NINLARO
Used for Cancer
NowPatient helps you obtain your NINLARO prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by Takeda Pharmaceuticals
*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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NINLARO key facts
What is NINLARO?
NINLARO is the brand name for ixazomib and is available as an oral capsule.
What dosages is NINLARO available in?
NINLARO is available as a 2.3 mg, 3 mg, and 4 mg oral capsule.
What is NINLARO used for?
NINLARO is an anticancer agent and is used to treat multiple myeloma in people whose cancer came back after receiving anticancer treatments.
How does NINLARO work?
NINLARO is a type of targeted therapy known as a proteasome inhibitor. It works by blocking a group of proteins, called proteasomes, inside cancer cells. Typically, proteasomes help cells break down proteins that they no longer need. When NINLARO blocks proteasomes from working, cell waste builds up, which causes cancer cells to die.
How do I take NINLARO?
NINLARO is typically taken along with lenalidomide (Revlimid) and dexamethasone. The typical starting dose is to take 4 mg of NINLARO by mouth once a week during the first 3 weeks (on days 1, 8, and 15) of a 4-week treatment cycle. Your dose of NINLARO might be different if you’re taking other medications that might interact with NINLARO, or have liver or kidney problems.
Is it safe for me to take NINLARO?
NINLARO 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.
NINLARO Common Side Effects
Common side effects of NINLARO:
- Low platelet count
- Low white blood cell count
- Diarrhea
- Constipation
- Nausea
- Nerve pain (peripheral neuropathy)
- Back pain
- Sore throat, runny nose, and other symptoms of sinus or throat infections
- Rash
- Swelling of arms and legs
- Vomiting
NINLARO Serious Side Effects
Serious side effects are rare with NINLARO. Contact your healthcare provider immediately if you experience any of the following.
- Severe loss of fluids and electrolytes: dizziness, confusion, fainting, feeling tired, feeling thirsty, dry skin, vomiting or diarrhea that’s difficult to stop, not making much urine
- Serious blood clots in small arteries: tiredness, nausea, vomiting, bruising, rash-like patches on the skin, nosebleeds, blood in the urine, pale skin
- Serious liver problems: tiredness, loss of appetite, nausea or vomiting, dark urine, stomach pain, yellowing of the eyes or skin
- Serious skin reactions: new or worsening rash, severe blistering or peeling of your skin, mouth sores
Effects of other drugs, drug classes and over-the-counter products on NINLARO
The following medications may interact with NINLARO:
- Strong CYP3A inducers: Avoid concomitant use with NINLARO
Who makes NINLARO?
Takeda Pharmaceuticals
Is NINLARO safe in pregnancy?
NINLARO can harm your unborn baby. For females, avoid becoming pregnant during treatment with NINLARO. Your healthcare provider will do a pregnancy test before you start treatment with NINLARO. You should use effective non-hormonal birth control during treatment and for 90 days after your last dose of NINLARO. If using hormonal contraceptives (for example, birth control pills), you should also use an additional barrier method of contraception (for example, diaphragm or condom). Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with NINLARO. Males with female partners who are able to become should use effective birth control during treatment and for 90 days after your last dose of NINLARO. Tell your healthcare provider right away if your partner becomes pregnant or thinks she may be pregnant while you are being treated with NINLARO.
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 NINLARO prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your NINLARO prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient NINLARO 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 NINLARO 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 NINLARO | Canadian Prescription Savings* for NINLARO | NINLARO Drug Coupon* | NINLARO 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 NINLARO?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for NINLARO | Canadian Prescription Savings* for NINLARO | NINLARO Drug Coupon* | NINLARO 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 NINLARO savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the NINLARO 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 NINLARO, 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 NINLARO prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, NINLARO 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 NINLARO 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 NINLARO 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 NINLARO 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 NINLARO
If you are having trouble paying for your NINLARO 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 NINLARO you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- NINLARO 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 NINLARO
- If NINLARO 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 NINLARO
If you are having trouble paying for your NINLARO medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for NINLARO 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 NINLARO
- If NINLARO 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 NINLARO
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 NINLARO 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 NINLARO you will need to meet the following criteria:
- You must be currently insured and have coverage for NINLARO
- 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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