H.P. Acthar Coupon - H.P. Acthar 5ml of 80 units/ml vial
H.P. Acthar
Specialty Drug

Corticotropin

CORTICOTROPIN is a hormone that occurs naturally in the body. It is used as a diagnostic aid to test the adrenal glands. It is used in children less than 2 years old to treat infantile spasms. It is also used to treat problems of the eyes, joints, lungs, nervous system, skin, thyroid, and others. Compare adrenocorticotropic hormones.
H.P. Acthar Coupon - H.P. Acthar 5ml of 80 units/ml vial

H.P. Acthar Medicare Coverage

Overview

Does Medicare cover H.P. Acthar?

No.
In general, Medicare plans do not cover this drug. This drug will likely be quite expensive and you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

How much is my H.P. Acthar 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
$41839
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
$12970 – $41839
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$18828 – $41839
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
$2092 – $41839
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 H.P. Acthar

Here are some ways that may lower the cost of your H.P. Acthar prescription.

Find Your H.P. Acthar 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 vial (5ml) of H.P. Acthar 80 units/ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP)Lower price available $41839
AARP MedicareRx Saver Plus (PDP)Lower price available $41839
AARP MedicareRx Walgreens (PDP)Lower price available $41839
Aetna Medicare Rx Saver (PDP)Lower price available $41839
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $41839
Anthem MediBlue Essential (HMO) $12970
CareMore Value Plus (HMO) $23151
Cigna-HealthSpring Preferred (HMO)Lower price available $41839
EnvisionRxPlus (PDP)Lower price available $41839
Express Scripts Medicare - Choice (PDP)Lower price available $41839
Express Scripts Medicare - Value (PDP)Lower price available $41839
First Health Part D Value Plus (PDP)Lower price available $41839
Humana Enhanced (PDP)Lower price available $41839
Humana Preferred Rx Plan (PDP)Lower price available $41839
Humana Walmart Rx Plan (PDP)Lower price available $41839
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $13807
MedicareBlue Rx Standard (PDP)Lower price available $41839
SilverScript Plus (PDP)Lower price available $41839
Symphonix Value Rx (PDP)Lower price available $41839
TexanPlus Classic (HMO)Lower price available $41839
Don't see your Medicare plan above?

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

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of January 2017 and the information may be updated. If you encounter any issues, please let us know.
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