Telmisartan-Hctz Coupons & Prices

Use a free telmisartan-HCTZ coupon from Rx.com to compare cash prices on telmisartan and hydrochlorothiazide, the generic version of Micardis HCT, at more than 60,000 pharmacies nationwide. This once-daily combination tablet treats high blood pressure in adults, and even though a generic is available, the cash price for the same tablet and quantity can differ a lot from one pharmacy to the next, sometimes between two stores on the same street. Enter your ZIP code above to see today's price near you and bring the coupon to the counter. No insurance or membership is required.

What is telmisartan-HCTZ and how does it work?

Telmisartan-HCTZ is a fixed-dose combination tablet that puts two blood pressure medicines into one pill. Telmisartan is an angiotensin II receptor blocker (ARB). It blocks a hormone that tightens blood vessels, so the vessels relax and blood flows more easily. Hydrochlorothiazide is a thiazide diuretic, or "water pill." It helps your kidneys remove extra salt and fluid, which lowers the volume of fluid your heart has to push. Because the two work in different ways, the combination often lowers blood pressure more than either drug alone.

It is FDA-approved to treat high blood pressure in adults. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and heart attacks. It is not approved as a first medicine for newly diagnosed high blood pressure. It is meant for people who are not adequately controlled on telmisartan or hydrochlorothiazide alone, or as a convenient replacement for people already taking both separately. It comes as 40/12.5 mg, 80/12.5 mg, and 80/25 mg tablets, taken once a day with or without food. Note that telmisartan alone (Micardis) carries an extra approved use for cardiovascular risk reduction in certain high-risk adults 55 and older who cannot take ACE inhibitors. That use does not extend to this combination product, which is approved only for treating hypertension.

What telmisartan-HCTZ costs without insurance

A generic of telmisartan and hydrochlorothiazide is FDA-approved and available in the US, so most people do not need the Micardis HCT brand to get the same medicine. There is no manufacturer savings card for this generic. If you are paying cash, the price you are quoted depends almost entirely on which pharmacy you walk into. Pharmacies set their own cash prices, and the spread on the exact same 30-day supply can be wide.

That is why comparing before you fill matters. Rx.com checks prices across 60,000+ pharmacies so you can see what your strength and quantity actually cost near you today. Enter your ZIP above, pick the pharmacy with the best price, and show the free coupon at the counter. A few things that help: ask about a 90-day supply, check whether your dose and quantity are cheaper as a different tablet strength, and if you have insurance, compare your copay against the cash coupon price, because the coupon is sometimes lower. You cannot combine a coupon with insurance on the same fill, but you may use whichever costs less.

Alternatives and similar blood pressure combinations

Telmisartan-HCTZ is one of several ARB-plus-diuretic combination pills. Others in the same family include losartan-HCTZ, valsartan-HCTZ, and olmesartan-HCTZ. A related option pairs an ACE inhibitor with the same diuretic, such as lisinopril-HCTZ, though ACE inhibitors are more likely to cause a dry cough. Some people are treated instead with a calcium channel blocker such as amlodipine, alone or added on.

These are not interchangeable, and only your prescriber can decide which combination and strength fits your blood pressure, kidney function, and other medicines. The brand version of this exact combination is Micardis HCT from Boehringer Ingelheim (sold as MicardisPlus outside the US). If cost is your reason for asking about a switch, bring the comparison to your prescriber rather than changing anything on your own. Cash prices for each of these vary by pharmacy, so it is worth checking prices on the specific one you are prescribed.

Safety information you should know

Telmisartan-HCTZ carries an FDA boxed warning for fetal toxicity: drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. The label says that when pregnancy is detected, the medicine should be discontinued as soon as possible, so tell your doctor right away if you become pregnant or think you might be. The label also advises not to breastfeed during treatment. Under Contraindications, the label lists three situations: hypersensitivity to any component of the product, anuria (making no urine), and co-administration with aliskiren in patients with diabetes. Some versions of the labeling also list hypersensitivity to other sulfonamide-derived drugs, because of the hydrochlorothiazide component.

Other things to know: it can cause low blood pressure with dizziness or fainting, especially if you are low on fluid or salt, so any depletion should be corrected first. It can raise potassium (from the ARB) or lower potassium, sodium, and magnesium (from the diuretic), so your doctor may check bloodwork. It can affect kidney function, particularly with narrowed kidney arteries, heart failure, or regular NSAID use, and it should generally not be combined with an ACE inhibitor or aliskiren. Rarely, the sulfonamide component causes sudden nearsightedness or acute angle-closure glaucoma within hours to weeks of starting; sudden eye pain or vision loss needs prompt medical attention. It can also raise uric acid and trigger gout, raise blood sugar, calcium, cholesterol and triglycerides, worsen lupus, and cause sun sensitivity, and it can raise lithium and digoxin levels. Long-term cumulative hydrochlorothiazide use has been linked to non-melanoma skin cancer, so protect your skin and have new spots checked. This page is general information, not medical advice. Talk with your doctor or pharmacist about your own situation.