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Is the cost of your topiramate 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 topiramate 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 topiramate?What can I do if I am uninsured and cannot afford my topiramate?What can I do if I am insured with Medicare and cannot afford my topiramate?Am I eligible for the Rx Advantage Card and how much does topiramate cost without insurance?What will my out-of-pocket cost be for topiramate when using the Rx Advantage Card?Is it legal for me to pay cash for topiramate 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 topiramate and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a topiramate co-pay program?Is there a topiramate Patient Assistance Program (PAP)?What should I do if I take too much topiramate?What are the benefits of NowPatient?What is generic topiramate?FDA approval of topiramateActive ingredient of topiramateUS brand name of topiramate and manufacturerUK brand name of topiramate and manufacturerPrescription requirement for topiramateAvailability of topiramate in the UK with NHS prescriptionConditions treated by topiramateHow does topiramate work?Forms of topiramate availableDosage of topiramateDirections for topiramate useWarnings and precautions for topiramateUse of topiramate during pregnancyUse of topiramate while breastfeedingPossible side effects of topiramateInteractions with other drugsSimilar drugs to topiramateSourcesPeople 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 topiramate?

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

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

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 topiramate cost without insurance?

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

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

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

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

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

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

Generic topiramate refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of topiramate

Topiramate is approved by the U.S. Food and Drug Administration (FDA) for the treatment of epilepsy and for the prevention of migraine headaches.

Active ingredient of topiramate

The active ingredient of topiramate is topiramate.

US brand name of topiramate and manufacturer

Topiramate is available in the US under various brand names, including Topamax and Qudexy XR. It is manufactured by different pharmaceutical companies.

UK brand name of topiramate and manufacturer

In the UK, topiramate is available under various brand names, including Topamax and topiramate Accord. The manufacturer may vary depending on the brand name.

Prescription requirement for topiramate

A prescription (Rx) is required for topiramate in both the US and the UK.

Availability of topiramate in the UK with NHS prescription

Topiramate is available in the UK with an NHS prescription.

Conditions treated by topiramate

Topiramate is an anticonvulsant used for the treatment of epilepsy, a neurological disorder characterized by recurrent seizures. It may be used as monotherapy or in combination with other medication for partial onset seizures and primary generalized tonic-clonic seizures. It is also used for the prevention of migraine headaches in certain individuals, and Lennox-Gastaut syndrome. Topiramate may be used off-label for various conditions such as weight loss and bipolar disorder.

How does topiramate work?

The exact mechanism of action of topiramate in the treatment of epilepsy and migraine is not fully understood. It is thought to work by enhancing the activity of a neurotransmitter called gamma-aminobutyric acid (GABA) and inhibiting certain excitatory neurotransmitters, thereby reducing abnormal electrical activity in the brain.

Forms of topiramate available

Topiramate is available in the form of oral tablets, extended-release capsules, and oral sprinkle capsules.

Dosage of topiramate

The dose of topiramate may vary depending on the individual’s condition, age, and response to the medication. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for topiramate use

Topiramate should be taken exactly as directed by the healthcare provider. The medication is usually taken orally, with or without food. It is important to take topiramate consistently and continue the prescribed treatment course.

Warnings and precautions for topiramate

  • Topiramate may cause certain side effects, including drowsiness, dizziness, and cognitive impairment. It may also increase the risk of suicidal thoughts or behavior. Close monitoring is necessary during treatment
  • Tell your doctor if you have kidney stones, metabolic acidosis, glaucoma, asthma or chronic obstructive pulmonary disease (COPD), depression, liver or kidney disease
  • It may interact with certain medications, including other antiepileptic drugs (AEDs) and medications that affect kidney function. Inform your healthcare professional about all medications being taken
  • Topiramate may reduce the effectiveness of contraceptives such as birth control pills, patches, implants, rings, or injections
  • Speak to your doctor before making changed to your diet. Do not follow a ketogenic diet or any other high-fat, low-carb diets while taking topiramate

Use of topiramate during pregnancy

Topiramate treatment during pregnancy increases the risk of a birth defect known as cleft lip. The use of topiramate during pregnancy should be carefully considered, and the potential risks and benefits should be discussed with a healthcare provider.

Use of topiramate while breastfeeding

Topiramate passes into breast milk, and its use while breastfeeding should be discussed with a healthcare provider. The potential risks and benefits for the mother and the infant should be considered.

Possible side effects of topiramate

Common side effects of topiramate may include drowsiness, dizziness, tiredness, loss of appetite, weight loss, nausea, and changes in taste. Serious side effects are possible but less common. Promptly report any concerning symptoms such as vision loss, blurred vision, or eye pain. Get medical help right away if you have a serious side effect such as an allergic reaction. Symptoms include hives, trouble breathing, worsening shortness of breath, sore throat, chest pain, swelling of the face, tongue, or throat, red skin lesions, blisters, and serious skin reactions.

Interactions with other drugs

Topiramate may interact with certain medications, including birth control pills, carbamazepine, phenytoin, and valproic acid. It is important to inform your healthcare provider about all the prescription drugs, over-the-counter nonprescription medications, herbal products, supplements, and vitamins you are taking to avoid potential adverse effects and drug interactions.

Similar drugs to topiramate

Other antiepileptic medications used for the treatment of epilepsy and prevention of migraine headaches include lamotrigine, phentermine, valproate, and gabapentin.

Sources

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