Iloperidone Coupon - Iloperidone 12mg tablet
Iloperidone

Fanapt

ILOPERIDONE is an antipsychotic medicine. It is used to treat schizophrenia. Compare atypical antipsychotics.
Iloperidone Coupon - Iloperidone 12mg tablet

Iloperidone Medicare Coverage

Overview

Does Medicare cover Fanapt?

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

How much is my Fanapt 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
$1807 – $2004
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
$90 – $1001
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$94 – $902
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 – $100
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 Iloperidone

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

Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.
Cheaper Alternative
Less expensive drugs that work the same way may be available.

Find Your Iloperidone 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 60 tablets of Fanapt 12mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $505
AARP MedicareComplete Plan 1 (HMO) $530
AARP MedicareComplete SecureHorizons (HMO) $489
AARP MedicareRx Preferred (PDP) $755
AARP MedicareRx Saver Plus (PDP) $553
Aetna Medicare Rx Saver (PDP) $728
Cigna-HealthSpring Preferred (HMO) $566
Cigna-HealthSpring Rx Secure (PDP) $460
Cigna-HealthSpring Rx Secure-Extra (PDP) $497
EnvisionRxPlus Silver (PDP) $740
Express Scripts Medicare - Value (PDP) $889
First Health Part D Value Plus (PDP) $917
Humana Enhanced (PDP) $805
Humana Preferred Rx Plan (PDP) $640
Humana Walmart Rx Plan (PDP) $640
Kaiser Permanente Senior Advantage (HMO) $90
MedicareBlue Rx Standard (PDP) $840
SilverScript Choice (PDP) $837
Symphonix Value Rx (PDP) $459
WellCare Classic (PDP) $932
Don't see your Medicare plan above?

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

Iloperidone Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Fanapt 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.

Step Therapy

Most Medicare plans will require you to try less expensive similar medications 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 Fanapt typically on?

Tier 4

Medicare plans typically list Fanapt in Tier 4 of their formulary. Tier 4 drugs are usually non-preferred brand-name drugs. Tier 4 drugs cost more than Tier 1, 2 and 3 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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