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albuterol patient assistance form

by Prof. Eva Stroman Published 2 years ago Updated 1 year ago
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Does albuterol sulfate inhalation aerosol qualify for free?

(albuterol sulfate) Inhalation Aerosol. This product qualifies for the Merck Patient Assistance Program. This private and confidential program provides product free of charge to eligible individuals, primarily the uninsured who, without our assistance, could not afford needed Merck medicines.

How do I apply for the Patient Assistance Program?

Program Representatives can help you apply for the patient assistance program, which provides certain Merck medicines free of charge to eligible patients who do not have insurance coverage. If you have any questions, the Merck Access Program Representatives are available 8 AM to 8 PM ET, Monday through Friday at 855-257-3932.

Do I qualify for the Merck Patient Assistance Program?

Individuals who do not meet the insurance criteria may still qualify for the Merck Patient Assistance Program if they attest that they have special circumstances of financial hardship, and their income meets the program criteria. *The Enrollment Form must be mailed.

How do I use an albuterol inhaler?

It is used in the treatment of asthma, chronic bronchitis, and emphysema. The inhaler enables the drug to reach deep into the lungs for maximum benefit. Make sure you understand how to use the inhaler properly. Shake the canister well before using. Some products require priming before the very first use, or if several days pass between uses.

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What is the GSK patient assistance program?

The GSK Patient Assistance Program provides certain GSK medicines at no cost to eligible applicants. Eligibility is based on household income and insurance status. Residents of the United States and District of Columbia may be eligible for both Vaccine and Non-Vaccine Medicines.

How can I get free inhalers?

Prescription assistance programs (PAPs) are designed to provide inhalers and other asthma drugs free of charge or at a highly discounted price to lower-income individuals and families.

Can I get albuterol prescription online?

Albuterol inhalers are highly-effective, prescription treatments for asthma patients. Your online doctor can electronically send your prescription to your local pharmacy for you to pick up. Be sure to use only as directed. You can refill your asthma prescription online today with K Health.

What forms does albuterol come in?

Albuterol is taken orally as a syrup, immediate-release tablet, or extended-release tablet. It is also available for inhalation as an aerosol, dry powder, or nebulizer solution.

Is Primatene Mist as good as albuterol?

No, Primatene Mist (epinephrine) isn't the same as albuterol (ProAir, Ventolin, Proventil). The two medications work on different receptors in the body. But the two inhalers do have a similar role when it comes to asthma care, as both inhalers can help relieve mild asthma symptoms temporarily.

How much does albuterol cost without insurance?

between $30 and $60Patients without insurance can expect to pay between $30 and $60 for their albuterol and the inhaler. The cost varies depending upon the dosage and brand of medication. Those with insurance will pay typical copays and coinsurance rates, which can range from $5 for the generic version to $50 for a brand name.

How can I get albuterol without seeing a doctor?

Yes, you can buy an inhaler at any local pharmacy. These include over the counter and prescription inhalers. You can speak with your local pharmacist about treatment options. They can suggest over the counter inhalers or suggest that you see a medical doctor for treatment.

Can a pharmacist prescribe an inhaler?

If you lose it, or it's run out and you can't get a GP appointment, your pharmacist can prescribe an emergency inhaler.

Do you need a prescription for a nebulizer?

Typically, a nebulizer and the medicine it uses require a prescription from a doctor or another healthcare provider. It is possible to purchase a nebulizer machine online without a prescription, though a doctor will probably still need to prescribe the medication.

Can I take 4 puffs of albuterol?

The current ATS guidelines recommend the use of four puffs of albuterol to ensure “that the response is high on the albuterol dose–response curve”.

Can I take 3 puffs of albuterol?

The normal way to use your inhaler (both adults and children) is: 1 or 2 puffs of salbutamol when you need it. up to a maximum of 4 times in 24 hours (regardless of whether you have 1 puff or 2 puffs at a time)

How can I use albuterol without a nebulizer?

To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece just in front of your mouth with the canister upright. Open your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down once on the top of the canister.

How can I get an inhaler ASAP?

Rx inhalers are only available with a prescription from a doctor. OTC inhalers are available at drugstores, and can be purchased by anyone. No prescription is needed. OTC inhalers offer temporary relief of more mild symptoms.

Can a pharmacist prescribe an inhaler?

If you lose it, or it's run out and you can't get a GP appointment, your pharmacist can prescribe an emergency inhaler.

How do I get an inhaler NZ?

Inhalers are not available to buy over the counter in New Zealand (from pharmacies without a doctor's prescription) because high/excessive reliever inhaler use can make asthma more unstable and has been associated with deaths from asthma. The more you use relievers, the more unstable asthma can become.

How much does an inhaler cost?

Those typically cost between $300 and $400 per prescription. In comparison, this new generic inhaler costs between $50 and $90. And even if patients do not have to pay the full price, they may still save money. That's because many health plans have a lower co-payment for generics.

How many Americans can't afford medication?

There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.

Can you stop taking beta blockers without a doctor?

Tell your doctor of all prescription and nonprescription drugs you may use, especially of: drugs used for asthma, antidepressants, cold medications, beta-blockers (e.g., atenolol, propranolol). Do not start or stop any medicine without doctor or pharmacist approval.

What to do if a med is losing effectiveness?

If this medication appears to be losing its effectiveness, notify your doctor. A change in your therapy may be necessary.

How many Americans can't afford medication?

There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.

How to find out copay for albuterol?from nicerx.com

The cost of albuterol varies between healthcare plans. You can find out your copay with your current insurance by speaking to your healthcare provider or pharmacist. Remember, if you are approved for assistance, you’ll likely save more if you get your albuterol medication through NiceRx.

What is albuterol used for?from drugs.com

Albuterol is a member of the adrenergic bronchodilators drug class and is commonly used for Asthma - acute, Asthma - Maintenance, Bronchiectasis, and others.

How much does albuterol cost without insurance?from nicerx.com

albuterol prices without insurance will vary depending on where you buy it. With NiceRx you’ll always pay a flat monthly fee of $49.

How to get a refund from NICERX?from nicerx.com

To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter . The Refund is your sole and exclusive remedy for any fees you may wish to dispute.

How many Americans can't afford medication?from patientassistance.com

There are over 100 million Americans that either can‚t afford their medication or are struggling to afford their medication. We aim to help each and every American in that situation.

What are the symptoms of an allergic reaction to a sulfate based sulfate answer?from patientassistance.com

Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Does NiceRx have coupons for albuterol?from nicerx.com

NiceRx does not provide albuterol coupons or albuterol discount cards. We don’t offer printable coupons, albuterol manufacturer coupons, albuterol discounts, rebates, albuterol savings cards, trial offers, free albuterol, or free samples of albuterol. NiceRx is a service provider that helps eligible individuals access the albuterol patient assistance program. Remember that when obtaining your albuterol medication through NiceRx, your total cost for the medication will always be $49 per month. You’ll likely save more with NiceRx than with a coupon.

How to report an adverse experience with Merck?

To report an adverse experience with a specific Merck medicine, please call the Merck National Service Center at 800-444-2080.

How long is a Merck prescription valid?

Each prescription may not exceed a 90-day supply at a time, with a maximum of 3 refills. Each application is valid for up to 12 months; after 12 months a new application will be required.

What is Merck Access Program?

The Merck Access Program provides free reimbursement support services to help answer questions related to insurance coverage and reimbursement.* The Merck Access Program also refers patients to the patient assistance program , which provides certain Merck medicines free of charge to eligible individuals, primarily the uninsured who, without our assistance, could not afford these needed Merck medicines. If you do not meet the prescription drug coverage criteria, your income meets the program criteria, and there are special circumstances of financial and medical hardship that apply to your situation, you can request that an exception be made for you.

What is the number to call Merck?

If you have any questions about the Merck Bulk Replacement Patient Assistance Program, please call 855-842-0539, 9 AM to 5 PM ET, Monday through Friday.

What is the phone number for Merck?

If you have any questions about the Merck Patient Assistance Program including the status of an application, please call 800-727-5400, 8 AM to 8 PM ET, Monday through Friday.

Does Merck provide free medicine?

The Merck Patient Assistance Program, Inc., may be able to provide medicines and adult vaccines free of charge through periodic bulk replenishments to eligible facilities that serve a large percentage of low-income, uninsured patients. Types of eligible facilities include outpatient pharmacies of disproportionate share hospitals, nonprofit health care clinics, and community health facilities that have a licensed outpatient central fill pharmacy that is owned and operated by the facility. The eligible facilities, under an Agreement with the Merck Patient Assistance Program, Inc., review eligibility of patients for patient assistance under the program's criteria with replenishment being limited to patients meeting specified income and insurance criteria.

Does Merck offer free medication?

Program Representatives can help you apply for the patient assistance program, which provides certain Merck medicines free of charge to eligible patients who do not have insurance coverage.

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Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your …
See more on patientassistance.com

Uses

  • This drug relaxes the smooth muscle in the lungs and dilates airways to improve breathing. It is used in the treatment of asthma, chronic bronchitis, and emphysema. The inhaler enables the drug to reach deep into the lungs for maximum benefit.
See more on patientassistance.com

How to Use

  • Make sure you understand how to use the inhaler properly. Shake the canister well before using. Some products require priming before the very first use, or if several days pass between uses. Consult your pharmacist for more details. Place the canister near your mouth and exhale. Depress the spray as you inhale deeply. Hold your breath for a few seconds to allow the drug to be absor…
See more on patientassistance.com

Precautions

  • Before using this drug, tell your doctor your medical history especially of: overactive thyroid, heart disease, high blood pressure, epilepsy, diabetes, any drug allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risk and benefits with your doctor. This drug may be excreted into breast milk. Consult your doctor before breast-feeding.
See more on patientassistance.com

Drug Interactions

  • Tell your doctor of all prescription and nonprescription medications you use, including: beta-blockers (e.g., propranolol, timolol), drugs used to treat asthma, ephedrine, epinephrine, pseudoephedrine, drugs for depression, MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), diuretics (e.g., hydrochlorothiazide). Consult your doctor before usi…
See more on patientassistance.com

Overdose

  • If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include seizures, dizziness, headache, unusually fast heart- beat, muscle weakness, sleeplessness, or chest pain.
See more on patientassistance.com

Storage

  • Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Do not puncture.
See more on patientassistance.com

Medical Alert

  • Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).
See more on patientassistance.com

Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. BRONCHODILATOR - ORAL, INJECTION
See more on patientassistance.com

Uses

  • This drug relaxes the smooth muscle in the lungs and dilates airways to improve breathing. It is used in the treatment of asthma, chronic bronchitis or emphysema.
See more on patientassistance.com

How to Use

  • Oral medication may be taken with food or milk if stomach upset occurs. Take this medication exactly as prescribed. Do not take it more frequently without your doctor's approval. Excessive use may result in decreased efficacy and increased side effects.
See more on patientassistance.com

Side Effects

  • Dizziness, headache, lightheadedness, heartburn, loss of appetite, altered taste sensation, restlessness, anxiety, nervousness, trembling or sweating may occur but should subside as your body adjust to the medication. If these symptoms persist or worsen, inform your doctor. Notify your doctor if you experience: chest pain, palpitations, vomiting, b...
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Precautions

  • Tell your doctor if you have: heart disease, high blood pressure, an overactive thyroid gland, epilepsy, diabetes. Tell your doctor if you ever had a bad reaction to bitolterol, ephedrine, epinephrine, metaproterenol, phenylephrine, phenylpropanolamine, pseudoephedrine, or terbutaline. Many nonprescription products contain these drugs (e.g., diet pills and medication f…
See more on patientassistance.com

Drug Interactions

  • Tell your doctor of all prescription and nonprescription drugs you may use, especially of: drugs used for asthma, antidepressants, cold medications, beta-blockers (e.g., atenolol, propranolol). Do not start or stop any medicine without doctor or pharmacist approval.
See more on patientassistance.com

Overdose

  • If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include seizures, fast irregular heart rate, nervousness, dizziness, fatigue, sleeplessness, headache, tremors, dry mouth, nausea, or chest pain.
See more on patientassistance.com

Missed Dose

  • If you miss a dose, take as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
See more on patientassistance.com

Storage

  • Store at room temperature away from sunlight and moisture. Some products may require refrigeration. See packaging for exact storage directions, or check with your pharmacist.
See more on patientassistance.com

Medical Alert

  • Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).
See more on patientassistance.com

Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. ALBUTEROL - INHALATION SOLUTION (al-BYOU …
See more on patientassistance.com

Uses

  • This medication works in the lungs to open breathing passages to make breathing easier. It is used to prevent and treat asthma attacks or other breathing problems.
See more on patientassistance.com

How to Use

  • This medication is inhaled into the lungs using special breathing (nebulizer) equipment usually 3 to 4 times a day. Measure the proper amount of medication and dilute with sterile normal saline as directed. A health care professional will demonstrate the proper way to prepare the medication and use the equipment. Make sure you understand how to operate the machine and ask any que…
See more on patientassistance.com

Side Effects

  • Tremor, nervousness, shakiness, headache, nausea, lightheadedness, difficulty sleeping, unusual taste in mouth, increased appetite, muscle cramps, flushing, or dry throat may occur the first several days as your body adjusts to the medication. If any of these effects continue or become bothersome, inform your doctor. Notify your doctor if you devel...
See more on patientassistance.com

Precautions

  • Before using this drug, tell your doctor your medical history especially: an overactive thyroid, heart disease, high blood pressure, epilepsy, diabetes, any drug allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.
See more on patientassistance.com

Drug Interactions

  • Tell your doctor of all over-the-counter or prescription medication you may use including: asthma drugs, blood pressure or chest pain medications, beta-blockers (e.g., propranolol), levodopa, digoxin, certain antidepressants (e.g., amitriptyline, doxepin), MAO inhibitors (e.g., furazolidone, phenelzine, selegiline, tranylcypromine, linezolid, moclobemide, procarbazine), ritodrine, other "a…
See more on patientassistance.com

Overdose

  • If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include chest pain, fast or irregular heartbeat, headache, tremors, nervousness, weakness, and dizziness.
See more on patientassistance.com

Notes

  • If this medication appears to be losing its effectiveness, notify your doctor. A change in your therapy may be necessary.
See more on patientassistance.com

Missed Dose

  • If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
See more on patientassistance.com

Storage

  • Store unopened solution at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom.
See more on patientassistance.com

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