pilocarpine hydrchloride
Generic: pilocarpine hydrchloride
- Manufacturer
- Eisai
- NDC
- 63629-8439
- RxCUI
- 1000913
- Route
- ORAL
- ICD-10 indication
- K11.7
Affordability Check
How much will you actually pay for pilocarpine hydrchloride?
In 30 seconds, see every legitimate way to afford pilocarpine hydrchloride — Medicare copay, manufacturer copay card, Patient Assistance Program, grants, or cash.
About pilocarpine hydrchloride
Pilocarpine hydrochloride is a cholinergic agonist medication primarily used to manage symptoms of dry mouth, a condition clinically referred to as xerostomia. It is frequently prescribed for individuals suffering from Sjogren’s syndrome or those who have undergone radiation therapy for head and neck cancer. By stimulating specific receptors in the salivary glands, the drug increases the production of saliva, which helps alleviate discomfort and improves the ability to chew and swallow.
Copay & patient assistance
- Patient Copay Amount: Not Publicly Available
- Maximum Annual Benefit Limit: Not Publicly Available
- Core Eligibility Restrictions: Not Publicly Available
- RxBIN, PCN, and Group numbers: Not Publicly Available
External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.
Compare pricing elsewhere
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Cost Plus Drug Company
Mark Cuban's transparent-pricing pharmacy — manufacturer cost + 15% markup + $5 dispensing fee. No insurance needed. Search alphabetically for pilocarpine hydrchloride.
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GoodRx
Compare local pharmacy prices with GoodRx coupons. Use the price with your insurance or without — whichever is cheaper.
Lookup pilocarpine hydrchloride →
NeedyMeds
Independent nonprofit directory of patient assistance programs, copay cards, and charity co-pay foundations.
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RxAssist
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Conditions we've indexed resources for
Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.
Medicare Part D coverage
How pilocarpine hydrchloride appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-06-30).
Covered by plans
71%
3,904 of 5,496 plans
Most common tier
Tier 4
On 35% of covering formularies
Prior authorization required
0%
of covering formularies
| Tier | Formularies on this tier | Share |
|---|---|---|
| Tier 1 (preferred generic) | 65 | 20% |
| Tier 2 (generic) | 90 | 27% |
| Tier 3 (preferred brand) | 59 | 18% |
| Tier 4 (non-preferred brand) | 114 | 35% |
Step therapy: 0% of formularies
Quantity limits: 0% of formularies
Coverage breadth: 328 of 65 formularies
How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).
Prior authorization & coverage
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
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How this page is sourced
- Drug identity verified against openFDA NDC Directory.
- Label text (when shown) originates from NLM DailyMed.
- Copay and assistance URLs verified periodically; if you hit a broken link, tell us.