Lexiscan
Regadenoson
Regadenoson (re ga DEN oh son) is a generic medication that doctors use to help diagnose heart conditions in people who can’t exercise adequately for a stress test. The brand-name version of this drug is Lexiscan. The cost of regadenoson with or without insurance can depend on several factors.
Regadenoson (re ga DEN oh son) is a generic medication that doctors use to help diagnose heart conditions in people who can’t exercise adequately for a stress test. The brand-name version of this drug is Lexiscan. The cost of regadenoson with or without insurance can depend on several factors.
- Generic
- • Solution
- • 5ml of .4mg/5ml
- • 1 Syringe
Dosage settings
Set your dosage
Make sure your dosage values are correct! In order for Optum Perks to provide the most accurate discount pricing for your prescription, take a moment to verify your dosage above.
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Intro
Introduction
Written by Julz Richterman, PharmD, MBA, BCGP
Medically reviewed by Patricia Weiser, PharmD
Updated on February 1, 2024
Regadenoson (re ga DEN oh son) is a generic medication that doctors use to help diagnose heart conditions in people who can’t exercise adequately for a stress test. The brand-name version of this drug is Lexiscan. The cost of regadenoson with or without insurance can depend on several factors.
Specifically, the Food and Drug Administration (FDA) has approved regadenoson for use in people who can’t exercise adequately for a stress test. Regadenoson increases blood flow to the heart, which mimics the effect of exercise. Doctors use stress tests to help diagnose heart conditions.
Read on to learn about regadenoson and cost. If you’d like more information about regadenoson, including its use, talk with your doctor or pharmacist.
Cost
Cost of regadenoson
Like other medications, the cost of regadenoson can vary. Certain factors may affect its price, such as:
- your insurance plan, if you have coverage
- the pharmacy you use
- the cost to visit a healthcare professional to receive doses of regadenoson
To find out how much regadenoson costs, ask your doctor, pharmacist, or insurance provider.
Coupons
Coupons for medications
Prescription drug coupons can help you save money by lowering the cost of certain medications. The Optum Perks coupons above can provide significant savings on your prescription costs.
However, coupons aren’t available for medications, such as regadenoson, that are only given by a healthcare professional.
Note: Optum Perks coupons cannot be used with insurance copays or benefits.
Available app for coupons
To make finding and using these coupons easier, you can download the Optum Perks app. To learn more about this prescription discount app, see this article.
Insurance and other considerations
Insurance and other considerations for regadenoson
Here’s a list of things to consider about the cost of prescription drugs:
- Prior authorization: If you have medical or prescription drug insurance, your insurance company may require prior authorization before it covers the cost of regadenoson. In this case, your doctor will communicate with your insurance company regarding your need for regadenoson. The insurance company will decide whether to cover the medication. If a drug requires prior authorization and you begin using it without this, you may have to pay the full price of the drug.
- Insurance coverage: Even if your policy has prescription drug coverage, the price of regadenoson may instead be billed through your medical coverage. This is because a doctor or another healthcare professional gives doses of regadenoson. The cost of your doses will depend on your specific insurance plan and whether you receive the doses at your doctor’s clinic or a hospital. If you have questions about this process, contact your doctor or your insurance provider.
- Savings accounts: If you’re eligible for a health savings account (HSA) or a flexible spending account (FSA), you can likely use funds from these accounts to pay for your prescription or over-the-counter (OTC) medications. HSA and FSA plans help people save money by using pretax dollars to pay for eligible healthcare expenses, such as prescription and OTC drugs. To learn more about whether you’re eligible for these savings accounts and how to use them, talk with your insurance provider or employer.
If you have questions about any of these considerations, ask your doctor or pharmacist. Or contact your insurance company and talk with a representative.
If you don’t have a health insurance plan, let your doctor or pharmacist know. They may suggest online pharmacy options you could use. You can also ask them about ways to obtain health insurance coverage.
Generics vs. brand-names
Generics vs. brand-names
Regadenoson is a generic medication. The brand-name version of this drug is Lexiscan.
A generic medication is an identical copy of the active ingredient in a brand-name medication. (An active ingredient is what makes a medication work.) Generics usually cost less than brand-name drugs. And they’re thought to be as safe and effective as the brand-name version.
Prior to your procedure, ask your doctor whether generic regadenoson or Lexiscan will be prescribed for you. The hospital or health system may have a financial representative who can discuss possible costs with you.
FAQ
Common questions about regadenoson and cost
Here are some common questions and answers about regadenoson.
Is regadenoson covered by Medicare?
Most likely, yes. Medicare has guidelines for when it will cover diagnostic tests. If the test is medically necessary and meets its guidelines, Medicare will cover the costs of a stress test. It will also cover the cost of medications used for the test, such as regadenoson.
Because regadenoson is given by a healthcare professional in a clinic or a hospital, it may be covered under your medical plan (Medicare Part B) instead of your pharmacy plan (Medicare Part D prescription drug plan).
If you have questions about this, talk with your doctor or your Medicare plan administrator.
Why are costs different for brand-name drugs vs. generic drugs?
Brand-name drugs can be expensive because of the studies needed to test how safe and effective they are.
Makers of a brand-name drug can patent and sell their drug for up to 20 years. When the patent for a brand-name drug expires, other drugmakers can make and sell generic versions. A generic medication is an identical copy of the active ingredient in a brand-name medication. (An active ingredient is what makes a medication work.)
This competition may help keep the costs of generic medications lower. Also, generic medications contain the same active ingredients as brand-name medications. So they don’t require the same testing, which can be costly.
If you’d like to know more about the cost differences between brand-name and generic drugs, talk with your doctor or pharmacist.
What to ask
What to ask about regadenoson
This article provides cost information related to regadenoson. It also offers suggestions for ways to save money on your prescriptions. Above on this page, you’ll find coupon information. However, coupons aren’t available for medications, such as regadenoson, that are only given by a healthcare professional.
If you have more questions about paying for this medication, ask your doctor or pharmacist. You can also contact your insurance company.
Here’s a list of questions you may want to ask regarding the cost of your medication:
- Is the cost of regadenoson included in the cost of my stress test?
- What will my cost of regadenoson be?
- What are my options if I can’t afford regadenoson for my stress test?
Resources
Resources
- Food and Drug Administration. (2024). Orange Book: Approved drug products with therapeutic equivalence evaluations. https://www.accessdata.fda.gov/scripts/cder/ob/index.cfm
- Regadenoson injection for intravenous use. (2023). https://nctr-crs.fda.gov/fdalabel/services/spl/set-ids/b553eb2d-0c3f-444e-ad4c-282328683110/spl-doc
Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
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