Question 1

How can I lower the cost of my zolmitriptan

Accepted Answer

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

Question 2

What dosages is zolmitriptan available in?

Accepted Answer

zolmitriptan is available as a 2.5 mg, and 5 mg nasal spray.

Question 3

What is zolmitriptan used for?

Accepted Answer

zolmitriptan is a triptan that is used for the treatment of migraine with or without aura in adults.

Question 4

How does zolmitriptan work?

Accepted Answer

zolmitriptan is a triptan. It works by attaching to certain serotonin receptors (proteins) in your brain and nervous system. These proteins react to serotonin, which is a natural chemical in your body that might play a role in migraines. When zolmitriptan attaches to these receptors, it’s thought to help lower blood vessel swelling in the brain. It’s also thought to help stop the release of pain signals through your nerves. This helps relieve migraine pain.

Question 5

How do I take zolmitriptan?

Accepted Answer

The recommended starting dose of zolmitriptan is 2.5 mg. The maximum single dose is 5 mg. May repeat dose after 2 hours if needed; not to exceed 10 mg in any 24-hour period.

Question 6

Is it safe for me to take zolmitriptan?

Accepted Answer

zolmitriptan 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 in the following:

History of ischemic heart disease or coronary artery vasospasm
Symptomatic Wolff-Parkinson-White syndrome or other cardiac accessory conduction pathway disorders
History of stroke, transient ischemic attack, or hemiplegic or basilar migraine
Peripheral Vascular Disease
Ischemic bowel disease
Uncontrolled hypertension
Recent (within 24 hours) use of another 5-HT1 agonist (e.g., another triptan) or of an ergot-type medication.
MAO-A inhibitor used in past 2 weeks
Hypersensitivity to zolmitriptan

Question 7

zolmitriptan Common Side Effects

Accepted Answer

Common side effects of zolmitriptan:  Unusual taste Pins and needles feeling in the arms or legs Dizziness Extreme sensitivity to touch, pain, pressure, and thermal sensations

Question 8

zolmitriptan Serious Side Effects

Accepted Answer

Serious side effects are rare with zolmitriptan. Contact your healthcare provider immediately if you experience any of the following.  Heart attack: chest or arm pain, shortness of breath, cold sweat Stroke: sudden weakness on one side of your body, headache, changes in your speech or vision, confusion Serotonin syndrome: high fever, racing heart, hallucinations, sudden changes in thought or mood, movement problems Allergic reaction: rash; hives; difficulty breathing or swallowing; swollen face, lips, mouth, tongue, or throat

Question 9

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

Accepted Answer

The following medications may interact with zolmitriptan:  If co-administered with cimetidine: Maximum single dose of 2.5 mg, not to exceed 5 mg in any 24-hour period

Question 10

Who makes zolmitriptan?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is zolmitriptan safe in pregnancy?

Accepted Answer

Based on animal data, zolmitriptan may cause fetal harm. Tell your healthcare provider if you become pregnant while taking zolmitriptan.

Question 12

What is the brand name for zolmitriptan?

Accepted Answer

ZOMIG NASAL SPRAYZOMIGZOMIG ZMT

Question 13

How can NowPatient help me to lower the cost of my zolmitriptan 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 zolmitriptan prescription

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

Question 14

How do the NowPatient zolmitriptan 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 zolmitriptan 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 zolmitriptan	Canadian Prescription Savings* for zolmitriptan	zolmitriptan Drug Coupon*	zolmitriptan 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 zolmitriptan?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for zolmitriptan	Canadian Prescription Savings* for zolmitriptan	zolmitriptan Drug Coupon*	zolmitriptan 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 zolmitriptan savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the zolmitriptan 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 zolmitriptan, 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 zolmitriptan prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, zolmitriptan 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 zolmitriptan 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 zolmitriptan 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 zolmitriptan 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 zolmitriptan

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

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

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

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 zolmitriptan 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 zolmitriptan you will need to meet the following criteria:

You must be currently insured and have coverage for zolmitriptan
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.