Digoxin Prices The cost for digoxin oral tablet (125 mcg (0.125 mg)) is around $16 for a supply of 30 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
Full Answer
Does Medicare cover digoxin (digoxin)?
While some Medicare plans may not cover Digox, some Medicare Advantage plans and Medicare Part D plans may cover generic Digoxin. Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries ( 88 percent) are enrolled in MA-PDs. 1
How much does digoxin cost?
Generic digoxin is covered by most Medicare and insurance plans but some pharmacy coupons or cash prices may be lower. The lowest GoodRx price for the most common version of digoxin is around $9.00, 69% off the average retail price of $29.58.
What is the generic name for digoxin?
Brand names for digoxin include Lanoxin, Digox, and Digitek . The cost for digoxin oral tablet (250 mcg (0.25 mg)) is around $47 for a supply of 100 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
How much digoxin is safe to take for heart failure?
The doses of digoxin tablets used in controlled trials in patients with heart failure have ranged from 125 to 500 mcg once daily. In these studies, the digoxin dose has been generally titrated according to the patient's age, lean body weight, and renal function.
What is the cost of the drug digoxin?
The average retail price of Digoxin is about $87.85 for 30, 125MCG Tablet of Digoxin. Pay a discounted price of $5.49 for 30, 125MCG Tablet by using a SingleCare Digoxin coupon.
What tier drug is digoxin?
What drug tier is digoxin typically on? Medicare prescription drug plans typically list digoxin on Tier 2 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.
Is there a generic for digoxin?
Digoxin oral tablet is available as both a generic and brand-name drug. Brand name: Lanoxin. Digoxin is also available as an oral solution.
Are prescriptions cheaper on Medicare?
California law enables Medicare recipients to obtain their prescription drugs at a cost no higher than the Medi-Cal price for those drugs.
Why is digoxin given 5 days a week?
The half-life of digoxin in an individual with normal renal function is about 1.5 days, and this is increased to about 5 days in patients who are anuric. Because of the significant tissue binding of digoxin it is not removed by dialysis, plasma exchange or exchange transfusions, or during cardiopulmonary bypass.
What should you avoid when taking digoxin?
Digoxin has many interactions, including:Erythromycin and tetracycline (antibiotics)Antiarrhythmic drugs (amiodarone)Calcium channel blockers.Over-the-counter antacids.Hawthorn (an herbal remedy)Black licorice. ... Large amounts of oatmeal, milk and high-fibre cereals.
Why is digoxin no longer recommended?
The use of digoxin is limited because the drug has a narrow therapeutic index and requires close monitoring. Digoxin can cause many adverse events, is involved in multiple drug interactions, and can result in toxicity. Despite its limitations, however, digoxin has a place in therapy.
Is digoxin a high risk medication?
Digoxin is a high-alert medication because of its narrow therapeutic range and high drug-to-drug interactions (DDIs). Approximately 50% of digoxin toxicity cases are preventable, which motivated us to improve the treatment outcomes of digoxin.
What does digoxin do for atrial fibrillation?
Digoxin remains one of the most frequently prescribed drugs in the management of atrial fibrillation. The main indications for digoxin in atrial fibrillation are restoration of sinus rhythm, prevention of recurrence and slowing of the ventricular rate.
Can I use GoodRx if I have Medicare?
While you can't use GoodRx in conjunction with any federal or state-funded programs like Medicare or Medicaid, you can use GoodRx as an alternative to your insurance, especially in situations when our prices are better than what Medicare may charge.
Why are my prescriptions so expensive with Medicare?
Another reason some prescriptions may cost more than others under Medicare Part D is that brand-name drugs typically cost more than generic drugs. And specialty drugs used to treat certain health conditions may be especially expensive.
What drugs are covered by Medicare Part B?
Drugs that are covered by Medicare Part B include the following.Certain Vaccines. ... Drugs That Are Used With Durable Medical Equipment. ... Certain Antigens. ... Injectable Osteoporosis Drugs. ... Erythropoiesis-Stimulating Agents. ... Oral Drugs for ESRD. ... Blood Clotting Factors. ... Immunosuppressive Drugs.More items...•
Does Medicare cover Digox or Digoxin?
While some Medicare plans may not cover Digox, some Medicare Advantage plans and Medicare Part D plans may cover generic Digoxin.
Average costs for Digoxin with Medicare drug coverage
Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.
Additional information
Your Digox use must be monitored closely while you take it, as it can lead to Digoxin toxicity if your levels are too high.
What is digoxin used for?
Digoxin ( Digitek, Lanoxin) is an inexpensive drug used to treat congestive heart failure and heart rhythm problems. It is more popular than comparable drugs. It is available in multiple generic and brand versions. Generic digoxin is covered by most Medicare and insurance plans but some pharmacy coupons or cash prices may be lower. The lowest GoodRx price for the most common version of digoxin is around $9.00, 67% off the average retail price of $27.86. Compare cardiac glycosides.
Is 40 mg the same as 20 mg?
While it may seem odd, the 40mg version of the same drug typically does not cost twice as much as the 20mg—in fact, it often costs the exact same amount! You'll need to ask your doctor if pill splitting is a good idea for your prescription; if so, they will need to adjust your prescription accordingly.
How much does digoxin cost?
Digoxin Prices. The cost for digoxin oral tablet (250 mcg (0.25 mg)) is around $40 for a supply of 100 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.
How much does a free drug card save?
The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.
Usual Adult Dose for Atrial Fibrillation
Total loading dose: Administer one-half the total loading dose initially (all formulations), then give one-fourth the total loading dose every 6 to 8 hours for two doses (IV and tablets), or give additional fractions every 4 to 8 hours (oral solution). -IV: 8 to 12 mcg/kg -Tablets: 10 to 15 mcg/kg -Oral solution: 10 to 15 mcg/kg Maintenance dose: -IV: 2.4 to 3.6 mcg/kg once a day -Tablets: 3.4 to 5.1 mcg/kg once a day -Oral solution: 3.0 to 4.5 mcg/kg once a day Comments: -IM administration is not recommended due to associated pain and muscle necrosis.
Usual Adult Dose for Congestive Heart Failure
Total loading dose: Administer one-half the total loading dose initially (all formulations), then give one-fourth the total loading dose every 6 to 8 hours for two doses (IV and tablets), or give additional fractions every 4 to 8 hours (oral solution). -IV: 8 to 12 mcg/kg -Tablets: 10 to 15 mcg/kg -Oral solution: 10 to 15 mcg/kg Maintenance dose: -IV: 2.4 to 3.6 mcg/kg once a day -Tablets: 3.4 to 5.1 mcg/kg once a day -Oral solution: 3.0 to 4.5 mcg/kg once a day Comments: -IM administration is not recommended due to associated pain and muscle necrosis.
Usual Pediatric Dose for Congestive Heart Failure
Total loading dose: Administer one-half the total loading dose initially (all formulations), then give one-fourth the total loading dose every 6 to 8 hours for two doses (IV and tablets), or give additional fractions every 4 to 8 hours (oral solution). -Premature: IV: 15 to 25 mcg/kg; Oral solution: 20 to 30 mcg/kg -Full-term: IV: 20 to 30 mcg/kg; Oral solution: 25 to 35 mcg/kg -One month to 2 years: IV: 30 to 50 mcg/kg; Oral solution: 35 to 60 mcg/kg -Two to five years: IV: 25 to 35 mcg/kg; Oral solution: 30 to 45 mcg/kg -Five to ten years: IV: 15 to 30 mcg/kg; Oral solution: 20 to 35 mcg/kg; Tablets: 20 to 45 mcg/kg -Greater than 10 to less than 18 years: IV: 8 to 12 mcg/kg; Oral solution: 10 to 15 mcg/kg; Tablets: 10 to 15 mcg/kg Maintenance dose: -Premature: IV: 1.9 to 3.1 mcg/kg twice a day; Oral solution: 2.3 to 3.9 mcg/kg twice a day -Full-term: IV: 3 to 4.5 mcg/kg twice a day; Oral solution: 3.8 to 5.6 mcg/kg twice a day -One month to 2 years: IV: 4.5 to 7.5 mcg/kg twice a day; Oral solution: 5.6 to 9.4 mcg/kg twice a day -Two to five years: IV: 3.8 to 5.3 mcg/kg twice a day; Oral solution: 4.7 to 6.6 mcg/kg twice a day -Five to ten years: IV: 2.3 to 4.5 mcg/kg twice a day; Oral solution: 2.8 to 5.6 mcg/kg twice a day; Tablets: 3.2 to 6.4 mcg/kg twice a day -Greater than 10 to less than 18 years: IV: 2.4 to 3.6 mcg/kg once a day; Oral solution: 3 to 4.5 mcg/kg once a day; Tablets: 3.4 to 5.1 mcg/kg once a day Comments: -IM administration is not recommended due to associated pain and muscle necrosis.
Renal Dose Adjustments
For recommended maintenance doses according to lean body weight and renal function, the manufacturer product information should be consulted.
Dose Adjustments
This drug should be used at the lowest effective dose in order to achieve therapeutic efficacy and minimize side effects. Switching from IV to Oral: IV dose (mcg) x 1.25 = Oral dose (mcg) Therapeutic drug monitoring/range: 0.5 to 2 ng/mL; some patients with atrial fibrillation may require 2 to 4 ng/mL.
Precautions
NARROW THERAPEUTIC INDEX: -This drug should be considered a narrow therapeutic index (NTI) drug as small differences in dose or blood concentrations may lead to serious therapeutic failures or adverse drug reactions. Recommendations: - Generic substitution should be done cautiously, if at all, as current bioequivalence standards are generally insufficient for NTI drugs. -Additional and/or more frequent monitoring should be done to ensure receipt of an effective dose while avoiding unnecessary toxicities. Safety and efficacy have not been established for the tablet formulation in patients younger than 5 years. Consult WARNINGS section for additional precautions..
Other Comments
Administration advice: -Parenteral administration should be used only if rapid digitalization is needed or the drug cannot be tolerated orally. -Inject over 5 minutes or longer and avoid bolus administration. -If tuberculin syringes are used to measure very small doses, do not flush the syringe with the parenteral solution after the syringe contents are expelled into an indwelling vascular catheter to avoid over administration of digoxin. Storage requirements: Protect from light. Reconstitution/preparation techniques: May be administered undiluted or diluted with a 4-fold or greater volume of sterile water for injection, 0.9% sodium chloride injection, or 5% dextrose injection. IV compatibility: Mixing with other drugs in the same container or simultaneous administration in the same IV line is not recommended. General: In patients receiving diuretics with or without an angiotensin-converting enzyme (ACE) inhibitor, the withdrawal of this drug has been shown to result in clinical deterioration. Monitoring: -Drug toxicity: Serum levels of this drug just before the next scheduled dose or at least 6 hours after the last dose. -Metabolic: Serum electrolytes periodically. -Renal: Serum creatinine periodically. Patient advice: -Advise patients to contact their doctor or a health care professional if they experience nausea, vomiting, persistent diarrhea, confusion, weakness, or visual disturbances (including blurred vision, green-yellow color disturbances, halo effect) as these could be signs that the dose is too high. -Advise parents or caregivers that the symptoms of digoxin toxicity in pediatric patients may include weight loss, failure to thrive in infants, abdominal pain, and behavioral disturbances. -Instruct the patients to monitor and record their heart rate and blood pressure daily. -For the oral solution, instruct patients to use the calibrated dropper and to avoid less precise measuring tools such as teaspoons.
When will Medicare start paying for insulin?
Look for specific Medicare drug plan costs, and then call the plans you're interested in to get more details. Starting January 1, 2021, if you take insulin, you may be able to get Medicare drug coverage that offers savings on your insulin.
What is Medicare drug coverage?
You'll make these payments throughout the year in a Medicare drug plan: A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a drug list. ).
Why are my out-of-pocket drug costs less at a preferred pharmacy?
Your out-of-pocket drug costs may be less at a preferred pharmacy because it has agreed with your plan to charge less. A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance. paying your drug coverage costs.
