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Is the cost of your tacrolimus 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 tacrolimus 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 tacrolimus?What can I do if I am uninsured and cannot afford my tacrolimus?What can I do if I am insured with Medicare and cannot afford my tacrolimus?Am I eligible for the Rx Advantage Card and how much does tacrolimus cost without insurance?What will my out-of-pocket cost be for tacrolimus when using the Rx Advantage Card?Is it legal for me to pay cash for tacrolimus 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 tacrolimus and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a tacrolimus co-pay program?Is there a tacrolimus Patient Assistance Program (PAP)?What should I do if I take too much tacrolimus?What are the benefits of NowPatient?What is generic tacrolimus?US brand name of tacrolimus and manufacturerUK brand name of tacrolimus and manufacturerIs tacrolimus available in the UK on the NHS?Prescription requirement for tacrolimusActive ingredient of tacrolimus and mechanism of actionUses of tacrolimusForms of tacrolimusDosage of tacrolimusPrecautions and warnings for tacrolimusSide effects of tacrolimusInteractions 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 tacrolimus?

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

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

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 tacrolimus cost without insurance?

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

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

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

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

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

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using tacrolimus. 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 tacrolimus. 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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What is generic tacrolimus?

US brand name of tacrolimus and manufacturer

Tacrolimus is FDA-approved in the US under the brand names Astagraf XL, Envarsus XR and Prograf. It is manufactured by various manufacturers.

UK brand name of tacrolimus and manufacturer

Tacrolimus is available in the UK under the brand name Prograf. It is manufactured by Astellas Pharma Ltd. Protopic is a topical formulation and it is also manufactured by Astellas Pharma Ltd.

Is tacrolimus available in the UK on the NHS?

Yes, tacrolimus is available in the UK on the NHS as a prescription medication.

Prescription requirement for tacrolimus

Tacrolimus is a prescription medication and requires a prescription from a healthcare provider.

Active ingredient of tacrolimus and mechanism of action

The active ingredient in tacrolimus is tacrolimus monohydrate. It belongs to a class of medications known as calcineurin inhibitors. Tacrolimus works by suppressing the immune system to prevent the body from rejecting transplanted organs or tissues.

Uses of tacrolimus

Tacrolimus is an is an immunosuppressive drug primarily used to prevent organ rejection in transplant patients who have had an organ transplant, namely a  kidney transplant, liver transplant, lung transplant, or heart transplant. Topical applications are used for the treatment of certain skin conditions, such as atopic dermatitis. Tacrolimus may be used in combination with azathioprine, steroids, basiliximab, or mycophenolate mofetil.

Forms of tacrolimus

Tacrolimus is available in various forms, including oral capsules, granules, oral solution, immediate-release, and extended-release tablets for oral administration. It is also available as a topical ointment for external use on the skin.

Dosage of tacrolimus

The dosage of tacrolimus will vary depending on the specific transplant type, patient factors, and response to therapy. It is important to follow the medication guide provided by your healthcare provider. The medication is usually taken twice daily, with or without food.

Precautions and warnings for tacrolimus

  • Tacrolimus can suppress the immune system, increasing the risk of infections and certain types of cancer. Regular monitoring and follow-up with your healthcare provider are important during treatment
  • Inform your healthcare provider about any other medications you are taking, as tacrolimus may interact with certain drugs
  • Avoid exposure to sunlight and UV radiation, as tacrolimus can increase sensitivity to sunlight. Use sunscreen protection and avoid tanning beds
  • Patients using tacrolimus ointment may develop skin cancer or lymphoma
  • It is not known if this medication passes into breast milk. Speak to your doctor if you are breastfeeding
  • Avoid grapefruit juice or grapefruit while taking tacrolimus
  • Do not stop or adjust the dosage of tacrolimus without consulting your healthcare provider

Side effects of tacrolimus

In clinical trials common side effects of tacrolimus may include:

  • Increased risk of infections
  • High blood pressure
  • Tremors or shaking
  • Tiredness
  • Seizures
  • Hypertension
  • Diabetes mellitus
  • Hyperkalemia (high potassium levels)
  • Renal toxicity (change in urination)

Get medical help right away if you have any serious side effects such as an allergic reaction. Symptoms include hives, trouble breathing, shortness of breath, sore throat, chest pain, swelling of the face, tongue or throat, skin rash, and severe skin reactions. Promptly report any adverse effects to a healthcare professional for medical advice.

Interactions with other drugs

Tacrolimus may interact with certain medications, including antifungals such as fluconazole, itraconazole and voriconazole, calcium channel blockers such as diltiazem, cimetidine, erythromycin, vaccines, and aluminum or magnesium antacids. It is important to inform your healthcare provider about all the prescription drugs, over the counter nonprescription medication, salt substitutes, supplements, and vitamins you are taking to avoid potential adverse effects and drug interactions.

Sources

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