Specialty Drug


ALIROCUMAB is known as a PCSK9 inhibitor. It is used to lower the level of cholesterol in the blood. This medicine is only for patients whose cholesterol is not controlled by diet and statin therapy. The lowest GoodRx price for the most common version of Praluent is around $1,120.71, 19% off the average retail price of $1,383.76. Compare PCSK9 inhibitors.

Alirocumab Medicare Coverage


Does Medicare cover Praluent?

89% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Praluent 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
$312 – $1288
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
$266 – $1288
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$479 – $1288
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
$53 – $1288
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 Alirocumab

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

Manufacturer Coupon
Pay as little as $0 for your prescription.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Alirocumab 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 1 carton (2 pens) of Praluent 75mg/ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $473
AARP MedicareRx Saver Plus (PDP) $296
AARP MedicareRx Walgreens (PDP)Lower price available $1288
Aetna Medicare Rx Saver (PDP) $310
Anthem Blue Cross MedicareRx Plus (PDP) $361
Anthem MediBlue Essential (HMO) $346
Cigna-HealthSpring Preferred (HMO) $343
EnvisionRxPlus (PDP) $294
Express Scripts Medicare - Choice (PDP) $287
Express Scripts Medicare - Value (PDP) $276
First Health Part D Value Plus (PDP) $388
Humana Enhanced (PDP) $361
Humana Preferred Rx Plan (PDP) $274
Humana Walmart Rx Plan (PDP) $274
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $312
MedicareBlue Rx Standard (PDP) $286
SilverScript Plus (PDP) $374
Symphonix Value Rx (PDP) $296
TexanPlus Classic (HMO) $945
WellCare Classic (PDP) $290
Don't see your Medicare plan above?

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

Alirocumab Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Praluent 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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