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Is the cost of your flecainide too expensive?

You may qualify for programs where you can pay as little as $0 per fill, subject to income and insurance status.

This content is intended for US audiences only

NowPatient offers cost effective access to flecainide for everyone including those who are uninsured, those who have commercial insurance as well as those who are enrolled into state or federal programs like Medicaid, Medicare Part D, full Low Income Subsidy (LIS, “Extra Help”), TRICARE or Veterans (VA) Benefits.

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Table of contents
OverviewWhat can I do if I am commercially insured but cannot afford my flecainide?What can I do if I am uninsured and cannot afford my flecainide?What can I do if I am insured with Medicare and cannot afford my flecainide?Am I eligible for the Rx Advantage Card and how much does flecainide cost without insurance?What will my out-of-pocket cost be for flecainide when using the Rx Advantage Card?Is it legal for me to pay cash for flecainide even though I have insurance?Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?Does the Rx Advantage Card work with Commercial Insurance?How do I check prices for flecainide and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a flecainide co-pay program?Is there a flecainide Patient Assistance Program (PAP)?What should I do if I take too much flecainide?What are the benefits of NowPatient?What is generic flecainide?FDA approval of flecainideActive ingredient of flecainideUS brand name of flecainide and manufacturerUK brand name of flecainide and manufacturerPrescription requirement for flecainideAvailability of flecainide in the UK with NHS prescriptionConditions treated by flecainideHow does flecainide work?Forms of flecainide availableDosage of flecainideDirections for flecainide useWarnings and precautions for flecainideDrug interactionsUse of flecainide if pregnant or planning pregnancyPossible side effects of flecainideSimilar drugs to flecainideSourcesPeople also asked
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Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 25 Jan 2024
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What can I do if I am commercially insured but cannot afford my flecainide?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing flecainide outside of your plan using the Rx Advantage card, with costs that are usually lower than a typical plan copay. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

If you cannot afford the cash price possibly due to income constraints, then there is the option of applying to state assistance programs like Medicaid. Often, you may be able to receive your flecainide without any costs at all. You can check Medicaid eligibility in your state by following this link 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.

What can I do if I am uninsured and cannot afford my flecainide?

If you cannot afford the cash price of flecainide using the Rx Advantage card then there is the option of applying to state programs like Medicaid. Often, you may be able to receive your flecainide without any costs at all. You can check Medicaid eligibility in your state by following this link 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.

What can I do if I am insured with Medicare and cannot afford my flecainide?

If you are insured with Medicare and have Part D or an Advantage drug plan but cannot afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you have a number of options:

Option

Savings Information

RX ADVANTAGE CARD

You can use the Rx Advantage to purchase the medication outside of your plan at prices that may be lower than you copay or co-insurance element. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

LOW INCOME SUBSIDY

If this is still too expensive or unaffordable then you can apply for federal support like Low Income Subsidy (LIS). To be eligible for Low Income Subsidy, you need to be 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).

MEDICAID

Alternatively, you can check Medicaid eligibility in your state by following this link to the 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.

Am I eligible for the Rx Advantage Card and how much does flecainide cost without insurance?

Our website gives savings options to customers who wish to purchase flecainide, as either a brand or generic, without the constraints of insurance. By using the Rx Advantage Card, users can save up to 90% on the cost of their medication. The card can be used at over 65,000 pharmacies nationwide, across America. Even if you are insured, in most cases the cash price will be significantly cheaper than your existing co-pay. NowPatient is able to negotiate discounts on bulk drug purchases with pharmacy owners meaning you can access lower medication prices at nearby pharmacies using our card that can be conveniently stored in your NowPatient account.

What will my out-of-pocket cost be for flecainide when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for flecainide using the Rx Advantage Card. If you are insured, your OOP expense can not be used against your plan deductible, if your plan has a deductible.

Yes. The Rx Advantage card is especially useful for people who have High-deductible health plans (HDHPs). It can be used for insured, uninsured, and underinsured persons.

Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?

No. We do not bill any federal or state insurance including Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug benefit). When you purchase your medication using the NowPatient Rx Advantage Card, you will be doing so out of pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket flecainide cash price you pay can be typically cheaper than your plan copay.

Does the Rx Advantage Card work with Commercial Insurance?

We do not bill your commercial insurance. When you purchase your medication using the Rx Advantage Card, from NowPatient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket flecainide cash price you pay can be typically cheaper than your plan copay.

How do I check prices for flecainide and how do I use the Rx Advantage Card?

You can search for the prices at nearby pharmacies using our website. Simply search your medication and enter your ZIP Code and we will show you the price of your drug at nearby pharmacies. If you are happy with the quote, you need to create an account with NowPatient and generate your card. Next, simply go to the pharmacy and fill your flecainide Rx. Ask the pharmacy to run the card and check the price, even if they tell you they have another card they use. Your card is stored safely in your NowPatient account.

Do I need to pay for the Rx Advantage Card?

No. The Rx Advantage prescription savings card is FREE to use and store for NowPatient users.

Is there a flecainide co-pay program?

Generic medications like flecainide do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of flecainide. You can search the brand name of flecainide and check to see if a co-pay program exists. Co-pay cards are programs run by pharmaceutical companies that offer you a direct way to lower your out-of-pocket costs for prescription drugs for eligible patients. The copay cards essentially allow physicians to prescribe medications that are clinically preferred.

Is there a flecainide Patient Assistance Program (PAP)?

Generic medications like flecainide do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of flecainide. You can search the brand name of flecainide and check to see if a co-PAP exists. PAPs are programs that are run and sponsored by pharmaceutical companies. They offer uninsured, insured, or underinsured individuals access to high-cost brand-name medications, which may otherwise be unaffordable.

What should I do if I take too much flecainide?

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using flecainide. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you've used too much flecainide. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

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NowPatient is more than just prescriptions and online pharmacy services. When you join you get access to a range of health services for FREE making NowPatient a perfect companion for helping you lead a healthier life. Join now by either signing up for an account online or downloading the app from the App Store today.

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What is generic flecainide?

Generic flecainide refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of flecainide

Flecainide is approved by the U.S. Food and Drug Administration (FDA) for the treatment of certain types of irregular heart rhythms, including atrial fibrillation and ventricular arrhythmias.

Active ingredient of flecainide

The active ingredient of flecainide is flecainide acetate.

US brand name of flecainide and manufacturer

Flecainide is available in the US under the brand name Tambocor. It is manufactured by Meda Pharmaceuticals.

UK brand name of flecainide and manufacturer

In the UK, flecainide is available under various brand names, including Tambocor. The manufacturer may vary depending on the brand name.

Prescription requirement for flecainide

A prescription (Rx) is required for flecainide in both the US and the UK.

Availability of flecainide in the UK with NHS prescription

Flecainide is available in the UK with an NHS prescription.

Conditions treated by flecainide

Flecainide is an oral drug that’s used to prevent the following types of abnormal heart rhythms: paroxysmal supraventricular tachycardia (PSVT), paroxysmal atrial fibrillation or flutter (PAF), and ventricular arrhythmias.

How does flecainide work?

Flecainide belongs to a class of medications called antiarrhythmics. It works by stabilizing the electrical activity of the heart and restoring a normal heart rhythm. Flecainide specifically targets and blocks sodium channels in the heart cells, thereby reducing abnormal electrical signals and promoting a regular heartbeat. By restoring normal heart rhythm, flecainide effectively treats various types of arrhythmias, including atrial fibrillation and atrial flutter.

Flecainide’s effects on cardiac electrical activity result from its classification as a class IC antiarrhythmic drug. It acts specifically on sodium channels to inhibit their conductance during depolarization, thereby reducing excitability and preventing re-entry circuits that lead to arrhythmias. Consequently, flecainide aids in returning the heart’s electrical signals to their regular pattern and maintaining a stable heart rhythm.

Forms of flecainide available

Flecainide is available in the form of oral tablets.

Dosage of flecainide

The dosage of flecainide may vary depending on the individual’s specific condition, age, and response to treatment. It is important to follow the recommended dosage instructions provided by the healthcare provider.

If you miss a dose of flecainide, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Directions for flecainide use

Flecainide should be taken exactly as directed by the healthcare provider. The tablets are usually taken orally, with or without food. It is important to swallow the tablets whole and not crush or chew them.

Warnings and precautions for flecainide

  • Flecainide may have certain risks and potential side effects. It is important to discuss these with a healthcare provider before starting the medication
  • Flecainide is contraindicated in patients with heart failure, structural heart disease or left ventricular systolic dysfunction
  • Check with your doctor right away if you develop any of the following: chest pain; shortness of breath; swelling of your hands, ankles, or feet; or weight gain. These may be symptoms of heart failure
  • Avoid coadministration of flecainide with drugs known to block potassium channels or prolong QT interval
  • Flecainide should be used with caution if you have a permanent pacemaker or temporary pacing electrodes. This drug can lower the effect of these devices on controlling your heart rhythm
  • If you have sick sinus syndrome, this medication may slow down or stop your heart from beating. Use flecainide with extreme caution if you have sick sinus syndrome
  • Regular monitoring of heart function and electrocardiograms (ECGs) may be necessary during flecainide treatment

Drug interactions

Some medications that may interact with flecainide include:

  • Combining flecainide with beta-blockers, such as metoprolol or propranolol, can increase the risk of heart rhythm disturbances
  • Concurrent use of flecainide with calcium channel blockers, such as diltiazem or verapamil, may result in an increased risk of heart-related side effects
  • Combining flecainide with amiodarone, another antiarrhythmic medication, can lead to an increased risk of irregular heart rhythms
  • Taking flecainide with digoxin, a medication used to treat heart failure and irregular heart rhythms, may increase the levels of digoxin in the blood
  • Concurrent use of flecainide with cimetidine, a medication used to reduce stomach acid, can increase the levels of flecainide in the blood, leading to potential side effects
  • Some antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs), may increase the risk of serious heart rhythm disturbances when taken with flecainide
  • Taking St. John’s wort, a popular herbal supplement used for depression, with flecainide can decrease the levels of flecainide in the blood, reducing its effectiveness
  • Consuming grapefruit juice while taking flecainide can increase the levels of flecainide in the blood, leading to potential side effects
  • Combining flecainide with other antiarrhythmic medications, such as amiodarone, dofetilide, procainamide, quinidine and sotalol can increase the risk of serious heart rhythm disturbances

It is important to note that this is not an exhaustive list of medications that may interact with flecainide. Always inform your healthcare provider about all the medications, supplements, and vitamins you are currently taking before starting flecainide or any other new medication. They can provide guidance to minimise adverse effects while taking these medications together.

Use of flecainide if pregnant or planning pregnancy

The use of flecainide during pregnancy should be discussed with a healthcare provider. It should be used during pregnancy only if the potential benefits outweigh the risks.
Flecainide passes through breast milk. It may not be safe to breastfeed while using this medicine. Ask your doctor about any risks.

Possible side effects of flecainide

Here are some of the most commonly reported side effects of flecainide:

  • Some individuals may experience digestive discomfort, including nausea and vomiting, especially when starting the medication. Taking flecainide with food or dividing the dose throughout the day can help alleviate these symptoms
  • Flecainide can cause a drop in blood pressure, leading to dizziness or lightheadedness. It is important to stand up slowly from a lying or sitting position to minimize the risk of falling. If these symptoms persist or worsen, it is advisable to consult a healthcare professional
  • Feeling tired or experiencing weakness can be a common side effect of flecainide. This can be managed by getting enough rest and pacing activities throughout the day
  • While flecainide is used to regulate abnormal heart rhythms, it can sometimes cause changes in heart rhythm. This can manifest as an irregular or fast heartbeat, chest pain, or palpitations. It is important to monitor your heart rhythm closely and report any changes or concerns to your healthcare professional
  • Flecainide may also cause other less common side effects such as headache, blurred vision, constipation, or changes in taste. If you experience any new or unusual symptoms while taking flecainide, it is important to discuss them with your healthcare provider

One of the most serious potential side effects of flecainide is the risk of proarrhythmia. In some cases, flecainide can actually worsen existing irregular heart rhythms or cause new ones to develop. This can lead to life-threatening situations, including ventricular arrhythmias, which can be fatal. Therefore, it is crucial to closely monitor heart rhythm while taking flecainide, especially during the initial stages of treatment.

In rare cases, flecainide can cause more serious side effects, such as chest pain, shortness of breath, trouble breathing or swelling of the face, lips, or tongue. These symptoms may indicate an allergic reaction or a more severe underlying medical condition and require immediate medical attention.

Flecainide can also affect the electrical signals in the heart, which may lead to a condition called Torsades de Pointes. This is a type of irregular heartbeat that can be potentially dangerous. Patients at higher risk for this condition include those with certain heart conditions or individuals taking other medications that cause QT interval prolongation (a measurement of the electrical activity in the heart).

Similar drugs to flecainide

Other medications used for the treatment of irregular heart rhythms include amiodarone, propafenone, and sotalol.

Sources

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 in 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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