Generic Zavesca

MIGLUSTAT helps to keep normal blood levels of an enzyme needed to breakdown fat in the body. It is used to treat type 1 Gaucher disease. Compare GCS inhibitors.

Miglustat Medicare Prescription Drug Coverage

Overview

Do Medicare prescription drug plans cover miglustat?

Yes.
93% of Medicare prescription drug plans cover this drug.

If my Medicare prescription drug plan covers miglustat, how much will I pay?

It depends on which coverage stage you are in. Click on a tab below…

Deductible
Post-Deductible
Donut Hole
Post-Donut Hole
Copay Range
$162 – $28933
In the Deductible stage, you may be responsible for the full cost of your drug.
Copay Range
$40 – $28933
After your deductible has been satisfied, you will enter the Post-Deductible (also called Initial Coverage) stage, where you pay your copay and your plan covers the rest of the drug cost.
Copay Range
$94 – $28933
In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug. Therefore, you may pay more for your drug.
Copay Range
$3 – $28933
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.
Want an exact price for your co-pay?

Miglustat Medicare Prescription Drug Plans Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare prescription drug plans have restrictions on coverage of miglustat that may include:

Prior Authorization

Most Medicare prescription drug plans have prior authorization rules that will require your prescriber to contact your plan before you can get your medication. This is to show that the drug is medically necessary.

What drug tier is miglustat typically on?

Tier 5

Medicare prescription drug plans typically list miglustat on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

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 April 2020 and the information may be updated. If you encounter any issues, please let us know.
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