midazolam
NowPatient can significantly lower the cost* of your prescription medication by providing free access to drug coupons, savings cards, patient assistance programs and other out of pocket discount programs. Whether you’re insured, uninsured, or underinsured, we empower you with transparency and cost-saving tools to make your midazolam more affordable.
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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midazolam key facts
What dosages is midazolam available in?
midazolam is available as a single-dose nasal spray unit containing 5 mg midazolam per 0.1 mL solution.
What is midazolam used for?
midazolam is a benzodiazepine and is used to treat seizure attacks in people with epilepsy who are 12 years of age and older.
How does midazolam work?
midazolam is a benzodiazepine. It’s thought to slow down activity in your brain to help stop seizures.
How do I take midazolam?
midazolam is dosed as follows:
- Adults and children 12 years of age and older: Spray 1 dose (5 mg) into one nostril. After 10 minutes, if the seizure isn’t controlled, spray a second dose into the other nostril. Don’t use more than 2 doses of midazolam to treat a seizure attack
- It isn’t recommended to use midazolam more than once every 3 days or more than 5 times in a month. Talk to your provider if you or your child has a seizure attack more often than this because it means that your seizures aren’t well controlled. Your provider will need to adjust your daily seizure medications so that the attacks happen less often
Is it safe for me to take midazolam?
midazolam 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:
- Patients with hypersensitivity to midazolam
- Patients with acute narrow-angle glaucoma
midazolam Common Side Effects
Common side effects of midazolam:
- Drowsiness
- Nasal discomfort
- Headache
- Throat irritation
- Runny nose
midazolam Serious Side Effects
Serious side effects are rare with midazolam. Contact your healthcare provider immediately if you experience any of the following.
- Withdrawal: unusual involuntary movements, muscle pain and stiffness, shaky hands, stomach upset, anxiety, panic attacks, changes in mood or behavior, fast heart beat, more seizures
- Accidentally taking too much (overdose): trouble breathing, extreme sleepiness, difficulty thinking straight, confusion, weakness, bluish fingernails and lips, hard time walking or moving normally, coma
Thoughts of hurting yourself or suicide
Effects of other drugs, drug classes and over-the-counter products on midazolam
The following medications may interact with midazolam:
- CYP3A4 Inhibitors: Avoid co-administration of midazolam with moderate or strong CYP3A4 inhibitors. midazolam should be used with caution when co-administered with mild CYP3A4 inhibitors
- Opioids: Risk of respiratory depression is increased.
- Other CNS Depressants: May increase the risks of hypoventilation, airway obstruction, desaturation, or apnea and may contribute to profound and/or prolonged drug effect
Who makes midazolam?
Various FDA-approved generic manufacturers
Is midazolam safe in pregnancy?
Taking midazolam late in pregnancy may cause your baby to have symptoms of sedation (breathing problems, sluggishness, low muscle tone), and/or withdrawal symptoms (jitteriness, irritability, restlessness, shaking, excessive crying, feeding problems). Tell your healthcare provider right away if you become pregnant or think you are pregnant during
treatment with midazolam. If you become pregnant while using midazolam, talk to your healthcare provider about registering with the North American Antiepileptic Drug (NAAED) Pregnancy Registry. You can register by
calling 1-888-233-2334. For more information about the registry, go to AED pregnancy registry The purpose of this registry is to collect information about the safety of antiepileptic drugs during pregnancy.
What is the brand name for midazolam?
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 midazolam prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your midazolam prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient midazolam 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 midazolam 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 midazolam | Canadian Prescription Savings* for midazolam | midazolam Drug Coupon* | midazolam 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 midazolam?
No. Each program has applicability requirements. Please see below
Rx Advantage Card* for midazolam | Canadian Prescription Savings* for midazolam | midazolam Drug Coupon* | midazolam 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 midazolam savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the midazolam 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 midazolam, 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 midazolam prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, midazolam 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 midazolam 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 midazolam 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 midazolam 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 midazolam
If you are having trouble paying for your midazolam 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 midazolam you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- midazolam 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 midazolam
- If midazolam 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 midazolam
If you are having trouble paying for your midazolam medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for midazolam 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 midazolam
- If midazolam 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 midazolam
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 midazolam 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 midazolam you will need to meet the following criteria:
- You must be currently insured and have coverage for midazolam
- 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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