Key takeaways:
Briviact (brivaracetam) is a prescription medication that treats partial-onset seizures in adults and children who are at least 1 month old. It comes as an oral solution, tablets, and an IV injection.
Without insurance, 60 tablets of Briviact 50 mg cost about $1763.87. If you qualify for a Briviact manufacturer savings card, you could pay as little as $10 for a 30-day supply.
Many health plans, including Medicare and Medicaid, cover Briviact. But prior authorization and step therapy may be required.
Save on related medications
Briviact (brivaracetam) is a common anti-seizure medication. It is FDA approved to treat partial-onset seizures (also known as focal onset awareness seizures) in adults and children ages 1 month and older.
There isn’t a generic version of Briviact available. It comes as an oral solution (liquid), tablets, and an IV injection. You’ll typically take this medication twice daily on its own or in combination with other anti-seizure medications.
Briviact can cost over $1,700 for a 1-month supply, but there are ways to save. You may be able to lower the cost with a GoodRx coupon. You could even get the medication for free through a manufacturer savings program if you qualify.
How much does Briviact cost?
Without insurance, 60 tablets of Briviact 50 mg cost an average of $1763.87. The average retail price for one bottle of oral liquid is about the same without insurance, coupons, or discounts.
Your actual cost depends on several factors, including:
Location: Medication prices can vary significantly based on where you live. GoodRx research shows that some cities, like Atlanta and Houston, often have lower medication prices compared with places like New Orleans and Milwaukee.
Insurance coverage: Even if your insurance plan covers Briviact, you still might have out-of-pocket expenses. These include copays, deductibles, and coinsurance.
Pharmacy choice: Prices can differ between pharmacies, even within the same area. So it’s worth comparing a few before filling your prescription.
Discounts: Your cost for Briviact may be reduced if you qualify for the Briviact savings card, download a GoodRx coupon, or find other savings programs.
Does insurance cover Briviact?
Most health insurance plans, including Medicare, Medicaid, and commercial options, cover Briviact.
Nearly 7 in 10 people enrolled in Affordable Care Act (ACA) marketplace plans have coverage for Briviact. Almost half of enrollees will need prior authorization. But nearly one-third will require step therapy (trying lower-cost alternatives first) before receiving coverage for Briviact.
Commercial plans cover Briviact for more than 94% of enrollees, and only about 1 in 3 need prior authorization. But about 39% of members must complete step therapy for coverage.
Medicare covers Briviact for all enrollees. But prior authorization is required for more than half of enrollees, and about 35% of members will require step therapy.
Medicaid provides coverage of Briviact for nearly all enrollees. But more than 3 in 5 will need prior authorization, and close to 2 in 3 must complete step therapy before the medication is covered.
To determine how your insurance covers Briviact, refer to the formulary for your health plan or contact your insurer directly.
Make the most of your FSA funds: See how you can use your flexible spending account (FSA) to cover Briviact and other eligible expenses.
Looking for ways to save? From GoodRx coupons to manufacturer copay cards, here are some ways to get help paying for your medications.
Common Briviact side effects: Learn the most common side effects and when you should contact your prescriber.
How different insurance plans cover Briviact
The table below shows how likely it is that Briviact will be covered by different types of insurance plans. It also shows whether prior authorization or step therapy might be required.
Insurance type | Enrollees covered for Briviact 100 mg tablet | Enrollees required to get prior authorization | Enrollees required to do step therapy |
|---|---|---|---|
69.5% | 46.1% | 28.4% | |
Commercial plans (excluding ACA plans) | 94.3% | 30.6% | 38.7% |
Medicare (original Medicare and Medicare Advantage plans) | 100% | 59.6% | 34.7% |
Medicaid, including state-run and managed care plans | 99.9% | 64.1% | 30.5% |
Source: Managed Markets Insight & Technology, LLC™, as of June 13, 2025. (See methodology below.)
If your insurance does not cover Briviact, consider these options:
Ask your prescriber about switching to a different medication that may be covered by your insurance or come with lower out-of-pocket costs than Briviact.
Request a formulary exception for Briviact from your insurance company. This is a special request asking them to cover Briviact in your case.
If the exception is denied, you can file an appeal.
During the next open enrollment, choose an insurance plan that offers better coverage for your medication needs.
Ways to save on Briviact
Here are seven ways you may be able to save on Briviact or even get it at no cost:
1. Download a GoodRx coupon
A free GoodRx coupon could help lower the cost of your Briviact prescription. For example, you could pay around $1471.96 for 60 tablets of Briviact 50 mg with a GoodRx coupon.
Many pharmacies accept these coupons. And you can visit the GoodRx website or download the app to compare prices and find the best deal near you.
To get your GoodRx coupon for Briviact:
Go to www.goodrx.com, or download the GoodRx app on your phone.
Search for “Briviact.”
Enter your prescribed dose, form, and quantity, then set your location.
Click “Find the lowest prices,” or press “Enter.”
You can have the coupon sent by text or email, or print it out.
To apply the discount, show the coupon at the pharmacy when you fill your prescription. Ideally, this is done at drop-off before the prescription is filled.
2. Check if you qualify for a Briviact savings card
If you have a Briviact prescription and have commercial insurance (such as a plan through your employer or a private plan), you may qualify for the Briviact savings card. This card can help you pay as little as $10 per 30-day supply. The maximum benefit is $1,300 per calendar year.
You may qualify for the Briviact savings card program if all of the following apply:
You are not covered by any state-funded or federally funded health insurance program.
You are not a cash-paying individual.
Your prescription is for an FDA-approved use of Briviact.
You are not covered by Medicare, Medicaid, or any other government insurance.
You live in the U.S. (including Puerto Rico).
You won’t request reimbursement from your insurance for using the savings card.
3. Check eligibility for UCB’s patient assistance program
If you are unable to afford Briviact, you may qualify for help through UCB’s patient assistance program. UCB, the manufacturer of Briviact, offers financial assistance to eligible individuals who have a valid prescription from a healthcare professional. If you meet the requirements, you could receive Briviact at no cost. To learn more about the qualification criteria, call UCBCares at 1-844-599-2273 or submit an application online.
4. Request a 90-day supply
Switching from a monthly refill to a 90-day supply of Briviact may help you lower your out-of-pocket costs. Many insurance plans — including those that use specialty pharmacies — may offer lower copays or discounts for 3-month prescriptions.
If Briviact is covered under your plan, see if your insurer’s mail-order or specialty pharmacy provides savings on a 90-day supply. If they do, ask your prescriber to write a 90-day prescription to take advantage of these potential savings.
5. Consider using a lower-cost alternative
A generic version of Briviact is not available. But there are similar medications that can manage certain types of epilepsy, and they do have generics available. For example, Keppra (levetiracetam), which treats a wider range of seizure disorders than Briviact, has a lower-cost generic available. It’s worth asking your prescriber about other lower-cost alternatives that may be covered by insurance.
6. Use your insurance’s preferred specialty pharmacy
If your insurance covers Briviact and you’re getting it from a specialty pharmacy, make sure to use your insurer’s preferred pharmacy. This will help you avoid higher out-of-pocket costs.
Using an in-network specialty pharmacy may lower your copay and give you access to additional support such as refill coordination and even financial assistance programs. Check with your insurance provider for a list of preferred specialty pharmacies.
7. Use your tax-advantaged health account to pay for Briviact
If you have a tax-advantaged account, such as a health savings account (HSA) or flexible spending account (FSA), you can use those pretax funds to pay for qualified medical expenses, including prescription medications like Briviact. Using these accounts can help reduce your out-of-pocket costs by allowing you to pay with tax-free dollars.
Keep in mind that FSA funds typically expire at the end of the plan year unless your plan offers a grace period or a rollover option. But HSA funds roll over from year to year and can be used anytime in the future.
The bottom line
Without insurance, 60 tablets of Briviact 50 mg can cost $1763.87 on average. What you pay will depend on factors like your insurance coverage, pharmacy, and location.
If you have commercial insurance, you may qualify for the Briviact savings card, which could lower your cost to as little as $10 per 30-day supply. You might also be eligible for free medication through UCB’s patient assistance program. Other ways to save include using a GoodRx coupon, asking about lower-cost alternatives, or using tax-advantaged health accounts to help cover out-of-pocket costs.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of June 2025.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
References
HealthCare.gov. (n.d.). Appealing a health plan decision. U.S. Centers for Medicare & Medicaid Services.
Kiriakopoulos, E., et al. (2022). Focal impaired awareness seizures (complex partial seizures). Epilepsy Foundation.
Medicaid.gov. (n.d.). Managed care. U.S. Centers for Medicare & Medicaid Services.
