ivabradine
Used for Heart Failure
NowPatient helps you obtain your ivabradine 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 various FDA-approved generic manufacturers.
*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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ivabradine key facts
What dosages is ivabradine available in?
ivabradine is available as a 5 mg and 7.5 mg oral tablet and a 5 mg/mL oral solution.
What is ivabradine used for?
ivabradine is a hyperpolarization-activated cyclic nucleotide-gated channel blocker that is used:
To lower the risk of hospitalization for worsening heart failure in adults
To treat heart failure due to an enlarged heart (dilated cardiomyopathy) in children ages 6 months and older
How does ivabradine work?
ivabradine is a hyperpolarization-activated cyclic nucleotide-gated channel blocker, or HCN channel blocker for short. It works by blocking specific channels within your heart to slow the electrical activity in your heart. As a result, your heart rate slows down. This can help put less stress on the heart in people with heart failure.
How do I take ivabradine?
ivabradine is dosed as follows:
Adults: The typical starting dose is 5 mg by mouth twice a day with food. The dose can be raised to a maximum of 7.5 mg twice a day if needed.
Children ages 6 months and older weighing more than 88 pounds (40 kg): The typical starting dose is 2.5 mg by mouth twice a day with food. The dose can be raised to a maximum of 7.5 mg twice a day if needed.
Children ages 6 months and older weighing less than 88 pounds (40 kg): The typical dose is 0.05 mg/kg of body weight by mouth twice a day with food. The maximum dose varies since it’s based on your child’s age and weight, but should never be more than 7.5 mg twice a day. The provider will help calculate the right dose for you to give to your child.
Is it safe for me to take ivabradine?
ivabradine 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 in the following:
Acute decompensated heart failure.
Clinically significant hypotension.
Sick sinus syndrome, sinoatrial block or 3rd degree AV block, unless a functioning demand pacemaker is present.
Clinically significant bradycardia.
Severe hepatic impairment.
Heart rate maintained exclusively by the pacemaker .
In combination with strong cytochrome CYP3A4 inhibitors.
ivabradine Common Side Effects
Common side effects of ivabradine:
- Slowed heart rate
- High blood pressure or a rise in blood pressure
- Abnormal heart rhythm called atrial fibrillation
ivabradine Serious Side Effects
Serious side effects are rare with ivabradine. Contact your healthcare provider immediately if you experience any of the following.
Irregular heart rhythm: a racing or pounding heart, chest pressure or pain, shortness of breath, dizziness, fainting
Slow heart rate: dizziness, a tired feeling, unexplainable lack of energy; poor feeding, trouble breathing, or turning blue in children
Effects of other drugs, drug classes and over-the-counter products on ivabradine
The following medications may interact with ivabradine:
- Avoid CYP3A4 inhibitors or inducers.
- Negative chronotropes increase risk of bradycardia; monitor heart rate.
Who makes ivabradine?
Various FDA-approved generic manufacturers
Is ivabradine safe in pregnancy?
ivabradine may cause harm to your unborn baby. Females who are able to get pregnant:
Must use effective birth control during treatment with ivabradine.
Tell your doctor right away if you become pregnant during treatment with ivabradine.
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 ivabradine prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your ivabradine prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient ivabradine 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 ivabradine 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 ivabradine | Canadian Prescription Savings* for ivabradine | ivabradine Drug Coupon* | ivabradine 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 ivabradine?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for ivabradine | Canadian Prescription Savings* for ivabradine | ivabradine Drug Coupon* | ivabradine 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 ivabradine savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the ivabradine 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 ivabradine, 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 ivabradine prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, ivabradine 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 ivabradine 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 ivabradine prescription saving options are applicable or affordable for me, what can I do?
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.
If I have federal, state or commercial insurance and none of the ivabradine 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?
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 ivabradine
If you are having trouble paying for your ivabradine 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 ivabradine you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- ivabradine 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 ivabradine
- If ivabradine 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 ivabradine
If you are having trouble paying for your ivabradine medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for ivabradine 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 ivabradine
- If ivabradine 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 ivabradine
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 ivabradine 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 ivabradine you will need to meet the following criteria:
- You must be currently insured and have coverage for ivabradine
- 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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