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Is the cost of your metformin 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 metformin 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 metformin?What can I do if I am uninsured and cannot afford my metformin?What can I do if I am insured with Medicare and cannot afford my metformin?Am I eligible for the Rx Advantage Card and how much does metformin cost without insurance?What will my out-of-pocket cost be for metformin when using the Rx Advantage Card?Is it legal for me to pay cash for metformin 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 metformin and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a metformin co-pay program?Is there a metformin Patient Assistance Program (PAP)?What should I do if I take too much metformin?What are the benefits of NowPatient?What is metformin?FDA approval of metforminActive Ingredient of metforminUS brand name of metformin and manufacturerUK brand name of metformin and manufacturerGeneric availability of metforminPrescription requirement for metforminAvailability of metformin in the UK with NHS prescriptionConditions treated by metforminHow does metformin work?Forms of metformin availableDosage of metforminDirections for metformin useContraindications and warnings of metforminSide effects of metforminInteractions with other drugsIs metformin safe to take if I am pregnant or planning to become pregnant?Is metformin safe to take if I am breastfeeding?SourcesPeople 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 metformin?

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

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

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 metformin cost without insurance?

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

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

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

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

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

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

Metformin is a medication used to treat type 2 diabetes mellitus. It belongs to a class of drugs called biguanides and works by reducing glucose production in the liver and improving insulin sensitivity in the body.

FDA approval of metformin

Metformin is approved by the U.S. Food and Drug Administration (FDA) for the treatment of type 2 diabetes.

Active Ingredient of metformin

The active ingredient of metformin is metformin hydrochloride.

US brand name of metformin and manufacturer

Metformin is available under various brand names in the United States, including Glucophage, Glumetza, Fortamet, and Riomet. These brand names are manufactured by different pharmaceutical companies.

UK brand name of metformin and manufacturer

In the United Kingdom, metformin is available under different brand names, including Glucophage, and Metabet. These brand names are also manufactured by various pharmaceutical companies.

Generic availability of metformin

Metformin is available as a generic medication, which means it can be sold under its chemical name, metformin, without a specific brand name.

Prescription requirement for metformin

Metformin is a prescription medication in the United States and the United Kingdom. It is important to consult a healthcare provider who can evaluate your condition and determine if metformin is appropriate for you.

Availability of metformin in the UK with NHS prescription

Metformin is available with a National Health Service (NHS) prescription in the United Kingdom. It can be obtained from pharmacies with a valid prescription from a healthcare professional.

Conditions treated by metformin

Metformin is primarily used to manage high blood sugar levels (hyperglycemia) in people with type 2 diabetes. Metformin is not recommended in patients who have insulin-dependent or type 1 diabetes. It is prescribed alongside a healthy diet and exercise regimen to help control blood glucose levels.

How does metformin work?

Metformin is an antidiabetic that works by decreasing the amount of glucose produced by the liver and enhancing the body’s response to insulin. It helps to lower blood sugar levels and improve insulin sensitivity, leading to better control of diabetes. Metformin may be used alone or in combination with sulfonylureas.

Forms of metformin available

Metformin is available in various forms, including immediate-release tablets, extended-release tablets, and oral solutions. The specific form and strength of metformin prescribed may depend on individual factors and treatment goals.

Dosage of metformin

The dosage of metformin may vary depending on various factors, including age, kidney function, and response to treatment. It is important to follow the dosage instructions and medical advice provided by the healthcare provider and not exceed the prescribed dose.

Directions for metformin use

Metformin is typically taken orally with meals, unless otherwise directed by the healthcare provider. It is important to take metformin exactly as prescribed and follow any specific instructions provided.

Contraindications and warnings of metformin

  • Tell your doctor if you have kidney disease (your kidney function may need checking before you start treatment), heart disease, congestive heart failure, liver disease, blood problems (such as anemia, or vitamin B12 deficiency), diabetic ketoacidosis or if you use insulin, or other oral diabetes medications
  • Alcohol can increase your risk of lactic acidosis and developing low blood sugar when taking metformin

Side effects of metformin

Like any medication, metformin may cause side effects. Common side effects may include gastrointestinal symptoms such as nausea, vomiting, diarrhea, stomach pain, and weight loss. These side effects are usually mild and transient. Serious side effects are rare but can include lactic acidosis, a potentially life-threatening condition, hypoglycemia (low blood sugar), and allergic reactions. It is important to seek medical attention if you experience any severe or persistent adverse effects.

Interactions with other drugs

Metformin may have drug interactions with certain medications, including those used to treat high blood pressure, heart conditions, and some antibiotics. Certain drug interactions may increase the risk of lactic acidosis. These include carbonic anhydrase inhibitors, cimetidine, glycopyrrolate, lamotrigine, ranolazine, and topiramate. It is important to inform your healthcare provider about all medications, supplements, and herbal products you are taking to avoid potential interactions.

Is metformin safe to take if I am pregnant or planning to become pregnant?

Metformin may be prescribed to women with type 2 diabetes during pregnancy under the supervision of a
healthcare provider. It is important to discuss the potential risks and benefits of metformin use during pregnancy with your healthcare provider.

Is metformin safe to take if I am breastfeeding?

Metformin is considered compatible with breastfeeding. It is generally safe to take metformin while breastfeeding, but it is advisable to consult with a healthcare provider for individualized recommendations.

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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