Dabigatran etexilate mesylate (often abbreviated as dabigatran) is a medication prescribed to prevent blood clots after certain surgeries or to reduce the risk of stroke in people with atrial fibrillation (a heart condition).  Available in capsule form, it comes in a variety of dosages to fit individual needs. However, for some patients, a newer option exists: dabigatran etexilate mesylate pellets.

What are Dabigatran Etexilate Mesylate Pellets?

This medication offers an alternative way to receive dabigatran. The pellets are sprinkled onto applesauce or another soft food, making it easier for patients who have difficulty swallowing capsules. While the medication itself is the same, the pellet form can significantly impact affordability.

Cost Considerations for Dabigatran Etexilate Mesylate Pellets

The cost of dabigatran etexilate mesylate pellets can vary depending on several factors:

Dosage: The prescribed dosage will affect the total cost of the medication.

Pharmacy: Different pharmacies may have varying prices for the medication. It's helpful to compare prices before filling your prescription.

Insurance Coverage: Insurance plans have different coverage policies for medications. Understanding your specific plan's coverage for dabigatran pellets is crucial.

Understanding Insurance Coverage

Prior Authorization: Some insurance plans might require prior authorization for dabigatran pellets. This means your doctor will need to justify the medical necessity of this medication compared to standard capsules.

Copays and Deductibles: You might have a copay or need to meet a deductible before your insurance plan starts covering the medication cost.

Out-of-Pocket Maximum: Some plans have an out-of-pocket maximum, which is the most you'll pay for covered services in a given year. Once you reach this limit, the insurance plan will typically cover the medication cost in full.

Tips for Managing Affordability

Talk to Your Doctor: Discuss your financial concerns with your doctor. They might be able to prescribe a lower dosage or explore alternative medications covered more favorably by your insurance plan.

Investigate Patient Assistance Programs: Some pharmaceutical companies offer patient assistance programs that can help with the cost of medication. You can find information about these programs on the manufacturer's website or by contacting them directly.

Look for Coupons: Discount coupons might be available online or through patient advocacy groups. These coupons can help reduce the out-of-pocket cost of your medication.

Remember: Medication adherence is crucial for effective treatment. If cost is a barrier to taking your dabigatran as prescribed, don't hesitate to discuss options with your doctor or pharmacist. There might be solutions available to help you manage the cost and stay on track with your treatment plan.

Disclaimer: This blog is for informational purposes only and does not constitute medical advice. Please consult with a qualified healthcare professional for any questions or concerns you may have regarding dabigatran etexilate mesylate pellets, other medications, or your specific treatment plan.