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Is the cost of your guanfacine 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 guanfacine 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 guanfacine?What can I do if I am uninsured and cannot afford my guanfacine?What can I do if I am insured with Medicare and cannot afford my guanfacine?Am I eligible for the Rx Advantage Card and how much does guanfacine cost without insurance?What will my out-of-pocket cost be for guanfacine when using the Rx Advantage Card?Is it legal for me to pay cash for guanfacine 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 guanfacine and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a guanfacine co-pay program?Is there a guanfacine Patient Assistance Program (PAP)?What should I do if I take too much guanfacine?What are the benefits of NowPatient?What is generic guanfacine?US brand name of guanfacine and manufacturerUK brand name of guanfacine and manufacturerAvailability of guanfacineFDA approval of guanfacineNHS prescription (UK) for guanfacineMechanism of actionUses of guanfacineDosage of guanfacineDirectionsIs it safe to take guanfacine if I am pregnant or planning on becoming pregnant?Is it safe to take guanfacine while breastfeeding?Warnings and precautions for guanfacineDrug interactions Side effects of guanfacineSourcesPeople also asked
Navin Khosla NowPatientGreen tick
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 guanfacine?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing guanfacine 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 guanfacine 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 guanfacine?

If you cannot afford the cash price of guanfacine 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 guanfacine 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 guanfacine?

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 guanfacine cost without insurance?

Our website gives savings options to customers who wish to purchase guanfacine, 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 guanfacine when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for guanfacine 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 guanfacine 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 guanfacine cash price you pay can be typically cheaper than your plan copay.

How do I check prices for guanfacine 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 guanfacine 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 guanfacine co-pay program?

Generic medications like guanfacine do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of guanfacine. You can search the brand name of guanfacine 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 guanfacine Patient Assistance Program (PAP)?

Generic medications like guanfacine do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of guanfacine. You can search the brand name of guanfacine 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 guanfacine?

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using guanfacine. 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 guanfacine. 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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What is generic guanfacine?

US brand name of guanfacine and manufacturer

Guanfacine is available under the brand name Intuniv, which is manufactured by Shire US, Inc.

UK brand name of guanfacine and manufacturer

In the UK, guanfacine is available under the brand name Intuniv.

Availability of guanfacine

Guanfacine is available by prescription only.

FDA approval of guanfacine

Guanfacine has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents.

NHS prescription (UK) for guanfacine

Guanfacine may be available in the UK with an NHS prescription, but it is important to consult with your healthcare provider or pharmacist to verify availability.

Mechanism of action

Guanfacine belongs to the class of medications known as central alpha 2A-adrenergic receptor agonists. It works by stimulating certain receptors in the brain, which leads to a reduction in sympathetic nerve activity. This helps to decrease hyperactivity and impulsivity and improve attention and behavior in individuals with ADHD. Guanfacine works in the prefrontal cortex to increase attention and cognition by activating postsynaptic norepinephrine receptors.

Uses of guanfacine

Guanfacine is primarily used for the treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents. Guanfacine is an effective medication for managing ADHD symptoms by targeting specific receptors in the brain, improving focus, impulse control, and hyperactivity. It is also prescribed for the treatment of hypertension (high blood pressure) and works by relaxing blood vessels and lowering blood pressure levels.

Dosage of guanfacine

The dosage of guanfacine may vary depending on the individual patient, age, and the condition being treated. It is important to follow the dosage instructions provided by your healthcare provider. The following is a general guideline for the dosages of guanfacine in the treatment of ADHD:

  • Children 6 to 12 years of age: The initial recommended dose is usually 1 mg once daily. The dosage can be titrated up in increments of 1 mg per week to a maximum dosage of 4 mg per day. The dose may be gradually increased every 3 to 7 days, as determined by the healthcare provider, to achieve the desired response. The maximum recommended dose is typically 4 mg per day
  • Adolescents 13 to 17 years of age: The initial recommended dose is usually 1 mg once daily. The dose may be gradually increased every 3 to 7 days, as determined by the healthcare provider, to achieve the desired response. The maximum recommended dose is typically 7 mg per day

If you miss a dose of guanfacine take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your healthcare provider. Do not double your next dose or take more than what is prescribed. It is important to take guanfacine exactly as prescribed by your healthcare provider. Do not adjust the dosage or stop taking the medication without consulting your doctor.

Directions

Guanfacine can be taken with or without food. However, taking it with a high-fat meal can increase absorption and may increase exposure. Guanfacine is available in two formulations: an immediate-release tablet and an extended-release tablet to take by mouth.

Is it safe to take guanfacine if I am pregnant or planning on becoming pregnant?

The safety of guanfacine in pregnancy has not been well established. If you are pregnant, planning to become pregnant or suspect you may be pregnant, it is important to discuss the use of guanfacine with your healthcare provider. They can evaluate the potential risks and benefits to determine the best course of action for your specific situation.

Is it safe to take guanfacine while breastfeeding?

Guanfacine may pass into breast milk, and its effects on infants are not well known. It is recommended to exercise caution while taking guanfacine if you are breastfeeding. Consult with your healthcare provider for guidance on the potential risks and benefits.

Warnings and precautions for guanfacine

  • Guanfacine can have an impact on cardiovascular conditions, potentially causing low blood pressure and a slow heart rate. It is important for patients with pre-existing cardiovascular issues to monitor their blood pressure and heart rate regularly while taking guanfacine.
  • There may be interactions between guanfacine and mental health disorders. Patients with depression or anxiety should exercise caution when taking guanfacine, as it can worsen these conditions. Close monitoring is recommended to ensure the medication does not exacerbate mental health symptoms
  • Patients with liver or kidney diseases should take special consideration when using guanfacine. The dosage may need adjustment in order to prevent any adverse effects on liver or kidney function. Regular check-ups and monitoring of liver and kidney function are crucial for patients in this population
  • Orthostatic hypotension may occur, particularly during initial therapy or dosage increases. Close monitoring is necessary for patients with a history of bradycardia or cardiac conduction abnormalities while taking guanfacine. Moreover, caution should be exercised as guanfacine can cause drowsiness and impair your ability to operate machinery or drive a car
  • It is essential to inform your healthcare provider about all medical conditions and current medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements

Drug interactions 

Guanfacine may interact with certain medications, including blood pressure medications, sedatives, and medications that affect liver enzymes. It is important to inform your healthcare provider about all the medications you are taking including supplements to avoid potential interactions. Potential drug interactions with guanfacine include:

  • Antihypertensive medications: Guanfacine may enhance the blood pressure-lowering effects of other antihypertensive drugs, resulting in hypotension
  • Central nervous system depressants: Combining guanfacine with sedatives or alcohol may increase drowsiness and impair coordination

Common medications that may interact with guanfacine are:

  • Beta-blockers: Concurrent use of beta-blockers and guanfacine can lead to excessive bradycardia (slow heart rate)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs may decrease the effectiveness of guanfacine in reducing blood pressure

Side effects of guanfacine

In clinical trials common side effects of guanfacine may include drowsiness, dry mouth, stomach pain and constipation. These are generally mild and go away on their own over time. It is important to inform your doctor if these side effects persist or worsen.

Low blood pressure, slow heart rate, and fainting spells are potentially serious side effects that may occur when taking guanfacine. These adverse reactions can significantly impact cardiovascular health and should be closely monitored by a healthcare professional. It is important to seek medical attention if any of these symptoms arise during the use of guanfacine to ensure proper management and prevention of complications.

Sources

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