart block occur. flecainide is also contraindicated in the presence of cardiogenic shock or known hypersensitivity to the drug.

Question 7

flecainide Common Side Effects

Accepted Answer

Common side effects of flecainide:  Dizziness Changes in vision, such as blurriness or trouble focusing Shortness of breath Headache Nausea Tiredness Palpitations (feeling that your heart is racing) Chest pain Weakness or lack of energy Tremor Constipation Swelling due to fluid buildup Abdominal pain

Question 8

flecainide Serious Side Effects

Accepted Answer

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

New or worsened irregular heart rhythm, which can be too fast or too slow. Common symptoms include sudden chest pain or discomfort, palpitations or irregular pulse, dizziness or weakness, or unexplained fainting.
Worsened heart failure symptoms

Question 9

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

Accepted Answer

The following medications may interact with flecainide:  When amiodarone is added to flecainide therapy, plasma flecainide levels may increase two-fold or more in some patients, if flecainide dosage is not reduced Drugs that inhibit cytochrome P450IID6, such as quinidine, might increase the plasma concentrations of flecainide in patients that are on chronic flecainide therapy; especially if these patients are extensive metabolizers

Question 10

Who makes flecainide?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is flecainide safe in pregnancy?

Accepted Answer

There are no adequate and well-controlled studies of flecainide in pregnant women. It is unknown whether flecainide can cause fetal harm when administered to a pregnant woman. flecainide 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 flecainide?

Accepted Answer

TAMBOCOR

Question 13

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

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

Question 14

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

Accepted Answer

No. Each program has applicability requirements. Please see below

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

Accepted Answer

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

Accepted Answer

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

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

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

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

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 flecainide 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 flecainide you will need to meet the following criteria:

You must be currently insured and have coverage for flecainide
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.