Specialty Drug


ELIGLUSTAT is used for the long-term treatment of adults with Gaucher disease type I. Eliglustat is not used in certain people with Gaucher disease type 1. Your doctor will perform a test to make sure this medicine is right for you. Compare enzyme replacement therapies.

Cerdelga Medicare Coverage


Does Medicare cover Cerdelga?

51% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Cerdelga 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
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
$6842 – $27370
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$12316 – $27370
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 – $27370
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 Cerdelga

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

Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Cerdelga 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 56 capsules of Cerdelga 84mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO)Lower price available $27370
AARP MedicareComplete Plan 1 (HMO)Lower price available $27370
AARP MedicareComplete SecureHorizons (HMO)Lower price available $27370
AARP MedicareRx Preferred (PDP)Lower price available $27370
AARP MedicareRx Saver Plus (PDP)Lower price available $27370
Aetna Medicare Rx Saver (PDP)Lower price available $27370
Cigna-HealthSpring Preferred (HMO)Lower price available $27370
Cigna-HealthSpring Rx Secure (PDP)Lower price available $27370
Cigna-HealthSpring Rx Secure-Extra (PDP)Lower price available $27370
EnvisionRxPlus Silver (PDP)Lower price available $27370
Express Scripts Medicare - Value (PDP) $6842
First Health Part D Value Plus (PDP)Lower price available $27370
Humana Enhanced (PDP) $9032
Humana Preferred Rx Plan (PDP) $6842
Humana Walmart Rx Plan (PDP) $6842
Kaiser Permanente Senior Advantage (HMO) $9032
MedicareBlue Rx Standard (PDP) $6842
SilverScript Choice (PDP) $8968
Symphonix Value Rx (PDP)Lower price available $27370
WellCare Classic (PDP) $6842
Don't see your Medicare plan above?

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

Cerdelga Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Cerdelga 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.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.