Affordability Check
How to afford PREVDUO
Generic name: neostigmine methylsulfate and glycopyrrolate
Pick how you're covered. We'll show you the cheapest legitimate way to get PREVDUO — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
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 PREVDUO and its cost
What is this medication? Prevduo is a prescription injection used in hospital settings to reverse the effects of non-depolarizing neuromuscular blocking agents after surgery. It is a fixed-dose combination of two active ingredients, neostigmine methylsulfate and glycopyrrolate. Neostigmine is the primary agent that helps restore muscle strength and function, allowing patients to regain their ability to breathe on their own and move after being under general anesthesia.
The inclusion of glycopyrrolate in this medication is intended to manage the side effects caused by neostigmine. While neostigmine is necessary for muscle recovery, it can lead to unwanted reactions such as a dangerously slow heart rate or excessive saliva production. Glycopyrrolate acts as an anticholinergic to prevent these side effects, providing a safer and more balanced recovery for patients as they transition out of the effects of muscle relaxants used during a surgical procedure.
PREVDUO is made by a pharmaceutical manufacturer. 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 PREVDUO?
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 PREVDUO?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But the manufacturer has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover PREVDUO?
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 Bradycardia?
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 PREVDUO
Full PREVDUO drug page
FDA label, prior authorization rules, full indications list
More options for Bradycardia
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3