Apomorphine
Specialty Drug

Apokyn

APOMORPHINE is used to treat 'off' episodes in advanced Parkinson's disease. These episodes affect your ability to move or perform tasks. Compare dopamine agonists.

Apomorphine Medicare Coverage

Overview

Does Medicare cover Apokyn?

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

How much is my Apokyn 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
$4896 – $5464
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
$1224 – $1803
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$2203 – $2459
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 – $273
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 Apomorphine

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

Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Apomorphine 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 10 cartridges (3ml) of Apokyn 30mg/3ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $1404
AARP MedicareComplete Plan 1 (HMO) $1474
AARP MedicareComplete SecureHorizons (HMO) $1361
AARP MedicareRx Preferred (PDP) $1641
AARP MedicareRx Saver Plus (PDP) $1283
Aetna Medicare Rx Saver (PDP) $1300
Cigna-HealthSpring Preferred (HMO) $1574
Cigna-HealthSpring Rx Secure (PDP) $1264
Cigna-HealthSpring Rx Secure-Extra (PDP) $1365
EnvisionRxPlus Silver (PDP) $1256
Express Scripts Medicare - Value (PDP) $1293
First Health Part D Value Plus (PDP) $1716
Humana Enhanced (PDP) $1683
Humana Preferred Rx Plan (PDP) $1275
Humana Walmart Rx Plan (PDP) $1275
Kaiser Permanente Senior Advantage (HMO) $1718
MedicareBlue Rx Standard (PDP) $1356
SilverScript Choice (PDP) $1771
Symphonix Value Rx (PDP) $1286
WellCare Classic (PDP) $1350
Don't see your Medicare plan above?

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

Apomorphine Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Apokyn 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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