Specialty Drug


Metreleptin is a human leptin analog. It is used to treat the symptoms of leptin deficiency in patients with congential or acquired generalized lipodystrophy. This medicine is not a cure. Compare leptin analogues.

Metreleptin Medicare Coverage


Does Medicare cover Myalept?

40% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Myalept 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
$1200 – $4846
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
$1044 – $4846
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1880 – $4846
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
$209 – $4846
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 Metreleptin

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

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

Find Your Metreleptin 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 of Myalept 11.3mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP)Lower price available $1780
AARP MedicareRx Saver Plus (PDP)Lower price available $1120
AARP MedicareRx Walgreens (PDP)Lower price available $1101
Aetna Medicare Rx Saver (PDP)Lower price available $4846
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $4846
Anthem MediBlue Essential (HMO)Lower price available $4846
Cigna-HealthSpring Preferred (HMO)Lower price available $4846
EnvisionRxPlus (PDP)Lower price available $4846
Express Scripts Medicare - Choice (PDP)Lower price available $1115
Express Scripts Medicare - Value (PDP)Lower price available $1072
First Health Part D Value Plus (PDP)Lower price available $4846
Humana Enhanced (PDP)Lower price available $1379
Humana Preferred Rx Plan (PDP)Lower price available $1044
Humana Walmart Rx Plan (PDP)Lower price available $1044
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost)Lower price available $1200
MedicareBlue Rx Standard (PDP)Lower price available $4846
SilverScript Plus (PDP)Lower price available $4846
Symphonix Value Rx (PDP)Lower price available $1120
TexanPlus Classic (HMO)Lower price available $4846
WellCare Classic (PDP)Lower price available $4846
Don't see your Medicare plan above?

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

Metreleptin Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Myalept 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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