Patient Assistance & Copay Programs for Milrinone Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.
Full Answer
Why is milrinone given to patients with heart failure?
In a home setting, milrinone is often given for longer periods of time as a palliative measure to help control the symptoms of end-stage heart failure. Sometimes patients awaiting a heart transplant are given milrinone until a donor heart becomes available. Milrinone is given as a continuous infusion.
How will I be monitored while taking milrinone?
Your heart rate and blood pressure will be monitored intermittently by the home care nurse while you are being treated with milrinone. Your kidney function and electrolytes may also need to be checked with blood tests. The home health nurse will maintain contact with your prescribing physician and monitor you per your doctor’s instructions.
How is milrinone given in the home setting?
Milrinone is given as a continuous infusion. When given in the home setting, you and a willing caregiver who is living in the home, must learn how to manage the infusion (change the medication bag, troubleshoot the IV pump, and identify when a problem is occurring). Your home health nurse will teach you what you need to know about your infusion.
What happens if you stop infusing milrinone?
If your milrinone stops infusing it is possible that you will experience sudden and severe symptoms of heart failure. If you are not able to promptly restart the infusion, you or your caregiver must initiate your community’s Emergency Medical System by calling 911 immediately. How is milrinone given?
What is the cost of milrinone?
Milrinone cost per month ranges between $4500-$21,000 and dobutamine between $1140-$2790 (estimates are based on a 75 kg patient with infusions of 0.5 mcg/kg/min and 5mcg/kg/min for milrinone and dobutamine respectively) (20).
How long can you be on milrinone drip?
The duration of therapy should depend upon the patient's response. In congestive cardiac failure, patients have been maintained on the infusion for up to 5 days, although the usual period is 48 to 72 hours.
What is Pfizer patient assistance program?
Pfizer Patient Assistance Program Provides free Pfizer medicines to eligible patients through their doctor's office or at home.
What are the side effects of milrinone intravenous?
chest pain; a light-headed feeling, like you might pass out; or. low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling....Common side effects may include:headache;chest pain; or.dizziness.
Can milrinone reverse heart failure?
More recently, intravenous (IV) milrinone has shown promise as long-term therapy for CHF on an outpatient basis. Milrinone can dramatically improve the functional status of patients with severe heart failure and improve end-organ function. Nonetheless, long-term milrinone administration is controversial.
Can milrinone be used long-term?
Long-term intravenous milrinone therapy is safe and well tolerated, and it provides hemodynamic and metabolic support as a pharmacologic bridge to transplantation. The findings also suggest that milrinone as primary inodilator therapy may be associated with less need for mechanical ventricular support.
How do you qualify for free eliquis?
You may be eligible for the Free 30-Day Trial Offer for ELIQUIS® (apixaban) if:You have not previously filled a prescription for ELIQUIS;You have a valid 30-day prescription for ELIQUIS;You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment;More items...
What is Xelsource?
Psoriatic Arthritis. • XELJANZ/XELJANZ XR (tofacitinib) is indicated for the treatment of adult patients with active psoriatic arthritis who have had an inadequate response or intolerance to methotrexate or other disease-modifying antirheumatic drugs (DMARDs).
What is Pfizer connect?
The Pfizer Patient Assistance Program provides certain medicines for free to eligible financially needy insured and uninsured patients.
Does milrinone improve mortality?
Results. As compared with placebo, milrinone therapy was associated with a 28 percent increase in mortality from all causes (95 percent confidence interval, 1 to 61 percent; P = 0.038) and a 34 percent increase in cardiovascular mortality (95 percent confidence interval, 6 to 69 percent; P = 0.016).
Can you get off milrinone?
Milrinone may be weaned off efficiently and safely in the outpatient setting, saving money and decreasing the risk of infections and other complications.
What happens when you stop milrinone?
If your milrinone stops infusing it is possible that you will experience sudden and severe symptoms of heart failure. If you are not able to promptly restart the infusion, you or your caregiver must initiate your community's Emergency Medical System by calling 911 immediately.
What happens when you stop milrinone?
If your milrinone stops infusing it is possible that you will experience sudden and severe symptoms of heart failure. If you are not able to promptly restart the infusion, you or your caregiver must initiate your community's Emergency Medical System by calling 911 immediately.
Can you drink alcohol with milrinone?
Drug Warnings Avoid intake of alcohol with MILRINONE. Inform your doctor if you experience pain/redness/swelling at the injection site, dizziness, fast/irregular heartbeat, chest pain after taking MILRINONE.
Does milrinone increase blood sugar?
Milrinone is mixed with dextrose, a type of sugar, before it is given into the vein (IV). This may result in low blood sugar episodes, high blood sugar episodes, or both. Tell your healthcare provider right away if you have some or all of the following symptoms of low blood sugar: hunger.
When is milrinone used?
Milrinone is often used during various cardiac surgeries, including coronary artery bypass graft surgery, cardiac transplantation, and other cardiac surgeries that require cardiac support.
How long does it take to give Milrinone LACTATE?from webmd.com
This medication is given by injection into a vein as directed by your doctor. It is usually first given as a slow injection (over 10 minutes) and then given as a continuous infusion thereafter.
Where to report side effects?from webmd.com
You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Precautions.
Can milrinone cause allergies?from webmd.com
Precautions. Before using milrinone, tell your doctor or pharmacist if you are allergic to it, or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Is milrinone lactate a vasodilator?from pubchem.ncbi.nlm.nih.gov
Milrinone Lactate is a bipyridine agent with positive inotropic and vasodilator properties. Milrinone lactate selectively inhibits fraction III cyclic adenosine monophosphate ( cAMP) phosphodiesterase isozymes in the heart and vascular muscles, thereby increasing cAMP and, consequently, an increase in cAMP -dependent intracellular ionized calcium and myocardium contractile force, and vasodilation in arteriolar and venous vascular smooth muscle. This agent improves hemodynamics in patients with ventricular dysfunction by increasing the stroke volume index and left ventricular contractility and by producing pulmonary vasodilation. (NCI04)
Are you currently using Milrinone LACTATE Vial?from webmd.com
This survey is being conducted by the WebMD marketing sciences department.
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.
Uses
This medication is for the short-term treatment of congestive heart failure (CHF).
How To Use
This medication is given by injection into a vein. You will be monitored closely by means of regular doctor visits and routine laboratory tests to ensure the effectiveness and safety of this medication.
Side Effects
This medication is generally well tolerated. Headache, chest pain and a slight fever have been reported as a result of this medication. If these effects continue or become bothersome, inform your doctor. Contact your doctor immediately if you experience: irregular heartbeat.
Precautions
Tell your doctor of any illnesses or allergies you have. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this medication is found in breast milk. Consult your doctor before breast-feeding.
Drug Interactions
Tell your doctor of any over-the-counter or prescription medication you may take. Do not start or stop any medicine without doctor or pharmacist approval.
Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness.
How is milrinone given?from drugs.com
Milrinone is given as an infusion into a vein, usually around-the-clock for up to 48 hours. A healthcare provider will give you this injection.
What should I avoid after receiving milrinone?from drugs.com
Follow your doctor's instructions about any restrictions on food, beverages, or activity.
What other drugs will affect milrinone?from drugs.com
Other drugs may affect milrinone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.
How many people died from Milrinone?from drugs.com
The acute administration of intravenous Milrinone has also been evaluated in clinical trials in excess of 1600 patients with chronic heart failure, heart failure associated with cardiac surgery, and heart failure associated with myocardial infarction. The total number of deaths, either on therapy or shortly thereafter (24 hours) was 15, less than 0.9%, few of which were thought to be drug-related.
How long does Milrinone last in rats?from drugs.com
Neither was there evidence of carcinogenic potential when Milrinone was orally administered to rats at doses up to 5 mg/kg/day (about 6 times the human oral therapeutic dose) for twenty-four months or at 25 mg/kg/day (about 30 times the human oral therapeutic dose) for up to 18 months in males and 20 months in females.
How is milrinone excreted?from drugs.com
The primary route of excretion of Milrinone in man is via the urine. The major urinary excretions of orally administered Milrinone in man are Milrinone (83%) and its 0-glucuronide metabolite (12%).
What is the formula for milrinone?from drugs.com
Milrinone lactate is designated chemically as 1,6-dihydro-2-methyl-6-oxo- [3,4´-bipyridine]-5-carbonitrile lactate and has the following structure: Milrinone is an off-white to tan crystalline compound with a molecular weight of 211.2 and a molecular formula of C12H9N3O. It is slightly soluble in methanol, and very slightly soluble in chloroform ...
How much of your income must you spend on prescriptions?from sanofipatientconnection.com
If you are enrolled in Medicare Part D, in addition to the criteria above, you must also spend at least 2% of your annual household income on prescription medications covered through your Part D plan in the current calendar year
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 to do if you miss a dose of a sulfate?from 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.
Can you take over the counter medicine without a doctor's approval?from patientassistance.com
Tell your doctor of any over-the-counter or prescription medication you may take. Do not start or stop any medicine without doctor or pharmacist approval.
How many Pfizer medicines are free?from pfizerrxpathways.com
The Pfizer Patient Assistance Program provides more than 60 Pfizer medicines for free to eligible patients through their doctor’s office, or in some cases, through home delivery.
What is Pfizer PAP Connect?from pfizerrxpathways.com
Pfizer PAP Connect is a new tool that provides patients and their healthcare providers with online access to the Pfizer Patient Assistance Program, enabling them to place medicine orders, track shipments, and manage their enrollment for certain primary care medicines in real time, at any time.
What is Pfizer Savings Program?from pfizerrxpathways.com
Pfizer Savings Program. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. Call 1-855-239-9869 to enroll. View available medicines.
How to be evaluated for Pfizer?from pfizerrxpathways.com
To be evaluated for assistance, patients and their healthcare providers must submit a completed enrollment form. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior year’s tax return. In some cases, patients prescribed certain Pfizer medicines may first be required to seek alternate forms of assistance before they can be considered for free medicine through the Pfizer Patient Assistance Program.
Can underinsured patients get free Pfizer?from pfizerrxpathways.com
Both uninsured and underinsured patients may be eligible for help. To qualify for free medicine through the Pfizer Patient Assistance Program, patients must*:
Is Pfizer Savings Program covered by insurance?from pfizerrxpathways.com
*The Pfizer Savings Program is not health insurance . For more information, please call the toll-free number 1-866-706-2400. There are no membership fees to participate in this program.
What is Pfizer Oncology Together?from pfizeroncologytogether.com
Pfizer Oncology Together is a personalized patient support program that offers resources for patients prescribed Pfizer Oncology medicines. We provide access and reimbursement support, as well as help identifying financial assistance options, so patients can get their prescribed Pfizer Oncology medicines.
What is PAP Connect?from pfizerpapconnect.com
Pfizer PAP Connect: Accessing your Pfizer prescribed medicine at your fingertips The Pfizer Patient Assistance Program (PAP) provides free medicines to eligible patients in need. With the introduction of Pfizer PAP Connect, we’ve taken the paper and the phone calls out of the process and created a simple online tool that enables patients and prescribers to:
How should I take Tikosyn?from drugs.com
You will need to spend at least 3 days in a hospital setting when you first start taking Tikosyn. This is so your heart rhythm and kidney function can be monitored in case the medicine causes serious side effects.
Can you share a medicine with a child?from drugs.com
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
What is Pfizer Patient Assistance Program?
Pfizer Patient Assistance Program. Provides free Pfizer medicines to eligible patients through their doctor’s office or at home. To qualify, patients must: Have a valid prescription for the Pfizer medicine for which they are seeking assistance. Have no prescription coverage, or not enough coverage, to pay for their Pfizer medicine.
How many Pfizer medicines are free?
The Pfizer Patient Assistance Program provides more than 60 Pfizer medicines for free to eligible patients through their doctor’s office, or in some cases, through home delivery.
What is Pfizer Savings Program?
Pfizer Savings Program. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. Call 1-855-239-9869 to enroll. View available medicines.
How to be evaluated for Pfizer?
To be evaluated for assistance, patients and their healthcare providers must submit a completed enrollment form. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior year’s tax return. In some cases, patients prescribed certain Pfizer medicines may first be required to seek alternate forms of assistance before they can be considered for free medicine through the Pfizer Patient Assistance Program.
Can underinsured patients get free Pfizer?
Both uninsured and underinsured patients may be eligible for help. To qualify for free medicine through the Pfizer Patient Assistance Program, patients must*:
Is Pfizer Savings Program covered by insurance?
*The Pfizer Savings Program is not health insurance . For more information, please call the toll-free number 1-866-706-2400. There are no membership fees to participate in this program.
Does Pfizer have a support program?
Some Pfizer medicines have support programs designed just for their patients. Select a medicine to learn more.
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 …
How to Use
- This medication is given by injection into a vein. You will be monitored closely by means of regular doctor visits and routine laboratory tests to ensure the effectiveness and safety of this medication.
Precautions
- Tell your doctor of any illnesses or allergies you have. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this medication is found in breast milk. Consult your doctor before breast-feeding.
Drug Interactions
- Tell your doctor of any over-the-counter or prescription medication you may take. Do not start or stop any medicine without doctor or pharmacist approval.
Overdose
- If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness.
Notes
- An oral form of this medication has been under study but does not show as great a benefit as does the injectable form.
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.
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).