Non-Selective Beta-1/Beta-2 & Vasodilatory Alpha-1 Adrenergic Blocker • Rx

Carvedilol

Brand Reference: Coreg

Medically Reviewed by Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
85.00%
Patient “Worth It”
16 verified logs
$5.50
Lowest Monthly Cash

Carvedilol Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Carvedilol RxNorm Concept ID 20352 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0380 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $26.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $5.50 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $6.40 / mo 16 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Carvedilol

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$5.50/mo
Wholesale Cash Price
View Wholesale Rx →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
Start Online Visit →

Carvedilol Clinical Pharmacology & DailyMed Monograph

RxCUI 20352 • NDC 00378-3633-01

Combines competitive beta-1 and beta-2 adrenoceptor blockade with peripheral vascular alpha-1 antagonism and carbazole-ring free-radical scavenging, lowering cardiac afterload while preserving insulin sensitivity compared with metoprolol.

Across 16 community cost disclosures for Carvedilol (Coreg), cash buyers routing around $26.00 retail markups capture a 79% discount ($5.50/mo benchmark vs $0.0380 NADAC acquisition).

Following administration (3.125 mg PO BID), Carvedilol achieves 25%–35% oral (take with food to slow absorption) bioavailability and 1–2 hours alpha-1 vasodilation onset, governed by a 7–10 hours terminal half-life through hepatic cyp2d6 and cyp2c9 ring oxidation plus biliary excretion.

Before initiating Carvedilol at 3.125 mg PO BID, clinical safety checklists rule out bronchospastic asthma; sick sinus syndrome; severe hepatic cirrhosis. Logged tolerability patterns center on postural dizziness without food (12% of reports), fatigue (9% of reports), bradycardia (8% of reports).

Half-Life
7–10 hours
Bioavailability
25%–35% oral (take with food to slow absorption)
Metabolism & Clearance
Hepatic CYP2D6 and CYP2C9 ring oxidation plus biliary excretion
Clinical Onset
1–2 hours alpha-1 vasodilation

Standard Adult Titration & Dosages

3.125 mg PO BID 6.25 mg PO BID 12.5 mg PO BID 25 mg PO BID

Absolute & Relative Contraindications

  • Bronchospastic asthma
  • Sick sinus syndrome
  • Severe hepatic cirrhosis

Logged Side-Effect Incidence (16 Reports)

Postural dizziness without food 12%
Fatigue 9%
Bradycardia 8%

Carvedilol Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 16 verified cash-pay logs, Carvedilol achieves a 85.00% Worth-It rating with out-of-pocket spend averaging $6.40/mo versus $26.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 3.125 mg PO BID • Paid: $4.84/mo via Cost Plus Drugs
Postural dizziness without food

Switched to Cost Plus Drugs at 3.125 mg PO BID for Carvedilol; monthly out-of-pocket dropped to $4.84 compared with $26.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 6.25 mg PO BID • Paid: $5.61/mo via TeleMed

Completed 10 weeks on Carvedilol (6.25 mg PO BID). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 12.5 mg PO BID • Paid: $6.38/mo via Compounding
Fatigue

Consistent biomarker response on 12.5 mg PO BID Carvedilol sourced via Compounding ($6.38/mo cash pay without insurance prior authorization).