Abatacept Coupon - Abatacept 4 syringes of 125mg/ml carton
Abatacept
Specialty Drug

Orencia

ABATACEPT is used to treat moderate to severe active rheumatoid arthritis in adults. This medicine is also used to treat juvenile idiopathic arthritis. Compare CTLA-4 agonists.
Abatacept Coupon - Abatacept 4 syringes of 125mg/ml carton

Abatacept Medicare Coverage

Overview

Does Medicare cover Orencia?

Yes.
64% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Orencia co-pay with Medicare?

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

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$3788 – $4403
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
$947 – $4403
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1704 – $4403
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
$189 – $4403
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 Abatacept

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

Manufacturer Coupon
Pay as little as $5 per fill with insurance.
Patient Assistance Program
Save at least $5 per month on your prescription.

Find Your Abatacept 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 1 carton (4 syringes) of Orencia 125mg/ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP)Lower price available $4403
AARP MedicareRx Saver Plus (PDP)Lower price available $4403
AARP MedicareRx Walgreens (PDP)Lower price available $4403
Aetna Medicare Rx Saver (PDP)Lower price available $4403
Anthem Blue Cross MedicareRx Plus (PDP) $1253
Anthem MediBlue Essential (HMO) $1186
CareMore Value Plus (HMO) $2185
Cigna-HealthSpring Preferred (HMO)Lower price available $4403
EnvisionRxPlus (PDP)Lower price available $4403
Express Scripts Medicare - Choice (PDP) $996
Express Scripts Medicare - Value (PDP) $957
First Health Part D Value Plus (PDP)Lower price available $4403
Humana Enhanced (PDP)Lower price available $4403
Humana Preferred Rx Plan (PDP)Lower price available $4403
Humana Walmart Rx Plan (PDP)Lower price available $4403
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $1250
MedicareBlue Rx Standard (PDP)Lower price available $4403
SilverScript Plus (PDP)Lower price available $4403
Symphonix Value Rx (PDP)Lower price available $4403
TexanPlus Classic (HMO)Lower price available $4403
Don't see your Medicare plan above?

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

Abatacept Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Orencia 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 Orencia typically on?

Tier 5

Medicare plans typically list Orencia in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

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.
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