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

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

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

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 mycophenolate cost without insurance?

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

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

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

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

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

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

Generic mycophenolate 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 mycophenolate

Mycophenolate is approved by the U.S. Food and Drug Administration (FDA) for the prevention of organ rejection in patients who have received a kidney, heart, or liver transplant.

Active ingredient of mycophenolate

The active ingredient of mycophenolate is mycophenolic acid.

US brand name of mycophenolate and manufacturer

Mycophenolate is available in the US under various brand names, including CellCept and Myfortic. The manufacturers may vary depending on the brand names.

UK brand name of mycophenolate and manufacturer

In the UK, mycophenolate is available under various brand names, including Myfenax and Cellcept. The manufacturers may vary depending on the brand names.

Prescription requirement for mycophenolate

A prescription (Rx) is required for mycophenolate in both the US and the UK. Sometimes it is prescribed under the names mycophenolate mofetil or mycophenolate sodium.

Availability of mycophenolate in the UK with NHS prescription

Mycophenolate is available in the UK with an NHS prescription.

Conditions treated by mycophenolate

Mycophenolate mofetil (MMF) is an inosine monophosphate dehydrogenase inhibitor, used for the prevention of organ transplantation rejection in patients who have a received kidney transplant, heart transplant, or liver transplant. It may be used alone or in combination with other medications such as cyclosporine.

How does mycophenolate work?

Mycophenolate belongs to a class of medications called immunosuppressive agents. It works by suppressing the activity of the immune system, which helps prevent the rejection of transplanted organs.

Forms of mycophenolate available

Mycophenolate is available in various forms, including oral tablets, delayed-release tablets, capsules, and suspension.

Dosage of mycophenolate

The dosage of mycophenolate may vary depending on the individual’s specific condition, type of transplant, and other factors. Take mycophenolate on an empty stomach, 1 hour before or 2 hours after food. If you forget to take your dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and take your next dose at the usual time. It is important to follow the medication guide provided by the healthcare provider.

Warnings and precautions for mycophenolate

  • Mycophenolate may reactivate hepatitis B or C infection
  • Mycophenolate may increase the risk of developing serious infections, skin cancer or lymphoma (cancer of the lymph system). Limit exposure to sunlight and UV light by wearing protective clothing and using sunscreen with a high SPF
  • Tell your doctor you are using mycophenolate mofetil before having a vaccination. Avoid people who have recently had a live vaccine
  • Mycophenolate may reduce the effects of oral contraceptives. Use a second form of birth control while using mycophenolate
  • Tell your doctor if you have anemia, immune system problems, low blood counts, chickenpox, cold sores, herpes, or kidney disease, Lesch-Nyhan or Kelley-Seegmiller syndromes before starting treatment

Use of mycophenolate if pregnant or planning pregnancy

The use of mycophenolate during pregnancy should be discussed with a healthcare provider. It can cause harm to the developing fetus and is generally not recommended during pregnancy. Take a pregnancy test before starting treatment to make sure you are not pregnant. It is not known if mycophenolate passes into breast milk. Speak to your doctor before breast-feeding.

Possible side effects of mycophenolate

Common side effects of mycophenolate may include gastrointestinal upset, stomach pain, constipation, diarrhea, weight loss, nausea, and headache. Serious side effects are rare but can occur. Patients can develop a serious condition called progressive multifocal leukoencephalopathy (PML). Promptly report any adverse effects to a healthcare provider.

Interactions with other drugs

Mycophenolate may interact with other medications, including certain antacids containing aluminum, magnesium, or cholestyramine. It is important to inform your healthcare provider about all the medications you are taking, including prescription drugs, nonprescription over-the-counter medications, supplements, and herbal products to prevent drug interactions.

Similar drugs to mycophenolate

Other immunosuppressant medications, such as azathioprine and tacrolimus, may be used as alternatives for the prevention of organ rejection.

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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