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
$3655 – $14622
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$4825 – $6580
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
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 MedicareRx Preferred (PDP) $5800
AARP MedicareRx Saver Plus (PDP) $3655
AARP MedicareRx Walgreens (PDP) $3655
Aetna Medicare Rx Saver (PDP) $3655
Anthem Blue Cross MedicareRx Plus (PDP) $4825
Anthem MediBlue Essential (HMO) $4533
CareMore Value Plus (HMO) $8091
Cigna-HealthSpring Preferred (HMO) $4075
EnvisionRxPlus (PDP) $3745
Express Scripts Medicare - Choice (PDP) $3802
Express Scripts Medicare - Value (PDP) $3655
First Health Part D Value Plus (PDP) $4825
Humana Enhanced (PDP) $4825
Humana Preferred Rx Plan (PDP) $3655
Humana Walmart Rx Plan (PDP) $3655
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $4825
MedicareBlue Rx Standard (PDP) $3655
SilverScript Plus (PDP) $4825
Symphonix Value Rx (PDP) $3655
TexanPlus Classic (HMO) $12172
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:

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). They are accurate as-of January 2017 and the information may be updated. If you encounter any issues, please let us know.
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