Question 1

How can I lower the cost of my paliperidone palmitate

Accepted Answer

You can lower cost of your paliperidone palmitate using one of the 4 following drug savings programs: Rx Advantage Card for paliperidone palmitate, Canadian Prescription Savings for paliperidone palmitate, paliperidone palmitate Drug Coupons, paliperidone palmitate Patient Assistance Programs

Question 2

What dosages is paliperidone palmitate available in?

Accepted Answer

paliperidone palmitate is available as a 273 mg/0.88 mL, 410 mg/1.32 mL, 546 mg/1.75 mL, or 819 mg/2.63 mL extended-release injectable suspension.

Question 3

What is paliperidone palmitate used for?

Accepted Answer

paliperidone palmitate is an atypical antipsychotic and is used to treat schizophrenia

Question 4

How does paliperidone palmitate work?

Accepted Answer

paliperidone palmitate is an atypical antipsychotic. It can affect dopamine and serotonin levels in your brain, which helps control your thoughts, mood, and behaviors.

Question 5

How do I take paliperidone palmitate?

Accepted Answer

paliperidone palmitate is given as an injection into the muscle by a healthcare provider. It should only be used after you’ve taken Invega Sustenna (paliperidone) for at least 4 months. Your provider will determine your dose based on what dose of Invega Sustenna (paliperidone) you were taking You’ll receive your first dose of paliperidone palmitate when your next 1-month Invega Sustenna (paliperidone) dose is due. After that, paliperidone palmitate is injected once every 3 months. The typical dose ranges from 273 mg to 819 mg

Question 6

Is it safe for me to take paliperidone palmitate?

Accepted Answer

paliperidone palmitate 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 an allergy to paliperidone (Invega) or risperidone (Risperdal).

Question 7

paliperidone palmitate Common Side Effects

Accepted Answer

Common side effects of paliperidone palmitate:  Upper respiratory tract infection Weight gain Headache Not able to stay still

Question 8

paliperidone palmitate Serious Side Effects

Accepted Answer

Serious side effects are rare with paliperidone palmitate.Contact your healthcare provider immediately if you experience any of the following.  Seizures Difficulty swallowing Neuroleptic malignant syndrome: high fever, muscle stiffness, confusion, sweating, changes in pulse, heart rate, changes in blood pressure Tardive dyskinesia: uncontrolled muscle movements, such as facial grimacing, lip-smacking, blinking Extremely high blood sugar levels: feeling very hungry or thirsty, urinating more often, stomach pain, weakness, fruity-smelling breath Serious infections: fever, chills, body aches, tiredness, cough Priapism: painful erection that that lasts longer than 4 hours

Question 9

Effects of other drugs, drug classes and over-the-counter products on paliperidone palmitate

Accepted Answer

The following medications may interact with paliperidone palmitate:  Strong CYP3A4/P-glycoprotein (P-gp) inducers: Avoid using a strong inducer of CYP3A4 and/or P-gp (e.g., carbamazepine, rifampin, St John’s Wort) during a dosing interval for paliperidone palmitate. If administering a strong inducer is necessary, consider managing the patient using paliperidone extended release tablets

Question 10

Who makes paliperidone palmitate?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is paliperidone palmitate safe in pregnancy?

Accepted Answer

paliperidone palmitate may cause extrapyramidal and/or withdrawal symptoms in neonates with third trimester exposure. There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to atypical antipsychotics, including paliperidone palmitate, during pregnancy. Healthcare providers are encouraged to register patients by contacting the National Pregnancy Registry for Atypical Antipsychotics at 1-866-961-2388 or online at women’s health

Question 12

What is the brand name for paliperidone palmitate?

Accepted Answer

INVEGA TRINZAINVEGA SUSTENNAINVEGA HAFYERAINVEGA

Question 13

How can NowPatient help me to lower the cost of my paliperidone palmitate prescription?

Accepted Answer

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your paliperidone palmitate prescription

Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient paliperidone palmitate savings programs work?

Accepted Answer

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.

Question 15

Are the NowPatient paliperidone palmitate savings programs suitable for everyone, regardless of insurance status?

Accepted Answer

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 paliperidone palmitate	Canadian Prescription Savings* for paliperidone palmitate	paliperidone palmitate Drug Coupon*	paliperidone palmitate 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.

Question 16

Are the NowPatient drug savings programs suitable for brand and generic versions of paliperidone palmitate?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for paliperidone palmitate	Canadian Prescription Savings* for paliperidone palmitate	paliperidone palmitate Drug Coupon*	paliperidone palmitate 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.

Question 17

If you have Medicare Part D or Medicare Advantage and none of the paliperidone palmitate savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the paliperidone palmitate 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 paliperidone palmitate, 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).

Question 18

I am uninsured or underinsured and none of the paliperidone palmitate prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, paliperidone palmitate 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 paliperidone palmitate for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

Question 19

I am commercially or privately insured and none of the paliperidone palmitate prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

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.

Question 20

If I have federal, state or commercial insurance and none of the paliperidone palmitate 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?

Accepted Answer

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 paliperidone palmitate

If you are having trouble paying for your paliperidone palmitate 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 paliperidone palmitate you will need to meet one or all of the following criteria:

Your income is below 400% of the federal poverty level
paliperidone palmitate 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 paliperidone palmitate
If paliperidone palmitate 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 paliperidone palmitate

If you are having trouble paying for your paliperidone palmitate medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for paliperidone palmitate 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 paliperidone palmitate
If paliperidone palmitate 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 paliperidone palmitate

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 paliperidone palmitate 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 paliperidone palmitate you will need to meet the following criteria:

You must be currently insured and have coverage for paliperidone palmitate
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.