PramipexolePrices, Coupons & Savings
Mail Order Pharmacy
- MedicationYou saveUS ONLY
- Pramipexole DihydrochlorideGeneric for MirapexRx0.125mg30 tablets $3.9 USD30 tablets $3.9 USD - 0.13 USD/tabletSave $30.60
- Pramipexole DihydrochlorideGeneric for MirapexRx0.25mg30 tablets $3.9 USD30 tablets $3.9 USD - 0.13 USD/tabletSave $30.60
- Pramipexole DihydrochlorideGeneric for MirapexRx0.5mg30 tablets $3.9 USD30 tablets $3.9 USD - 0.13 USD/tabletSave $30.60
- Pramipexole DihydrochlorideGeneric for MirapexRx1.5mg30 tablets $4.5 USD30 tablets $4.5 USD - 0.15 USD/tabletSave $30.00
- Pramipexole DihydrochlorideGeneric for MirapexRx1mg30 tablets $4.2 USD30 tablets $4.2 USD - 0.14 USD/tabletSave $30.30
- Pramipexole DihydrochlorideGeneric for MirapexRx0.75mg30 tablets $4.2 USD30 tablets $4.2 USD - 0.14 USD/tabletSave $30.30
- Pramipexole Dihydrochloride ERGeneric for Mirapex ERRx0.375mg30 extended release tablets $129 USD30 extended release tablets $129 USD - 4.3 USD/extended release tabletSave $323.10
- Pramipexole Dihydrochloride ERGeneric for Mirapex ERRx0.75mg30 extended release tablets $129 USD30 extended release tablets $129 USD - 4.3 USD/extended release tabletSave $323.10
- Pramipexole Dihydrochloride ERGeneric for Mirapex ERRx1.5mg30 extended release tablets $128.7 USD30 extended release tablets $128.7 USD - 4.29 USD/extended release tabletSave $323.40
- Pramipexole Dihydrochloride ERGeneric for Mirapex ERRx3mg30 extended release tablets $129 USD30 extended release tablets $129 USD - 4.3 USD/extended release tabletSave $323.10
- Pramipexole Dihydrochloride ERGeneric for Mirapex ERRx4.5mg30 extended release tablets $129 USD30 extended release tablets $129 USD - 4.3 USD/extended release tabletSave $323.10

Do you need a prescription for pramipexole?
Yes, pramipexole is only available with a valid physician Rx.
How much is pramipexole without Insurance in the US?
Our website gives two competitive savings options to US customers who wish to purchase pramipexole, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.
What will my out-of-pocket cost be for pramipexole in the US?
There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.
Is Now Patient a pramipexole savings card?
Yes. Save up to 90% on your pramipexole with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.
Can you handle Rx transfers for home delivery in the US?
Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.
Is Now Patient a pramipexole coupon provider in the US?
No. Now Patient does not provide pramipexole coupons or FREE pramipexole samples.
Do you accept commercial, Medicare or Medicaid coverage for pramipexole in the US?
No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.
Does Now Patient work with Medicare?
Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.
Does Now Patient work with Commercial Insurance?
Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.
What should you do if you use too much pramipexole?
Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using pramipexole. 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 pramipexole. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.
If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.
What should I do if I miss my dose?
There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.
Click here to find out what to do if you forgot to take your medication
US brand name of pramipexole and manufacturer
Pramipexole is available in the US under the brand name Mirapex, and Mirapex ER which are manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.
UK brand name of pramipexole and manufacturer
Pramipexole is available in the UK under the brand name Mirapexin, which is also manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.
Prescription requirement for pramipexole
Pramipexole is a prescription medication in both the US and the UK. It is not available over the counter and requires a prescription from a healthcare provider.
FDA approval of pramipexole
Pramipexole has received FDA approval for the treatment of Parkinson’s disease and restless legs syndrome.
Is pramipexole available in the UK on NHS?
Pramipexole is available on the NHS in the UK. It can be prescribed by healthcare providers for the treatment of Parkinson’s disease and restless legs syndrome.
Mechanism of action
Pramipexole dihydrochloride is a selective dopaminergic agonist that works by stimulating dopamine receptors in the brain. It may be used alone or with other medicines such as levodopa. It helps to treat the symptoms of Parkinson disease and restore dopamine activity, which is deficient in Parkinson’s disease and implicated in restless legs syndrome (RLS).
Uses of pramipexole
Pramipexole tablets and extended-release tablets are primarily used for the treatment of Parkinson’s disease, a neurodegenerative disorder characterized by motor symptoms such as tremors, stiffness, and impaired movement. It is also used for the treatment of restless legs syndrome, a condition characterized by an irresistible urge to move the legs, usually accompanied by uncomfortable sensations.
Dosage of pramipexole
Pramipexole dose will vary depending on the condition being treated, as well as the individual patient’s age, weight, and overall health. It is important to follow the dosage instructions provided by a healthcare professional.
Precautions and warnings for pramipexole
- Pramipexole should not be used in individuals who have had an allergic reaction to the medication or any other ingredients in the formulation
- Pramipexole may cause new or worsening mental status and changes in behavior, including psychotic behavior during treatment or when starting or increasing dose
- It is important to inform your healthcare provider about any existing medical conditions, especially kidney disease, liver problems, or hypotension (low blood pressure), as well as any medications you are currently taking, as they may interact with pramipexole
- Pramipexole may cause drowsiness or dizziness. It is important to tell your doctor if you suffer with sleep disorders such as daytime sleepiness or somnolence, and to use caution when engaging in activities that require alertness, such as driving or operating machinery
- The use of pramipexole during pregnancy or breastfeeding should be discussed with a healthcare provider, as it may have potential risks to the fetus or nursing infant
Side effects of pramipexole
In clinical trials, common side effects of pramipexole (incidence > 5% and more than placebo) may include nausea, dizziness, drowsiness, sedation, dry mouth, dyskinesia (unusual body movements), postural changes, and constipation. It may also cause more serious side effects, such as hallucinations, confusion, trouble breathing due to an allergic reaction, or compulsive behaviors. It is important to seek medical attention if you experience any severe or persistent adverse effects.
Interactions with other drugs
Pramipexole may have drug interactions with certain medications, including other dopamine agonists, dopamine antagonists, antipsychotics, cimetidine, metoclopramide, and medications that affect dopamine levels in the brain. It is important to inform your healthcare provider about all the medications and supplements you are taking to avoid potential adverse events.
Sources:
- Micromedex Solutions. Pramipexole.
- BNF. Pramipexole.
- MedlinePlus. Pramipexole.
- Drugs.com. Pramipexole.
Disclaimer
Now Patient 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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