Specialty Drug


AFATINIB is a medicine that targets proteins in cancer cells and stops the cancer cells from growing. It is used to treat non-small cell lung cancer. Compare kinase inhibitors.

Afatinib Medicare Coverage


Does Medicare cover Gilotrif?

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

How much is my Gilotrif 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
$6565 – $7679
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
$1641 – $2534
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$2954 – $3455
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
$15 – $384
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 Afatinib

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

Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Afatinib 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 Gilotrif 40mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $1941
AARP MedicareComplete Plan 1 (HMO) $1993
AARP MedicareComplete SecureHorizons (HMO) $1870
AARP MedicareRx Preferred (PDP) $2258
AARP MedicareRx Saver Plus (PDP) $1760
Aetna Medicare Rx Saver (PDP) $1782
Cigna-HealthSpring Preferred (HMO) $2164
Cigna-HealthSpring Rx Secure (PDP) $1762
Cigna-HealthSpring Rx Secure-Extra (PDP) $1903
EnvisionRxPlus Silver (PDP) $1769
Express Scripts Medicare - Value (PDP) $1761
First Health Part D Value Plus (PDP) $2352
Humana Enhanced (PDP) $2328
Humana Preferred Rx Plan (PDP) $1764
Humana Walmart Rx Plan (PDP) $1761
Kaiser Permanente Senior Advantage (HMO) $2495
MedicareBlue Rx Standard (PDP) $1783
SilverScript Choice (PDP) $2360
Symphonix Value Rx (PDP) $1758
WellCare Classic (PDP) $1801
Don't see your Medicare plan above?

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Afatinib Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

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 Gilotrif typically on?

Tier 5

Medicare plans typically list Gilotrif 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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