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Is the cost of your lactulose 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 lactulose 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 lactulose?What can I do if I am uninsured and cannot afford my lactulose?What can I do if I am insured with Medicare and cannot afford my lactulose?Am I eligible for the Rx Advantage Card and how much does lactulose cost without insurance?What will my out-of-pocket cost be for lactulose when using the Rx Advantage Card?Is it legal for me to pay cash for lactulose 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 lactulose and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a lactulose co-pay program?Is there a lactulose Patient Assistance Program (PAP)?What should I do if I take too much lactulose?What are the benefits of NowPatient?What is generic lactulose?FDA approval of lactuloseActive ingredient of lactuloseUS brand name of lactulose and manufacturerUK brand name of lactulose and manufacturerPrescription requirement for lactuloseAvailability of lactulose in the UK with NHS prescriptionConditions treated by lactuloseHow does lactulose work?Forms of lactulose availableDosage of lactuloseDirections for lactulose useWarnings and precautions for lactuloseUse of lactulose if pregnant or planning pregnancyPossible side effects of lactuloseSimilar drugs to lactuloseSourcesPeople 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 lactulose?

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

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

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 lactulose cost without insurance?

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

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

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

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

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

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

Generic lactulose 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 lactulose

Lactulose is approved by the U.S. Food and Drug Administration (FDA) for the treatment of constipation and hepatic encephalopathy.

Active ingredient of lactulose

The active ingredient of lactulose is lactulose.

US brand name of lactulose and manufacturer

Lactulose is available in the US under various brand names, including Cephulac, Cholac, Chronulac, Constulose, Generlac, Kristalose and Enulose. The manufacturers may vary depending on the brand names.

UK brand name of lactulose and manufacturer

In the UK, lactulose is available under various brand names, including Duphalac and Lactugal. The manufacturers may vary depending on the brand names.

Prescription requirement for lactulose

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

Availability of lactulose in the UK with NHS prescription

Lactulose is available in the UK with an NHS prescription.

Conditions treated by lactulose

Lactulose is used for the treatment of constipation, chronic constipation and hepatic encephalopathy, a condition that affects the brain function in people with liver disease.

How does lactulose work?

Lactulose is a disaccharide, absorbed poorly from the gastrointestinal tract. Enzymes able to break down lactulose are not present in the human gastrointestinal tissue. Lactulose works by drawing water into the intestine, softening the stool and increasing bowel movements. In the case of hepatic encephalopathy, lactulose reduces the production and absorption of ammonia in the intestine, helping to reduce its concentration in the blood, which can alleviate symptoms associated with liver disease.

Forms of lactulose available

Lactulose is available in liquid form for oral administration.

Dosage of lactulose

Your dose of lactulose may vary depending on your specific condition and response to the medication. It is important to follow the recommended dosage instructions and medical advice provided by a healthcare professional.

Directions for lactulose use

Lactulose should be stored at room temperature and taken exactly as directed by the healthcare provider. It is usually taken orally, with or without food. It may take a few days for the full effect of Lactulose to be noticed.

Warnings and precautions for lactulose

  • Lactulose may have certain risks and potential side effects. It is important to discuss these with a healthcare provider before starting the medication
  • Should not be used in those who follow a low lactose or galactose diet
  • Lactulose should be used with caution in individuals with diabetes, as it contains sugar and may affect blood glucose levels

Use of lactulose if pregnant or planning pregnancy

The use of lactulose during pregnancy should be discussed with a healthcare provider. It is generally considered safe for use during pregnancy. It is not known if lactulose passes into breast milk. Speak to your doctor before breast-feeding.

Possible side effects of lactulose

Common side effects of lactulose may include diarrhea (which may cause electrolyte problems), abdominal discomfort, bloating and flatulence. Serious side effects are rare but can occur. Promptly report any concerning symptoms to a healthcare provider. Serious allergic reactions to lactulose are rare. Get medical help immediately however, if you notice symptoms such as a rash, swelling, or itching (especially of the face, tongue or throat), have difficulty breathing, or severe dizziness.

Similar drugs to lactulose

Other laxatives, such as polyethylene glycol (PEG) may be used as alternatives for the treatment of constipation. Some antacids containing magnesium and/or aluminium may interact with lactulose, however no other drug interactions are associated with mixing lactulose with other prescription drugs, over-the-counter medicines, supplements or herbal remedies.

Sources

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 in 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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