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Is the cost of your hydrochlorothiazide 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 hydrochlorothiazide 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 hydrochlorothiazide?What can I do if I am uninsured and cannot afford my hydrochlorothiazide?What can I do if I am insured with Medicare and cannot afford my hydrochlorothiazide?Am I eligible for the Rx Advantage Card and how much does hydrochlorothiazide cost without insurance?What will my out-of-pocket cost be for hydrochlorothiazide when using the Rx Advantage Card?Is it legal for me to pay cash for hydrochlorothiazide 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 hydrochlorothiazide and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a hydrochlorothiazide co-pay program?Is there a hydrochlorothiazide Patient Assistance Program (PAP)?What should I do if I take too much hydrochlorothiazide?What are the benefits of NowPatient?What is generic hydrochlorothiazide?US brand name of hydrochlorothiazide and manufacturerUK brand name of hydrochlorothiazide and manufacturerPrescription requirement for hydrochlorothiazideFDA approval of hydrochlorothiazideIs hydrochlorothiazide available in the UK on NHS?Mechanism of actionUses of hydrochlorothiazideDosage of hydrochlorothiazidePrecautions and warnings for hydrochlorothiazideDrug interactionsSide effects of hydrochlorothiazideIs it safe to take hydrochlorothiazide if I am pregnant or planning on becoming pregnant?Is hydrochlorothiazide safe to use while breastfeeding?SourcesPeople 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 hydrochlorothiazide?

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

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

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 hydrochlorothiazide cost without insurance?

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

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

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

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

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

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

US brand name of hydrochlorothiazide and manufacturer

Hydrochlorothiazide is available in the US under various brand names, including Microzide and Esidrix. It is manufactured by different pharmaceutical companies, including Mylan, Sandoz, and Teva.

UK brand name of hydrochlorothiazide and manufacturer

In the UK, hydrochlorothiazide is only available in fixed-dose combination with other medicines.

Prescription requirement for hydrochlorothiazide

Hydrochlorothiazide is a prescription medication in both the US and the UK. It is not available over the counter and requires a prescription from a healthcare provider.

FDA approval of hydrochlorothiazide

Hydrochlorothiazide has received FDA approval for the treatment of high blood pressure (hypertension) and edema (fluid retention).

Is hydrochlorothiazide available in the UK on NHS?

Hydrochlorothiazide is only available in fixed-dose combination with other medicines on the NHS in the UK.

Mechanism of action

Hydrochlorothiazide is a thiazide diuretic that works by increasing the excretion of water and electrolytes, including sodium and potassium, in the kidneys. This leads to increased urine production and helps reduce fluid volume in the body, resulting in decreased blood pressure.

Hydrochlorothiazide primarily works by increasing the amount of urine produced by the kidneys. This process helps the body eliminate excess salt and water, which in turn reduces fluid retention and lowers blood pressure.

The medication affects the kidneys’ ability to reabsorb sodium and chloride ions from the urine, thus increasing their excretion in the urine. As a result, the volume of fluid in the bloodstream decreases, reducing the pressure on the blood vessel walls, and consequently, lowering blood pressure.

Moreover, hydrochlorothiazide also relaxes the blood vessels, making it easier for blood to flow through them. By dilating the blood vessels, it reduces the resistance to blood flow, allowing the heart to pump more effectively and lowering blood pressure further.

Uses of hydrochlorothiazide

Hydrochlorothiazide commonly known as HCTZ is primarily used for the treatment of high blood pressure (hypertension). It may also be prescribed for other conditions, including edema (fluid retention) associated with congestive heart failure, kidney disorders, or certain liver conditions.

Hydrochlorothiazide can be used to treat calcium-containing kidney stones because it decreases the amount of calcium excreted by the kidneys in the urine and thus decreases the amount of calcium in urine to form stones.

Dosage of hydrochlorothiazide

The dosage of hydrochlorothiazide will vary depending on the individual patient’s condition, response to treatment, and other factors. It is important to follow the dosage instructions provided by your 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. Store at room temperature away from moisture, heat, and freezing. Keep the bottle tightly closed when not in use.

Precautions and warnings for hydrochlorothiazide

  • Hydrochlorothiazide should not be used in individuals who have a known allergy to the medication or any of its components
  • It is important to inform your healthcare provider about any existing medical conditions, especially kidney disease, liver disease, diabetes, gout, or electrolyte imbalances
  • Hydrochlorothiazide may interact with certain medications, including other blood pressure medications, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain diuretics. It is important to inform your healthcare provider about all the medications you are taking to avoid potential interactions
  • Hydrochlorothiazide may cause a drop in blood pressure, especially during the initial stages of treatment. It is important to monitor blood pressure regularly and report any significant changes to your healthcare provider
  • Hydrochlorothiazide may increase the risk of electrolyte imbalances, such as low potassium levels (hypokalemia) or sodium (hyponatremia). Regular monitoring of electrolyte levels may be recommended
  • It is important to stay adequately hydrated while taking hydrochlorothiazide to prevent dehydration
  • Using sunscreen and limiting sun exposure can help to prevent a reaction while you’re taking hydrochlorothiazide

Drug interactions

Some medications that may interact with hydrochlorothiazide include:

  • Taking hydrochlorothiazide along with other blood pressure medications, such as ACE inhibitors, beta-blockers, or calcium channel blockers, may lead to an excessive drop in blood pressure
  • Hydrochlorothiazide can increase the levels of lithium in the blood, potentially leading to lithium toxicity. Monitoring of lithium levels is necessary when using these medications together
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can reduce the effectiveness of hydrochlorothiazide and increase the risk of kidney problems
  • Taking hydrochlorothiazide with corticosteroids, such as prednisone, can increase the risk of low potassium levels in the blood
  • Medications cholestyramine and colestipol can decrease the absorption of hydrochlorothiazide, reducing its effectiveness
  • Hydrochlorothiazide can increase blood sugar levels, which may require adjustments in the dosage of diabetes medications

It is essential to discuss with your healthcare provider any medications you are currently taking including prescription drugs, over-the-counter medication and supplements before starting hydrochlorothiazide. They can determine if there are any potential adverse effects and make necessary adjustments to your treatment plan.

Side effects of hydrochlorothiazide

Common side effects of hydrochlorothiazide may include dizziness, lightheadedness, headache, fatigue, dry mouth, increased urination, and electrolyte imbalances. It may also rarely cause more serious side effects, such as allergic reactions, severe skin reactions, or liver or kidney problems. It is important to discuss any persistent or severe side effects with your healthcare provider.

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

Hydrochlorothiazide should be used with caution during pregnancy. It may be prescribed in certain situations, but only if the potential benefits outweigh the potential risks. It is important to discuss the risks and benefits with your healthcare provider.

Is hydrochlorothiazide safe to use while breastfeeding?

Hydrochlorothiazide may pass into breast milk and could potentially affect the nursing infant. It is important to consult with your healthcare provider before using hydrochlorothiazide while breastfeeding to assess the potential risks and benefits.

Sources

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