Specialty Drug

Glatiramer Acetate

Copaxone (glatiramer acetate) is an immunomodulator used to reduce the frequency of relapses in patients with multiple sclerosis (MS). It is not an interferon, but may be grouped with interferon betas Avonex and Betaseron; together the three first-line treatments are sometimes known as the "ABC" drugs for MS. The exact mechanism of action of Copaxone in patients with MS is unknown. A generic form of glatiramer acetate is also available under the name Glatopa, but only for the once-daily injection. The lowest GoodRx price for the most common version of glatopa is around $1,953.29, 33% off the average retail price of $2,936.52. Compare interferon betas.

Copaxone Anthem MediBlue Essential (HMO) Coverage Details

IMPORTANT! These are national prices. Enter your zip code for prices in your area.

USA Medicare

Medicare Co-Pay Prices for Copaxone

Co-Insurance Stage Preferred Pharmacy Price Non-Preferred Pharmacy Price
Deductible $5319 (est) $5319 (est)
Typical $1649 (est) $1649 (est)
Donut Hole $3085 (est) $3085 (est)
Post-Donut Hole $266 (est) $266 (est)

Can GoodRx help me save on Copaxone?

Yes, there may be cases when GoodRx can help you save on glatopa over your Anthem MediBlue Essential (HMO) plan.

  • Is your co-insurance higher than $1953.29?
    Use a GoodRx coupon to purchase your prescription.
  • Is your co-insurance lower than $1953.29?
    You should use your Medicare card.

Ways to Save on Copaxone

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

Coverage, Restrictions & Details

Will my Anthem MediBlue Essential (HMO) plan cover glatopa?

Your Anthem MediBlue Essential (HMO) plan provides coverage for glatopa.

Are there any restrictions on coverage?

Your Anthem MediBlue Essential (HMO) plan has some restrictions on coverage of glatopa:

Quantity Limits

Your Medicare plan will cover: Maximum of 1 carton per 30 days

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

Your Medicare plan requires 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 glatopa on my Anthem MediBlue Essential (HMO) plan?

Tier 5

Anthem MediBlue Essential (HMO) typically lists glatopa 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.

See prices for your Medicare plan

Find out when you could pay less than your co-pay

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of October 2018 and the information may be updated. If you encounter any issues, please let us know.
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