NEXIUM
Are you tired of high medication costs? Our service offers unbeatable savings on your NEXIUM 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 AstraZeneca
*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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NEXIUM key facts
What is NEXIUM?
NEXIUMis the brand name for esomeprazole and is available as a delayed-release capsule and suspension.
What dosages is NEXIUM available in?
NEXIUM is available as a 20 mg and 40 mg delayed-release capsule and 2.5 mg, 5 mg, 10 mg, 20 mg, and 40 mg delayed-release oral suspension.
What is NEXIUM used for?
NEXIUM is a proton pump inhibitor that is used to treat:
- Heartburn — OTC only
- Lower the risk of stomach ulcer due to nonsteroidal anti-inflammatory drugs (NSAID)
- Lower the risk of duodenal ulcer caused by Helicobacter pylori (H. pylori) infection
- Other medical conditions that cause too much stomach acid (e.g., Zollinger-Ellison syndrome)
How does NEXIUM work?
NEXIUM is a proton pump inhibitor (PPI). It lowers the amount of acid in your stomach by blocking the final step of stomach acid production. This helps relieve heartburn and other stomach problems.
How do I take NEXIUM?
NEXIUM is typically taken as 20 mg to 40 mg by mouth once daily. Dosing for children will depend on the child’s weight, age, and the reason they’re taking the medication.
Is it safe for me to take NEXIUM?
NEXIUM 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 you have a known hypersensitivity to proton pump inhibitors (PPIs) (angioedema and anaphylaxis have occurred.
NEXIUM Common Side Effects
Common side effects of NEXIUM:
- Headache
- Belly pain
- Diarrhea
- Nausea
- Passing gas
- Constipation
- Dry mouth
NEXIUM Serious Side Effects
Serious side effects are rare with NEXIUM. Contact your healthcare provider immediately if you experience any of the following.
- Severe stomach pain or diarrhea
- Kidney problems: urinating more or less than usual, fever, poor appetite
- Lupus symptoms: joint pain, skin rash on arms or cheeks that gets worse in the sunlight
- Serious skin reactions: blistering, peeling, or bleeding skin, fever, chills
Effects of other drugs, drug classes and over-the-counter products on NEXIUM
The following medications may interact with NEXIUM:
- May affect plasma levels of antiretroviral drugs; use with atazanavir and nelfinavir is not recommended; if saquinavir is used with NEXIUM, monitor for toxicity and consider saquinavir dose reduction
- May interfere with drugs for which gastric pH affects bioavailability (e.g., ketoconazole, iron salts, erlotinib, digoxin and mycophenolate mofetil). Patients treated with NEXIUM and digoxin may need to be monitored for digoxin toxicity
- Combined inhibitor of CYP 2C19 and 3A4 may raise esomeprazole levels.Clopidogrel: NEXIUM decreases exposure to the active metabolite of clopidogrel
- May increase systemic exposure of cilostazol and an active metabolite. Consider dose reduction.
- Tacrolimus: NEXIUM may increase serum levels of tacrolimus
- Methotrexate: NEXIUM may increase serum levels of methotrexate
Who makes NEXIUM?
AstraZeneca
Is NEXIUM safe in pregnancy?
NEXIUM may cause harm to your unborn baby based on animal studies. You should talk to your healthcare provider before taking this medication if you are pregnant.
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 NEXIUM prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your NEXIUM prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient NEXIUM 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 NEXIUM 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 NEXIUM | Canadian Prescription Savings* for NEXIUM | NEXIUM Drug Coupon* | NEXIUM 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 NEXIUM?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for NEXIUM | Canadian Prescription Savings* for NEXIUM | NEXIUM Drug Coupon* | NEXIUM 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 NEXIUM savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the NEXIUM 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 NEXIUM, 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 NEXIUM prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, NEXIUM 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 NEXIUM 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 NEXIUM prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can 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, 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 NEXIUM 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?
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 NEXIUM
If you are having trouble paying for your NEXIUM 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 NEXIUM you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- NEXIUM 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 NEXIUM
- If NEXIUM 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 NEXIUM
If you are having trouble paying for your NEXIUM medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for NEXIUM 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 NEXIUM
- If NEXIUM 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 NEXIUM
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 NEXIUM 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 NEXIUM you will need to meet the following criteria:
- You must be currently insured and have coverage for NEXIUM
- 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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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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