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Is the cost of your hydralazine 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 hydralazine 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 hydralazine?What can I do if I am uninsured and cannot afford my hydralazine?What can I do if I am insured with Medicare and cannot afford my hydralazine?Am I eligible for the Rx Advantage Card and how much does hydralazine cost without insurance?What will my out-of-pocket cost be for hydralazine when using the Rx Advantage Card?Is it legal for me to pay cash for hydralazine 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 hydralazine and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a hydralazine co-pay program?Is there a hydralazine Patient Assistance Program (PAP)?What should I do if I take too much hydralazine?What are the benefits of NowPatient?What is generic hydralazine?FDA approval of hydralazineActive ingredient of hydralazineUS brand names of hydralazine and manufacturersUK brand names of hydralazine and manufacturersPrescription requirement for hydralazineAvailability of hydralazine in the UK with NHS prescriptionConditions treated by hydralazineMechanism of actionForms of hydralazine availableDosage of hydralazineDirections for hydralazine useDrug interactionsWarnings and precautions for hydralazineUse of hydralazine during pregnancyUse of hydralazine while breastfeedingPossible side effects of hydralazineSimilar drugs to hydralazineSourcesPeople 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 hydralazine?

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

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

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 hydralazine cost without insurance?

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

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

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

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

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

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

Generic hydralazine 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 hydralazine

Hydralazine is approved by the U.S. Food and Drug Administration (FDA) for the treatment of high blood pressure (hypertension).

Active ingredient of hydralazine

The active ingredient of hydralazine is hydralazine hydrochloride.

US brand names of hydralazine and manufacturers

Hydralazine is available under various brand names in the US, including Apresoline. The medication is manufactured by different pharmaceutical companies.

UK brand names of hydralazine and manufacturers

In the UK, hydralazine is available under various brand names, including Apresoline. The manufacturers may vary depending on the brand name.

Prescription requirement for hydralazine

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

Availability of hydralazine in the UK with NHS prescription

Hydralazine is available in the UK with an NHS prescription.

Conditions treated by hydralazine

Hydralazine is a medication that belongs to the class of drugs known as vasodilators. It is primarily used for the treatment of high blood pressure (hypertension) when other antihypertensive agents are not effective or not suitable.

In addition to treating hypertension, hydralazine may also be used in the treatment of congestive heart failure. This condition occurs when the heart is unable to pump enough blood to meet the body’s needs. By dilating the blood vessels, hydralazine can reduce the workload on the heart and improve its pumping ability.

Furthermore, hydralazine is sometimes prescribed in combination with other medications to manage certain kidney conditions, such as renal hypertension or renal artery stenosis. These conditions involve the narrowing of blood vessels leading to the kidneys, which can impair their function. By dilating the blood vessels, hydralazine helps to improve blood flow and alleviate symptoms associated with these kidney conditions.

It is important to note that hydralazine should always be used under the guidance and prescription of a healthcare professional. They will determine the appropriate dosage and duration of treatment based on individual needs and medical history.

Mechanism of action

When you take hydralazine, it is absorbed into your bloodstream and reaches the smooth muscle cells that line the walls of your blood vessels. Once there, it acts directly on the muscle cells, causing them to relax. This relaxation leads to the dilation or widening of the blood vessels, which in turn reduces the resistance to blood flow and lowers blood pressure.

Hydralazine primarily affects the arteries, which are the blood vessels that carry oxygen-rich blood away from the heart to the rest of the body. By dilating the arteries, hydralazine allows more blood to flow through them, reducing the pressure on the heart and decreasing the workload it has to perform.

In addition to its vasodilatory effects, hydralazine also has some effects on the heart muscle. It can increase the force of contraction of the heart, helping it pump blood more efficiently. This can be especially beneficial for individuals with heart failure, where the heart is weakened and has difficulty pumping blood effectively.

Forms of hydralazine available

Hydralazine is available in the form of oral tablets and injections for intravenous use.

Dosage of hydralazine

The dosage of hydralazine may vary depending on the specific condition being treated, individual patient factors, and the healthcare provider’s recommendations. It is important to follow the prescribed dosage instructions and drug information provided by the healthcare provider. If you miss a dose, 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 hydralazine use

Hydralazine should be taken exactly as directed by the healthcare provider. The medication may be taken with or without food. It is important to continue taking hydralazine regularly to maintain its effectiveness. Keep hydralazine in its original container at room temperature, away from moisture and heat. Do not store it in the bathroom or in the car, as these environments can be too hot and humid, which can affect the medication’s potency.

Drug interactions

  • Taking hydralazine with other blood pressure medications can result in a significant drop in blood pressure. This can cause symptoms such as dizziness, lightheadedness, or even fainting. It is important to monitor blood pressure closely and adjust medication dosages if necessary
  • Combining hydralazine with nitroglycerin, a medication used to treat chest pain (angina), can cause a severe drop in blood pressure. This combination should be used with caution and under the guidance of a healthcare professional
  • When hydralazine is taken with beta-blockers, which are commonly used to treat high blood pressure and heart conditions, the effects of both medications may be enhanced. This can lead to a further reduction in heart rate and blood pressure. Regular monitoring by a healthcare professional is essential in such cases
  • Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, can reduce the effectiveness of hydralazine in lowering blood pressure. It is important to use these medications with caution and under the guidance of a healthcare professional
  • Taking hydralazine with monoamine oxidase inhibitors (MAOIs) a class of medications used to treat depression, can lead to a potentially dangerous increase in blood pressure. It is important to avoid this combination unless specifically instructed by a healthcare professional
  • Certain antidepressants and antipsychotic medications can interact with hydralazine and increase the risk of side effects such as low blood pressure (hypotension). It is important to discuss any medications you are taking with your healthcare provider to ensure the safe use of hydralazine

These are just a few examples of medications that can interact with hydralazine. It is important to disclose all medications you are taking, including prescription drugs, over-the-counter medications and herbal supplements, to your healthcare provider before starting hydralazine. They will be able to assess any potential adverse effects and adjust your treatment plan accordingly.

Warnings and precautions for hydralazine

  • Hydralazine should be used with caution in individuals with certain medical conditions, such as heart disease, kidney disease, or systemic lupus erythematosus (SLE)
  • It may interact with certain medications, including other blood pressure medications and medications that affect the liver. Inform the healthcare provider about all medications being taken
  • Before using this medication, tell your doctor or pharmacist your medical history, especially of heart problems (such as coronary artery disease, recent heart attack, rheumatic heart disease of the mitral valve), blood vessel problems, previous stroke and kidney problems

Use of hydralazine during pregnancy

The use of hydralazine during pregnancy should be carefully considered, and the potential risks and benefits should be discussed with a healthcare provider.

Use of hydralazine while breastfeeding

Hydralazine may pass into breast milk, and its use during breastfeeding is generally not recommended. Consultation with a healthcare provider is necessary to assess the potential risks and benefits.

Possible side effects of hydralazine

Common side effects of hydralazine may include headaches, dizziness, flushing, loss of appetite and rapid heartbeat (palpitations). Serious side effects can include allergic reactions, chest pain, and swelling. It is important to report any concerning symptoms to a healthcare provider for medical advice.

Similar drugs to hydralazine

Other medications used for the treatment of high blood pressure (hypertension) include ACE inhibitors, beta-blockers, calcium channel blockers, and diuretics.

Sources

  • FDA Prescribing Information for Hydralazine
  • MHRA product information for Hydralazine
  • WebMD – Hydralazine
  • Drugs.com – Hydralazine
  • NHS UK
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