Finding Adempas Shouldn't Be This Hard

If you've been prescribed Adempas (Riociguat) for pulmonary arterial hypertension (PAH) or chronic thromboembolic pulmonary hypertension (CTEPH), you already know that filling this prescription isn't as simple as driving to the nearest pharmacy. Adempas is a specialty medication available only through the Adempas REMS program, which means most retail pharmacies can't dispense it.

But that doesn't mean you're stuck. Here are three practical strategies to find Adempas in stock — plus what to do if none of them work right away.

For background on why this medication is so difficult to locate, read our explainer on why Adempas is so hard to find.

Tip 1: Use Medfinder to Check Real-Time Availability

The fastest way to find Adempas in stock is to use Medfinder. Instead of calling pharmacy after pharmacy and getting the same "we don't carry that" response, Medfinder lets you search for pharmacies that have Adempas available right now.

Here's how it works:

1. Go to medfinder.com
2. Search for "Adempas" or "Riociguat"
3. Enter your ZIP code to find nearby pharmacies with availability
4. Contact the pharmacy directly to confirm stock and arrange pickup or delivery

This saves you hours of phone calls and frustration. It's especially helpful because Adempas is dispensed through a limited network of specialty pharmacies, and knowing which ones currently have it in stock can make all the difference.

For a step-by-step walkthrough, see our guide on how to check if a pharmacy has Adempas in stock.

Tip 2: Work With Specialty Pharmacies That Are REMS-Certified

Adempas can only be dispensed by pharmacies certified under the Adempas REMS program. This immediately narrows your options to specialty pharmacies. Here's how to make the most of this:

Ask Your Doctor's Office for Their Preferred Specialty Pharmacy

Prescribers who are enrolled in the Adempas REMS program typically work with one or two specialty pharmacies regularly. These pharmacies are already set up to handle the REMS paperwork, insurance authorizations, and patient enrollment. Ask your doctor's office which specialty pharmacy they recommend — this is often the fastest route to getting your medication.

Contact Bayer's Aim Patient Support Program

Bayer, the manufacturer of Adempas, runs the Aim Patient Support Program to help patients navigate the specialty pharmacy process. They can:

• Connect you with a certified specialty pharmacy
• Help with insurance prior authorization
• Assist with copay or financial support

Call 855-423-3672 to get started.

Consider Multiple Specialty Pharmacies

If your usual specialty pharmacy is experiencing a delay, ask if your prescription can be transferred to another REMS-certified pharmacy. Your doctor's office can help facilitate this. Having a backup pharmacy is especially important if you're running low on your current supply.

Tip 3: Plan Ahead and Reorder Early

Specialty medications like Adempas have longer processing times than regular prescriptions. Between insurance verifications, REMS compliance checks, and shipping logistics, a refill can take 5 to 10 business days — or longer for initial fills.

Reorder at Least 2 Weeks in Advance

Don't wait until you're on your last few tablets to call for a refill. Contact your specialty pharmacy at least 14 days before you expect to run out. This gives them time to process insurance, verify REMS compliance, and ship your medication.

Set Up Auto-Refills If Available

Many specialty pharmacies offer automatic refill programs. Once enrolled, the pharmacy will proactively reach out before your supply runs low and coordinate the refill for you. Ask your specialty pharmacy if this option is available.

Keep Your Doctor's Office in the Loop

If there's any issue with your refill — insurance denial, dosage change, or pharmacy delay — let your prescriber's office know right away. They can often intervene to speed things up, especially with insurance prior authorization renewals.

What If You Still Can't Find Adempas?

If you've tried the tips above and you're still having trouble, here are some additional options:

Ask About Bridge Supplies

Some specialty pharmacies or your doctor's office may be able to provide a short-term bridge supply (a few days' worth of medication) while your full prescription is being processed. This isn't always possible, but it's worth asking about.

Explore Patient Assistance Programs

If cost is the barrier (Adempas runs about $14,000 to $15,000 per month without insurance), there are programs that can help:

• Bayer US Patient Assistance Foundation — free medication for qualifying uninsured patients
• Patient Access Network (PAN) Foundation — copay assistance for insured patients
• Prescription Hope — helps patients access Adempas for $70/month

Read our full breakdown of savings programs for Adempas.

Talk to Your Doctor About Alternatives

If Adempas is truly unavailable or unaffordable, your doctor may be able to prescribe an alternative medication for your condition. Options like Bosentan (Tracleer), Ambrisentan (Letairis), or Macitentan (Opsumit) work through different mechanisms but treat similar conditions. Learn more in our post on alternatives to Adempas.

Final Thoughts

Finding Adempas takes more effort than picking up a typical prescription, but it's absolutely doable with the right approach. Start with Medfinder to check real-time availability, work closely with your doctor's office and a REMS-certified specialty pharmacy, and always plan ahead for refills.

The key is not to wait until you're out of medication. Be proactive, use the tools available to you, and don't hesitate to ask for help from Bayer's Aim Patient Support Program or your healthcare team.

For more information about Adempas, explore our guides on what Adempas is, side effects to watch for, and drug interactions to avoid.