Alimta Coupon - Alimta 500mg vial
Alimta
Specialty Drug

Pemetrexed

PEMETREXED is a chemotherapy drug. This medicine affects cells that are rapidly growing, such as cancer cells and cells in your mouth and stomach. It is usually used to treat lung cancers like non-small cell lung cancer and mesothelioma. It may also be used to treat other cancers. Compare antifolates.
Alimta Coupon - Alimta 500mg vial

Alimta Medicare Coverage

Overview

Does Medicare cover Alimta?

Yes.
97% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Alimta 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
$3100 – $3473
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
$42 – $3380
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1082 – $1572
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
$155 – $175
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 Alimta

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

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.
Patient Assistance Program
Receive your prescription at no charge if you are eligible.

Find Your Alimta 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 2 vials of Alimta 500mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $1342
AARP MedicareRx Saver Plus (PDP) $847
AARP MedicareRx Walgreens (PDP) $830
Aetna Medicare Rx Saver (PDP) $831
Anthem Blue Cross MedicareRx Plus (PDP) $1054
Anthem MediBlue Essential (HMO) $992
CareMore Value Plus (HMO) $1836
Cigna-HealthSpring Preferred (HMO) $945
EnvisionRxPlus (PDP) $829
Express Scripts Medicare - Choice (PDP) $844
Express Scripts Medicare - Value (PDP) $811
First Health Part D Value Plus (PDP) $1097
Humana Enhanced (PDP) $1039
Humana Preferred Rx Plan (PDP) $787
Humana Walmart Rx Plan (PDP) $787
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $42
MedicareBlue Rx Standard (PDP) $868
SilverScript Plus (PDP) $1115
Symphonix Value Rx (PDP) $848
TexanPlus Classic (HMO) $2689
Don't see your Medicare plan above?

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Alimta Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Alimta 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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