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Inlyta Medicare Coverage


Does Medicare cover Inlyta?

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

How much is my Inlyta 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
$2052 – $7844
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
$1235 – $7662
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$2222 – $3748
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
$247 – $393
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 Inlyta

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

Manufacturer Coupon
Pay as little as $0 per month with insurance.
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.

Find Your Inlyta 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 Inlyta 5mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $3020
AARP MedicareRx Saver Plus (PDP) $1894
AARP MedicareRx Walgreens (PDP) $1815
Aetna Medicare Rx Saver (PDP) $1981
Anthem Blue Cross MedicareRx Plus (PDP) $2319
Anthem MediBlue Essential (HMO) $2207
Cigna-HealthSpring Preferred (HMO) $2175
EnvisionRxPlus (PDP) $1874
Express Scripts Medicare - Choice (PDP) $1842
Express Scripts Medicare - Value (PDP) $1772
First Health Part D Value Plus (PDP) $2479
Humana Enhanced (PDP) $2283
Humana Preferred Rx Plan (PDP) $1730
Humana Walmart Rx Plan (PDP) $1728
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $2052
MedicareBlue Rx Standard (PDP) $1851
SilverScript Plus (PDP) $2482
Symphonix Value Rx (PDP) $1893
TexanPlus Classic (HMO) $6253
WellCare Classic (PDP) $1918
Don't see your Medicare plan above?

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

Inlyta Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Inlyta 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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