Fulvestrant Coupon - Fulvestrant 5ml of 50mg/ml syringe
Fulvestrant
Specialty Drug

Faslodex

FULVESTRANT blocks the effects of estrogen. It is used to treat breast cancer. Compare estrogen Agonist/Antagonists.
Fulvestrant Coupon - Fulvestrant 5ml of 50mg/ml syringe

Fulvestrant Medicare Coverage

Overview

Does Medicare cover Faslodex?

Yes.
99% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Faslodex co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$1801 – $2226
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
$450 – $672
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$811 – $1002
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 – $111
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 Fulvestrant

Here are some ways that may lower the cost of your Faslodex 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.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Fulvestrant 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 2 syringes (5ml) of Faslodex 50mg/ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $521
AARP MedicareComplete Plan 1 (HMO) $541
AARP MedicareComplete SecureHorizons (HMO) $502
AARP MedicareRx Preferred (PDP) $602
AARP MedicareRx Saver Plus (PDP) $470
Aetna Medicare Rx Saver (PDP) $475
Cigna-HealthSpring Preferred (HMO) $578
Cigna-HealthSpring Rx Secure (PDP) $468
Cigna-HealthSpring Rx Secure-Extra (PDP) $505
EnvisionRxPlus Silver (PDP) $470
Express Scripts Medicare - Value (PDP) $477
First Health Part D Value Plus (PDP) $627
Humana Enhanced (PDP) $619
Humana Preferred Rx Plan (PDP) $469
Humana Walmart Rx Plan (PDP) $468
Kaiser Permanente Senior Advantage (HMO) $663
MedicareBlue Rx Standard (PDP) $475
SilverScript Choice (PDP) $631
Symphonix Value Rx (PDP) $470
WellCare Classic (PDP) $481
Don't see your Medicare plan above?

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

Fulvestrant Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Faslodex 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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