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
$4516 – $16725
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
$4181 – $16725
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$7526 – $8028
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.

Manufacturer Coupon
Pay as little as $0 per 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 5mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $6634
AARP MedicareRx Saver Plus (PDP) $4181
AARP MedicareRx Walgreens (PDP) $4181
Aetna Medicare Rx Saver (PDP) $4398
Anthem Blue Cross MedicareRx Plus (PDP) $5519
Anthem MediBlue Essential (HMO) $5185
Cigna-HealthSpring Preferred (HMO) $4760
EnvisionRxPlus (PDP) $4293
Express Scripts Medicare - Choice (PDP) $4348
Express Scripts Medicare - Value (PDP) $4181
First Health Part D Value Plus (PDP) $5504
Humana Enhanced (PDP) $5519
Humana Preferred Rx Plan (PDP) $4181
Humana Walmart Rx Plan (PDP) $4181
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $4516
MedicareBlue Rx Standard (PDP) $4181
SilverScript Plus (PDP) $5519
Symphonix Value Rx (PDP) $4181
TexanPlus Classic (HMO) $13923
WellCare Classic (PDP) $4260
Don't see your Medicare plan above?

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

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 health care provider 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 July 2018 and the information may be updated. If you encounter any issues, please let us know.
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