levomilnacipran
Used for Depression
Are you tired of high medication costs? Our service offers unbeatable savings on your levomilnacipran prescription medication. We provide a range of solutions to help you save up to 100% on your medication costs*. Whether you are insured, uninsured, underinsured, or simply looking to reduce your out-of-pocket expenses, we've got you covered.
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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levomilnacipran key facts
What dosages is levomilnacipran available in?
levomilnacipran is available as 20 mg, 40 mg, 80 mg, and 120 mg extended-release oral capsule.
What is levomilnacipran used for?
- levomilnacipran is a SNRI and is used to treat depression
How does levomilnacipran work?
levomilnacipran is a serotonin and norepinephrine reuptake inhibitor (SNRI) antidepressant. It raises the serotonin and norepinephrine activity in your brain, which helps your regulate mood.
How do I take levomilnacipran?
- levomilnacipran is typically started at 20 mg by mouth once a day for 2 days. Then, your dose will be raised to 40 mg by mouth once a day. Your provider will adjust your dose based on how you respond to the medication. The maximum dose is 120 mg per day
- If you have kidney problems, the maximum dose is 40 or 80 mg per day, depending on the severity of your kidney condition. Ask your provider what the maximum amount oflevomilnacipran you can take
Is it safe for me to take levomilnacipran?
levomilnacipran 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 any of the following applies:
- Hypersensitivity to levomilnacipran, milnacipran HCl, or any excipient in the levomilnacipran formulation
- Do not use MAOIs intended to treat psychiatric disorders with levomilnacipran or within 7 days of stopping treatment with levomilnacipran. Do not use levomilnacipran within 14 days of stopping an MAOI intended to treat psychiatric disorders. In addition, do not start levomilnacipran in a patient who is being treated with linezolid or intravenous methylene blue
levomilnacipran Common Side Effects
Common side effects of levomilnacipran:
- Nausea
- Constipation
- Sweating
- Fast heart rate
- Erectile dysfunction
- Vomiting
levomilnacipran Serious Side Effects
Serious side effects are rare with levomilnacipran. Contact your healthcare provider immediately if you experience any of the following.
- Allergic reaction
- Suicidal thoughts or behaviors
- Unusual mood changes
- Serotonin syndrome: Fast heart rate, high fever, sweating, muscle stiffness or spasms, confusion
- Withdrawal: Nausea, anxiety, agitation, flu-like symptoms, trouble sleeping, dizziness
- Bleeding: Easy bruising or bleeding, blood in the urine or stools
- Low sodium: Weakness, confusion, difficulty
- concentrating, headache, memory problems
Blurred vision, eye pain, or changes in vision - Chest pain
- Seizure
- Shortness of breath
Effects of other drugs, drug classes and over-the-counter products on levomilnacipran
The following medications may interact with levomilnacipran:
- Strong CYP3A4 inhibitors: Maximum recommended dosage is 80 mg once daily
Who makes levomilnacipran?
Various FDA-approved generic manufacturers
Is levomilnacipran safe in pregnancy?
levomilnacipran use during the third trimester use may increase risk for symptoms of poor adaptation (respiratory distress, temperature instability, feeding difficulty, hypotonia, tremor, irritability) in the neonate. If you become pregnant while receiving levomilnacipran, talk to your healthcare provider. There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to antidepressants during pregnancy. Healthcare providers are encouraged to advise patients to register by calling the National Pregnancy Registry for Antidepressants at 1-844-405-6185 or visiting online at MGH Center for womens mental health.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effectsDrug 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 levomilnacipran prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your levomilnacipran prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient levomilnacipran 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 levomilnacipran 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 levomilnacipran | Canadian Prescription Savings* for levomilnacipran | levomilnacipran Drug Coupon* | levomilnacipran 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 levomilnacipran?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for levomilnacipran | Canadian Prescription Savings* for levomilnacipran | levomilnacipran Drug Coupon* | levomilnacipran 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 levomilnacipran savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the levomilnacipran 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 levomilnacipran, 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 levomilnacipran prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, levomilnacipran 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 levomilnacipran 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 levomilnacipran 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 levomilnacipran 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 levomilnacipran
If you are having trouble paying for your levomilnacipran 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 levomilnacipran you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- levomilnacipran 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 levomilnacipran
- If levomilnacipran 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 levomilnacipran
If you are having trouble paying for your levomilnacipran medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for levomilnacipran 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 levomilnacipran
- If levomilnacipran 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 levomilnacipran
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 levomilnacipran 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 levomilnacipran you will need to meet the following criteria:
- You must be currently insured and have coverage for levomilnacipran
- 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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Can you tell me more about your NHS online pharmacy?
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Our dispensing pharmacy is regulated and authorized for internet sales by the General Pharmaceutical Council (GPhC), registration number 1036487. You can view our license credentials on the General Pharmaceutical Council website. Our superintendent pharmacist who is responsible for the safe and effective oversight of medicines supplies is Mr Amish Patel (Registration Number 2042705).
Medicines are not ordinary items of commerce. All medicines or healthcare product sales are made under the supervision of a registered pharmacist who is licensed by the GPhC. At all times, we endeavour to provide a professional and transparent service whose primary goal is to ensure that the best interests of the patient are served.
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Our head of US services is Dr. Jamie Winn.
You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
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