Efavirenz Coupon - Efavirenz 200mg capsule


EFAVIRENZ is an antiretroviral medicine. It is used with other medicines to treat HIV. This medicine is not a cure for HIV. It will not stop the spread of HIV to others. Compare HIV NNRTIs.
Efavirenz Coupon - Efavirenz 200mg capsule

Efavirenz Medicare Coverage


Does Medicare cover Sustiva?

100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Sustiva 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
$45 – $678
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
$35 – $325
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$261 – $305
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 – $34
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 Efavirenz

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

Manufacturer Coupon
Pay as little as $0 per month with insurance.
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 Efavirenz 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 90 capsules of Sustiva 200mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $172
AARP MedicareComplete Plan 1 (HMO) $179
AARP MedicareComplete SecureHorizons (HMO) $167
AARP MedicareRx Preferred (PDP) $199
AARP MedicareRx Saver Plus (PDP) $155
Aetna Medicare Rx Saver (PDP) $247
Cigna-HealthSpring Preferred (HMO) $47
Cigna-HealthSpring Rx Secure (PDP) $98
Cigna-HealthSpring Rx Secure-Extra (PDP) $124
EnvisionRxPlus Silver (PDP) $76
Express Scripts Medicare - Value (PDP) $156
First Health Part D Value Plus (PDP) $311
Humana Enhanced (PDP) $205
Humana Preferred Rx Plan (PDP) $218
Humana Walmart Rx Plan (PDP) $217
Kaiser Permanente Senior Advantage (HMO) $45
MedicareBlue Rx Standard (PDP) $126
SilverScript Choice (PDP) $46
Symphonix Value Rx (PDP) $154
WellCare Classic (PDP) $47
Don't see your Medicare plan above?

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

Efavirenz Medicare Formulary Information & Restrictions

What drug tier is Sustiva typically on?

Tier 3

Medicare plans typically list Sustiva in Tier 3 of their formulary. Tier 3 drugs are usually preferred brand-name drugs. Tier 3 drugs cost more than Tier 1 and 2 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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