Skip to main content
RxCopaysGet started

Affordability Check

How to afford EXTRANEAL

Generic name: icodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chloride

Pick how you're covered. We'll show you the cheapest legitimate way to get EXTRANEAL — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.

How are you covered for prescriptions?

Pick the one that fits you. We'll show you the cheapest way to get this drug.

Pick an option above to see your specific path.

Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.

About EXTRANEAL and its cost

What is this medication? EXTRANEAL is a specialized solution used for peritoneal dialysis in patients with end-stage renal disease whose kidneys can no longer sufficiently filter waste and excess water from the blood. It is specifically designed for use during the long-dwell exchange, which is the period lasting between eight and sixteen hours, such as the overnight dwell for patients on continuous ambulatory peritoneal dialysis or the daytime dwell for those on automated peritoneal dialysis. The medication contains icodextrin, a starch-derived glucose polymer that acts as an osmotic agent to pull fluid and toxins into the peritoneal cavity so they can be drained from the body.

This medication is often prescribed to patients who have difficulty achieving adequate fluid removal using standard glucose-based dialysis solutions. Because icodextrin molecules are large and absorbed slowly into the blood, the solution remains effective at drawing out excess water for a longer duration than traditional glucose treatments. By improving ultrafiltration during the longest dwell time of the day, it helps manage fluid balance and reduce the physical complications associated with chronic kidney failure.

EXTRANEAL is made by Baxter. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.

Common questions

What's the cheapest way to afford EXTRANEAL?

It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.

Can I use a copay card with Medicare for EXTRANEAL?

No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Baxter has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.

Does my Medicare Part D plan cover EXTRANEAL?

Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.

How long does a Patient Assistance Program take?

Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.

What if I have a high-deductible plan?

For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.

Are there charity grants for Kidney Disease?

Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.

More about EXTRANEAL