Specialty Drug
EVEROLIMUS decreases the activity of your immune system. Afinitor is used to treat certain types of cancer. Compare kinase inhibitors.

Afinitor Disperz Medicare Coverage


Does Medicare cover Afinitor Disperz?

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

How much is my Afinitor Disperz 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
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
$3556 – $4694
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
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 – $711
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 Afinitor Disperz

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

Lower Cost Alternative
Less expensive drugs that work the same way may be available.

Find Your Afinitor Disperz 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 28 tablets of Afinitor Disperz 3mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $3878
AARP MedicareComplete Plan 1 (HMO) $4071
AARP MedicareComplete SecureHorizons (HMO) $3757
AARP MedicareRx Preferred (PDP) $4548
AARP MedicareRx Saver Plus (PDP) $3556
Aetna Medicare Rx Saver (PDP) $3556
Cigna-HealthSpring Preferred (HMO) $4362
Cigna-HealthSpring Rx Secure (PDP) $3556
Cigna-HealthSpring Rx Secure-Extra (PDP) $3840
EnvisionRxPlus Silver (PDP) $3556
Express Scripts Medicare - Value (PDP) $3556
First Health Part D Value Plus (PDP) $4694
Humana Enhanced (PDP) $4694
Humana Preferred Rx Plan (PDP) $3556
Humana Walmart Rx Plan (PDP) $3556
Kaiser Permanente Senior Advantage (HMO) $4694
MedicareBlue Rx Standard (PDP) $3556
SilverScript Choice (PDP) $4660
Symphonix Value Rx (PDP) $3556
WellCare Classic (PDP) $3556
Don't see your Medicare plan above?

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Afinitor Disperz Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Afinitor Disperz 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 Afinitor Disperz typically on?

Tier 5

Medicare plans typically list Afinitor Disperz 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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