Question 1

How can I lower the cost of my indomethacin

Accepted Answer

You can lower cost of your indomethacin using one of the 4 following drug savings programs: Rx Advantage Card for indomethacin, Canadian Prescription Savings for indomethacin, indomethacin Drug Coupons, indomethacin Patient Assistance Programs

Question 2

What dosages is indomethacin available in?

Accepted Answer

indomethacin is available as a 75 mg extended-release oral capsule.

Question 3

What is indomethacin used for?

Accepted Answer

indomethacin is a NSAID and is used to treat moderate-to-severe rheumatoid arthritis, including flare-ups, moderate-to-severe ankylosing spondylitis, moderate-to-severe osteoarthritis, shoulder pain caused by bursitis or tendonitis, and gouty arthritis.

Question 4

How does indomethacin work?

Accepted Answer

indomethacin is a nonsteroidal anti-inflammatory drug, or better known as an NSAID. It works by blocking proteins in the body called cyclooxygenase (COX) that cause inflammation, swelling, and pain. This helps lessen inflammation, swelling, and pain from your condition.

Question 5

How do I take indomethacin?

Accepted Answer

indomethacin is typically dosed as 75 mg by mouth once a day.

Question 6

Is it safe for me to take indomethacin?

Accepted Answer

indomethacin 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 experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs or for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery.

Question 7

indomethacin Common Side Effects

Accepted Answer

Common side effects of indomethacin include:  Headache Dizziness Nausea Stomach upset

Question 8

indomethacin Serious Side Effects

Accepted Answer

Serious side effects are rare with indomethacin. Contact your healthcare provider immediately if you experience any of the following.  Stomach bleeding: feeling faint, vomiting blood, bloody or dark stools, severe stomach pain or discomfort Heart attack: chest pain or tightness; pain that radiates up to your shoulder, arm, neck, or jaw Heart failure: trouble breathing, swelling, fast heartbeat, sudden weight gain Stroke: sudden confusion, trouble breathing, weakness on one side of your body or face, slurred speech Worsening liver problems or liver failure: swelling of your stomach, yellowing of your skin or the whites of your eyes, confusion, dark or brown urine Serious kidney problems: tiredness, dry and itchy skin, low appetite, urinating less than usual, foamy or bloody urine, muscle cramps Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, trouble breathing Serious skin reactions: skin reddening, skin peeling, blisters, rash

Question 9

Effects of other drugs, drug classes and over-the-counter products on indomethacin

Accepted Answer

The following medications may interact with indomethacin:  ACE-Inhibitors and Angiotensin II Antagonists: Reports suggest that NSAIDs may diminish the antihypertensive effect of ACE-inhibitors and angiotensin II antagonists. indomethacin can reduce the antihypertensive effects of captopril and losartan Aspirin: The use of indomethacin in conjunction with aspirin or other salicylates is not recommended Beta-adrenoceptor blocking agents: Blunting of the antihypertensive effect of beta-adrenoceptor blocking agents by non-steroidal antiinflammatory drugs including indomethacin has been reported Cyclosporine: Administration of non-steroidal anti-inflammatory drugs concomitantly with cyclosporine has been associated with an increase in cyclosporine-induced toxicity Digoxin: indomethacin given concomitantly with digoxin has been reported to increase the serum concentration and prolong the half-life of digoxin Probenecid: When indomethacin is given to patients receiving probenecid, the plasma levels of indomethacin are likely to be increased

Question 10

Who makes indomethacin?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is indomethacin safe in pregnancy?

Accepted Answer

It’s not completely clear whether indomethacin is safe to take during the first 20 weeks of pregnancy. But you should avoid indomethacinafter 20 weeks of pregnancy because it might cause developmental problems in your unborn baby or complications during delivery.

Question 12

What is the brand name for indomethacin?

Accepted Answer

INDOCIN SRINDOCIN

Question 13

How can NowPatient help me to lower the cost of my indomethacin prescription?

Accepted Answer

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your indomethacin prescription

Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient indomethacin savings programs work?

Accepted Answer

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.

Question 15

Are the NowPatient indomethacin savings programs suitable for everyone, regardless of insurance status?

Accepted Answer

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 indomethacin	Canadian Prescription Savings* for indomethacin	indomethacin Drug Coupon*	indomethacin 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.

Question 16

Are the NowPatient drug savings programs suitable for brand and generic versions of indomethacin?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for indomethacin	Canadian Prescription Savings* for indomethacin	indomethacin Drug Coupon*	indomethacin 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.

Question 17

If you have Medicare Part D or Medicare Advantage and none of the indomethacin savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the indomethacin 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 indomethacin, 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).

Question 18

I am uninsured or underinsured and none of the indomethacin prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, indomethacin 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 indomethacin for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

Question 19

I am commercially or privately insured and none of the indomethacin prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If your medication is not covered by your plan, 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 contribution, 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.

Question 20

If I have federal, state or commercial insurance and none of the indomethacin 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 contributions?

Accepted Answer

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 indomethacin

If you are having trouble paying for your indomethacin 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 indomethacin you will need to meet one or all of the following criteria:

Your income is below 400% of the federal poverty level
indomethacin 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 indomethacin
If indomethacin 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 indomethacin

If you are having trouble paying for your indomethacin medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for indomethacin 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 indomethacin
If indomethacin 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 indomethacin

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 indomethacin 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 indomethacin you will need to meet the following criteria:

You must be currently insured and have coverage for indomethacin
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.