IMURAN
NowPatient helps you obtain your IMURAN prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by Sebela Pharmaceuticals Inc
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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IMURAN key facts
What is IMURAN?
IMURAN is the brand name for azathioprine and is available as an oral tablet.
What dosages is IMURAN available in?
IMURAN is available as a 50 mg, 75 mg, and 100 mg oral tablet.
What is IMURAN used for?
IMURAN is an immunosuppressant and is used to prevent the body from rejecting a transplanted kidney and rheumatoid arthritis.
How does IMURAN work?
IMURAN is in a drug class known as immunosuppressants. This means it weakens your body’s immune response. It’s important to lower your immune response after a kidney transplant so that your body doesn’t attack the new kidney. If you have rheumatoid arthritis, it can stop your immune system from attacking your joints.
How do I take IMURAN?
IMURAN is typically given as 1 mg to 3 mg per kilogram of bodyweight by mouth once daily for kidney transplant patients. This usually comes out to 50 mg to 150 mg per day.
For rheumatoid arthritis: The typical dosing is 1 mg per kilogram of bodyweight given by mouth once daily or divided into two doses per day.
Is it safe for me to take IMURAN?
IMURAN 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 rheumatoid arthritis and are pregnant or previously treated with alkylating agents
(cyclophosphamide, chlorambucil, melphalan, or others).
IMURAN Common Side Effects
Common side effects of IMURAN include:
- Nausea
- Vomiting
- Leukopenia (lowering of white blood cells in the body)
- Infections
IMURAN Serious Side Effects
Serious side effects are rare with IMURAN. Contact your healthcare provider immediately if you experience any of the following:
- Signs of an allergic reaction like trouble breathing or swallowing, swelling (on your face, lips, mouth, or throat), peeling skin, rash, or hives
- Unexplained bleeding or bruising (go to the emergency room)
Effects of other drugs, drug classes and over-the-counter products on IMURAN
The following medications may interact with IMURAN:
- Drugs which may affect leukocyte production: Meds such as co-trimoxazole, may lead to exaggerated leukopenia, especially in renal transplant recipients
- Angiotensin-Converting Enzyme Inhibitors: The use of angiotensin-converting enzyme inhibitors to control hypertension in patients on azathioprine has been reported to induce anemia and severe leukopenia
- Warfarin: IMURAN may inhibit the anticoagulant effect of warfarin
- Ribavirin: May induce severe pancytopenia and may increase the risk of IMURAN-related myelotoxicity
Who makes IMURAN?
Sebela Pharmaceuticals Inc
Is IMURAN safe in pregnancy?
IMURAN can cause fetal harm when administered to a pregnant woman. IMURAN should not be given during pregnancy without careful weighing of risk versus benefit. Whenever possible, use of IMURAN in pregnant patients should be avoided. This drug should not be used for treating rheumatoid arthritis in pregnant women.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my IMURAN prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your IMURAN prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient IMURAN savings programs work?
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.
Are the NowPatient IMURAN savings programs suitable for everyone, regardless of insurance status?
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 IMURAN | Canadian Prescription Savings* for IMURAN | IMURAN Drug Coupon* | IMURAN 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.
Are the NowPatient drug savings programs suitable for brand and generic versions of IMURAN?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for IMURAN | Canadian Prescription Savings* for IMURAN | IMURAN Drug Coupon* | IMURAN 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.
If you have Medicare Part D or Medicare Advantage and none of the IMURAN savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the IMURAN 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 IMURAN, 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).
I am uninsured or underinsured and none of the IMURAN prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, IMURAN 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 IMURAN for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the IMURAN prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can 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, 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.
If I have federal, state or commercial insurance and none of the IMURAN 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?
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 IMURAN
If you are having trouble paying for your IMURAN 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 IMURAN you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- IMURAN 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 IMURAN
- If IMURAN 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 IMURAN
If you are having trouble paying for your IMURAN medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for IMURAN 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 IMURAN
- If IMURAN 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 IMURAN
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 IMURAN 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 IMURAN you will need to meet the following criteria:
- You must be currently insured and have coverage for IMURAN
- 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.
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 on 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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