Specialty Drug


EVOLOCUMAB is known as a PCSK9 inhibitor. It is used to lower the level of cholesterol in the blood. It may be used alone or in combination with other cholesterol-lowering drugs. This drug may also be used to reduce the risk of heart attack, stroke, and certain types of heart surgery in patients with heart disease. The lowest GoodRx price for the most common version of Repatha is around $1,210.33, 16% off the average retail price of $1,447.32. Compare PCSK9 inhibitors.

Evolocumab Medicare Coverage


Does Medicare cover Repatha?

73% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Repatha 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
$320 – $1392
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
$291 – $1392
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$524 – $1392
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
$58 – $1392
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 Evolocumab

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

Manufacturer Coupon
Pay no more than $5 per prescription.
Patient Assistance Program
Receive your prescription at no cost if you are eligible.

Find Your Evolocumab 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 1 cartridge of Repatha 420mg/3.5ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $512
AARP MedicareRx Saver Plus (PDP) $321
AARP MedicareRx Walgreens (PDP)Lower price available $1392
Aetna Medicare Rx Saver (PDP)Lower price available $1392
Anthem Blue Cross MedicareRx Plus (PDP) $389
Anthem MediBlue Essential (HMO) $369
Cigna-HealthSpring Preferred (HMO) $368
EnvisionRxPlus (PDP) $318
Express Scripts Medicare - Choice (PDP) $312
Express Scripts Medicare - Value (PDP) $300
First Health Part D Value Plus (PDP)Lower price available $1392
Humana Enhanced (PDP) $391
Humana Preferred Rx Plan (PDP) $296
Humana Walmart Rx Plan (PDP) $296
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $320
MedicareBlue Rx Standard (PDP)Lower price available $1392
SilverScript Plus (PDP)Lower price available $1392
Symphonix Value Rx (PDP) $321
TexanPlus Classic (HMO)Lower price available $1392
WellCare Classic (PDP)Lower price available $1392
Don't see your Medicare plan above?

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

Evolocumab Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Repatha 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). 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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