Baqsimi

Baqsimi (glucagon) occurs naturally in the body. It increases blood sugar. This medicine is used as an emergency treatment for severe low blood sugar in diabetic patients, especially if they are not able to take sugar by mouth. Baqsimi is slightly less popular than other insulin antagonists. There are currently no generic alternatives to Baqsimi.

GoodRx has partnered with Inside RX and Eli Lilly to reduce the price for this prescription. Check our savings tips for co-pay cards, assistance programs, and other ways to reduce your cost. Baqsimi is covered by most Medicare and insurance plans.

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Baqsimi Medicare Prescription Drug Coverage

Overview

Do Medicare prescription drug plans cover Baqsimi?

Maybe.

54% of Medicare prescription drug plans cover this drug, so it's pretty much a toss-up.

If my Medicare prescription drug plan covers Baqsimi, how much will I pay?

It depends on which coverage stage you are in. Click on a tab below…

Deductible

Post-Deductible

Donut Hole

Post-Donut Hole

Copay Range

$45 – $343

In the Deductible stage, you may be responsible for the full cost of your drug.

Copay Range

FREE – $343

After your deductible has been satisfied, you will enter the Post-Deductible (also called Initial Coverage) stage, where you pay your copay and your plan covers the rest of the drug cost.

Copay Range

$115 – $343

In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug. Therefore, you may pay more for your drug.

Copay Range

$7 – $343

In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.

Want an exact price for your co-pay?

Ways to Save on Baqsimi

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

Instead of Medicare, Use a Coupon

If your Medicare co-pay is higher than $290.56, you can save money by using a GoodRx coupon instead.

See Prices

Manufacturer Coupon

Pay as little as $25 per prescription.

Learn More

Patient Assistance Program from Lilly

You can receive your medication at no cost.

Learn More

Baqsimi Medicare Prescription Drug Plans Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare prescription drug plans have restrictions on coverage of Baqsimi that may include:

Quantity Limits

Most Medicare prescription drug plans have quantity limits to restrict the amount of this drug that can be filled at one time.

What drug tier is Baqsimi typically on?

Tier 3

Medicare prescription drug plans typically list Baqsimi on Tier 3 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

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 Oct 2024 and the information may be updated. If you encounter any issues, please let us know.

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