pemetrexed
Used for Cancer
NowPatient can significantly lower the cost* of your prescription medication by providing free access to drug coupons, savings cards, patient assistance programs and other out of pocket discount programs. Whether you’re insured, uninsured, or underinsured, we empower you with transparency and cost-saving tools to make your pemetrexed more affordable.
Manufactured by various FDA-approved generic manufacturers.
*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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Lower the cost of your pemetrexed prescription
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pemetrexed key facts
What dosages is pemetrexed available in?
pemetrexed is available as a 100 mg or 500 mg IV injection.
What is pemetrexed used for?
pemetrexed is an antimetabolite and is used for the following:
- Advanced or metastatic non-squamous non-small cell lung cancer (NSCLC)
- Advanced or metastatic malignant mesothelioma
How does pemetrexed work?
pemetrexed is a type of chemotherapy called an antimetabolite. It stops rapidly growing cells (like cancer cells) from producing the chemicals needed to build their genetic material and other substances important for cells to grow and divide.
How do I take pemetrexed?
- Your treatment team will determine your pemetrexed dose based on your body surface area (BSA), which is calculated using your height and weight
- The typical dose is 500 mg/m2 given as an infusion through the vein (IV) every 3 weeks by a healthcare provider
Is it safe for me to take pemetrexed?
pemetrexed 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.
pemetrexed Common Side Effects
Common side effects of pemetrexed:
- Low blood cell counts
- Higher blood sugar levels
- Feeling very tired
- Nausea
- Signs of stress to the liver and kidney on blood tests
- Constipation
- Low blood electrolyte and protein levels
- Diarrhea
pemetrexed Serious Side Effects
Serious side effects are rare with pemetrexed. Contact your healthcare provider immediately if you experience any of the following.
- Lower blood cell counts: unusual bleeding or bruising, fever, chills, body aches, tiredness
- Serious kidney problems: feeling confused, tiredness, nausea, vomiting, itchy skin, making little to no urine
- Severe skin problems: burning, redness, rashes, blisters, or peeling skin
- Lung damage: cough, trouble catching your breath, fever
Effects of other drugs, drug classes and over-the-counter products on pemetrexed
The following medications may interact with pemetrexed:
- Ibuprofen increased risk of pemetrexed toxicity in patients with mild to moderate renal impairment. Modify the ibuprofen dosage as recommended for patients with a creatinine clearance between 45 mL/min and 79 mL/min
Who makes pemetrexed?
Various FDA-approved generic manufacturers
Is pemetrexed safe in pregnancy?
Based on findings from animal studies and its mechanism of action, pemetrexed can cause fetal harm when administered to a pregnant woman. Women should use effective contraception during treatment with pemetrexed and for 6 months after the last dose. Males with female partners of reproductive potential to use effective contraception during treatment with pemetrexed and for 3 months after the last dose.
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 pemetrexed prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your pemetrexed prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient pemetrexed 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 pemetrexed 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 pemetrexed | Canadian Prescription Savings* for pemetrexed | pemetrexed Drug Coupon* | pemetrexed 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 pemetrexed?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for pemetrexed | Canadian Prescription Savings* for pemetrexed | pemetrexed Drug Coupon* | pemetrexed 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 pemetrexed savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the pemetrexed 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 pemetrexed, 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 pemetrexed prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, pemetrexed 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 pemetrexed 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 pemetrexed prescription saving options are applicable or affordable for me, what can I do?
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.
If I have federal, state or commercial insurance and none of the pemetrexed 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?
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 pemetrexed
If you are having trouble paying for your pemetrexed 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 pemetrexed you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- pemetrexed 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 pemetrexed
- If pemetrexed 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 pemetrexed
If you are having trouble paying for your pemetrexed medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for pemetrexed 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 pemetrexed
- If pemetrexed 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 pemetrexed
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 pemetrexed 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 pemetrexed you will need to meet the following criteria:
- You must be currently insured and have coverage for pemetrexed
- 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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