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Is the cost of your nitroglycerin 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 nitroglycerin 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 nitroglycerin?What can I do if I am uninsured and cannot afford my nitroglycerin?What can I do if I am insured with Medicare and cannot afford my nitroglycerin?Am I eligible for the Rx Advantage Card and how much does nitroglycerin cost without insurance?What will my out-of-pocket cost be for nitroglycerin when using the Rx Advantage Card?Is it legal for me to pay cash for nitroglycerin 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 nitroglycerin and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a nitroglycerin co-pay program?Is there a nitroglycerin Patient Assistance Program (PAP)?What should I do if I take too much nitroglycerin?What are the benefits of NowPatient?US brand name of nitroglycerin and manufacturerUK brand name of nitroglycerin and manufacturerPrescription requirement for nitroglycerinFDA approval of nitroglycerinIs nitroglycerin available in the UK on NHS?Active ingredient of nitroglycerin and mechanism of actionUses of nitroglycerinForms of nitroglycerinDosage of nitroglycerinPrecautions and warnings for nitroglycerinSide effects of nitroglycerinInteractions with other drugsSourcesPeople 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 nitroglycerin?

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

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

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 nitroglycerin cost without insurance?

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

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

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

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

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

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using nitroglycerin. 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 nitroglycerin. 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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US brand name of nitroglycerin and manufacturer

Nitroglycerin is available in the US under various brand names, including Nitrostat, Nitro-Dur, and Nitrolingual. It is manufactured by different pharmaceutical companies.

UK brand name of nitroglycerin and manufacturer

In the UK, nitroglycerin is available under different brand names, including Glyceryl Trinitrate and Minitran. It is also manufactured by various pharmaceutical companies.

Prescription requirement for nitroglycerin

In the US, nitroglycerin is available both with or without a prescription, depending on the strength and formulation. Lower-dose formulations, such as over-the-counter creams and ointments, may not require a prescription. However, higher-dose formulations, such as sublingual tablets or patches, typically require a prescription.

FDA approval of nitroglycerin

Nitroglycerin has received FDA approval for the treatment of angina attacks, a condition characterized by chest pain or discomfort caused by reduced blood flow to the heart.

Is nitroglycerin available in the UK on NHS?

Nitroglycerin is available on the NHS in the UK, and both prescription and over-the-counter formulations can be obtained.

Active ingredient of nitroglycerin and mechanism of action

Nitroglycerin contains the active ingredient nitroglycerin, which belongs to a class of medications known as nitrates. Nitroglycerin works by relaxing and dilating the blood vessels, allowing for increased blood flow to the heart. This helps to relieve chest pain and improve blood supply to the heart muscle.

Uses of nitroglycerin

Nitroglycerin is a vasodilator, primarily used to relieve and prevent episodes of angina pectoris (chest pain), or discomfort caused by reduced blood flow to the heart in patients with coronary artery disease.

Forms of nitroglycerin

Nitroglycerin is available in various forms, including nitroglycerin sublingual tablets, transdermal patches, ointments, sprays, and oral capsules.

Dosage of nitroglycerin

Your dose of nitroglycerin will depend on the specific formulation and individual factors. It is important to follow the dosage instructions provided by your healthcare provider.

Precautions and warnings for nitroglycerin

  • Nitroglycerin may interact with certain medications, including drugs used to treat erectile dysfunction or pulmonary hypertension, (sildenafil, tadalafil, vardenafil), blood pressure medications, and alcohol. It is important to inform your healthcare provider about all the medications you are taking
  • Nitroglycerin can cause a drop in blood pressure, leading to lightheadedness or fainting. Avoid sudden changes in posture, such as standing up quickly, to minimize this risk
  • Tell your doctor if you have anemia or have recently had a heart attack, are dehydrated, have had heart failure, low blood pressure (hypotension), or hypertrophic cardiomyopathy, before starting treatment
  • Nitroglycerin may cause headaches, which can be a common side effect. These headaches often subside with continued use. However, if you experience severe or persistent headaches, contact your healthcare provider
  • It is not known if nitroglycerin passes into breast milk. Speak to your doctor before breast-feeding

Side effects of nitroglycerin

Common side effects of nitroglycerin may include headache, dizziness, flushing, and low blood pressure. Serious side effects are rare but may include a rapid, irregular or slow heart rate, fainting, or allergic reactions. Seek medical attention if you experience any severe or concerning side effects.

Interactions with other drugs

Nitroglycerin may interact with other medications, including erectile dysfunction drugs, blood pressure medications, ergot alkaloids such as ergotamine, riociguat, and vericiguat. It is important to inform your healthcare provider about all the medications you are taking, including over-the-counter drugs, supplements, and herbal products, to avoid any adverse events and potential drug interactions.

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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