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.
100% 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
$523 – $2263
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
$461 – $2041
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$830 – $1018
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
$92 – $113
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 MedicareRx Preferred (PDP) $806
AARP MedicareRx Saver Plus (PDP) $506
AARP MedicareRx Walgreens (PDP) $486
Aetna Medicare Rx Saver (PDP) $534
Anthem Blue Cross MedicareRx Plus (PDP) $618
Anthem MediBlue Essential (HMO) $599
Cigna-HealthSpring Preferred (HMO) $580
EnvisionRxPlus (PDP) $501
Express Scripts Medicare - Choice (PDP) $500
Express Scripts Medicare - Value (PDP) $480
First Health Part D Value Plus (PDP) $668
Humana Enhanced (PDP) $619
Humana Preferred Rx Plan (PDP) $469
Humana Walmart Rx Plan (PDP) $469
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $523
MedicareBlue Rx Standard (PDP) $491
SilverScript Plus (PDP) $648
Symphonix Value Rx (PDP) $506
TexanPlus Classic (HMO) $1612
WellCare Classic (PDP) $503
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 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 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). They are accurate as-of July 2018 and the information may be updated. If you encounter any issues, please let us know.
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In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards, and is not required to register as a discount card provider. In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.
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