Cysteamine Hydrochloride
Specialty Drug


Cystaran is part of the Cystine Depleting Agents class and treats Lysosomal Storage Disease. Cystine depleting agents treat various types of cystinosis, a lysosomal storage disease. They help prevent the buildup of cystine, which can form crystals that damage cells, particularly in the kidneys and eyes. Cystaran is only available as a brand name drug. Compare cystine depleting agents.

Cysteamine Hydrochloride Medicare Coverage


Does Medicare cover Cystaran?

45% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Cystaran 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
$1303 – $6886
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
$90 – $6886
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$585 – $6886
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 – $6886
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 Cysteamine Hydrochloride

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

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

Find Your Cysteamine Hydrochloride 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 4 eye droppers (15ml) of Cystaran 0.44%

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $368
AARP MedicareComplete Plan 1 (HMO) $386
AARP MedicareComplete SecureHorizons (HMO) $356
AARP MedicareRx Preferred (PDP) $430
AARP MedicareRx Saver Plus (PDP) $336
Aetna Medicare Rx Saver (PDP) $342
Cigna-HealthSpring Preferred (HMO)Lower price available $6808
Cigna-HealthSpring Rx Secure (PDP)Lower price available $6886
Cigna-HealthSpring Rx Secure-Extra (PDP)Lower price available $6886
EnvisionRxPlus Silver (PDP)Lower price available $6886
Express Scripts Medicare - Value (PDP) $340
First Health Part D Value Plus (PDP) $451
Humana Enhanced (PDP) $441
Humana Preferred Rx Plan (PDP) $334
Humana Walmart Rx Plan (PDP) $334
Kaiser Permanente Senior Advantage (HMO) $90
MedicareBlue Rx Standard (PDP)Lower price available $6886
SilverScript Choice (PDP)Lower price available $6886
Symphonix Value Rx (PDP) $337
WellCare Classic (PDP)Lower price available $6886
Don't see your Medicare plan above?

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

Cysteamine Hydrochloride Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Cystaran that may include:

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. 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

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 Cystaran typically on?

Tier 5

Medicare plans typically list Cystaran 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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