Sirolimus Coupon - Sirolimus 1mg tablet

Generic Rapamune

SIROLIMUS is used to decrease the immune system's response to a transplanted organ. It is also used to treat a rare lung disease called lymphangioleiomyomatosis. Compare mTOR inhibitors.
Sirolimus Coupon - Sirolimus 1mg tablet

Sirolimus Medicare Coverage


Does Medicare cover sirolimus?

100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my sirolimus co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Donut Hole
Post-Donut Hole
Co-Pay Range
$3 – $905
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$2 – $452
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$4 – $525
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$3 – $45
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Sirolimus

Here are some ways that may lower the cost of your sirolimus prescription.

Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.
Cheaper Alternative
Less expensive drugs that work the same way may be available.

Find Your Sirolimus Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 30 tablets of sirolimus 1mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $197
AARP MedicareComplete Plan 1 (HMO)Lower price available $206
AARP MedicareComplete SecureHorizons (HMO) $193
AARP MedicareRx Preferred (PDP)Lower price available $231
AARP MedicareRx Saver Plus (PDP) $179
Aetna Medicare Rx Saver (PDP) $35
Cigna-HealthSpring Preferred (HMO) $13
Cigna-HealthSpring Rx Secure (PDP) $6
Cigna-HealthSpring Rx Secure-Extra (PDP) $5
EnvisionRxPlus Silver (PDP) $2
Express Scripts Medicare - Value (PDP) $160
First Health Part D Value Plus (PDP) $47
Humana Enhanced (PDP)Lower price available $368
Humana Preferred Rx Plan (PDP)Lower price available $293
Humana Walmart Rx Plan (PDP)Lower price available $293
Kaiser Permanente Senior Advantage (HMO) $10
MedicareBlue Rx Standard (PDP)Lower price available $344
SilverScript Choice (PDP)Lower price available $344
Symphonix Value Rx (PDP) $179
WellCare Classic (PDP)Lower price available $384
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Sirolimus Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of sirolimus that may include:

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your doctor fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is sirolimus typically on?

Tier 2

Medicare plans typically list sirolimus in Tier 2 of their formulary. Tier 2 means that this drug is a “non-preferred generic”. It will be expensive and there may be cheaper drugs that work in a similar fashion.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.