Key takeaways:
Ofev (nintedanib) is an oral medication that’s used to treat different types of progressive lung disease. It’s a specialty medication, so you can get it only from specific pharmacies.
Most insurance plans cover Ofev, but prior authorization is usually required. In some cases, you may need to try other medications first.
Without insurance or discounts, Ofev can cost over $10,000 per month. Manufacturer copay cards and patient assistance programs can help make your prescription more affordable.
Save on related medications
Ofev (nintedanib) is an oral prescription medication that’s used to treat certain types of progressive lung disease, including idiopathic pulmonary fibrosis. And because it’s a specialty medication, you’ll typically fill your Ofev prescription through a specialty pharmacy rather than a local retail pharmacy.
If you’ve been prescribed Ofev, you may be wondering how much it costs — especially if you don’t have insurance. Here’s what you should know about Ofev pricing, coverage, and ways to save.
How much does Ofev cost?
Without insurance or discounts, Ofev can cost more than $10,000 dollars per month (list price as of 2024). It’s available only as a brand-name medication, and there are no generic alternatives. The most common Ofev dosage is 150 mg twice daily, but some people may take 100 mg twice daily.
Because Ofev treats chronic, progressive lung conditions, it’s typically taken long term. This can make affordability an important consideration when starting treatment.
Which factors affect the cost of Ofev?
Several factors can influence how much you pay for Ofev, including:
Insurance coverage: Most insurance plans cover Ofev. If you have coverage, your out-of-pocket cost will depend on your specific plan. Deductibles, copays, and coinsurances may apply — and specialty tier pricing is common.
Dosage: Your prescribed dose (100 mg or 150 mg) may change your total monthly price. Some doses may be priced differently at your pharmacy or under your plan.
Pharmacy: Ofev is dispensed through specific specialty pharmacies. Prices may vary depending on which pharmacy fills your prescription.
Financial assistance: Manufacturer copay savings cards or patient assistance programs can help lower the cost of Ofev if you meet eligibility requirements.
Does insurance cover Ofev?
Most insurance plans cover Ofev. This includes commercial, Affordable Care Act (ACA) marketplace, and government-funded plans such as Medicare and Medicaid.
But in most cases, prior authorization is required before Ofev is covered. This means your plan requires additional information from your prescriber to confirm that Ofev is medically necessary for you. Step therapy (needing to try other medications first) is more common with ACA and commercial plans.
How different insurance plans cover Ofev
The table below breaks down the percentage of enrollees who have coverage for Ofev 150 mg capsules by insurance type. It also shows the likelihood of having prior authorization and step therapy requirements.
Insurance type | Enrollees covered for Ofev 150 mg capsules | Enrollees required to get prior authorization | Enrollees required to do step therapy |
95.9% | 91.8% | 50% | |
Commercial plans (excluding ACA plans) | 99.3% | 79.1% | 30.1% |
Medicare (Medicare Advantage and Part D plans) | 100% | 96.7% | 6.9% |
Medicaid, including state-run and managed care plans | 99.9% | 85.5% | 15% |
Source: Managed Markets Insight & Technology, LLC™, as of January 10, 2026 (See methodology below.)
If your insurance doesn’t cover Ofev, try these options:
Explore manufacturer-sponsored programs. If you have commercial insurance that covers Ofev, you may be eligible to lower the cost of Ofev with a copay savings card. If you’re uninsured or underinsured, you may qualify for a patient assistance program based on income.
Request a coverage exception or appeal. Your prescriber can submit additional documentation to explain why Ofev is medically necessary. You can also file an appeal if the exception isn’t approved.
Talk to your prescriber about alternatives. In some cases, your prescriber may be able to recommend another medication that’s covered by your plan.
Compare plans during open enrollment. If possible, review plan formularies (list of covered medications) and specialty drug coverage options to find one that better covers Ofev.
Specialty pharmacies often have staff that can help you navigate insurance coverage requirements and savings opportunities to help lower the cost of Ofev. You can also call the manufacturer’s CareConnect4Me Patient Support Program at 1-866-673-6366 for assistance.
Ways to save on Ofev
Without insurance, Ofev can cost thousands of dollars per month. But there are ways to lower your out-of-pocket cost for Ofev. In some cases, you may be able to access it at no charge. Here are four options to consider.
1. See if you qualify for a copay savings card
If you have commercial insurance, you may qualify for the manufacturer’s copay savings card, which can significantly lower your monthly cost. Your specialty pharmacy will help assess your eligibility and enroll you in the program, which provides Ofev for as little as $0 per month. To qualify, you must:
Have a valid prescription for Ofev
Have commercial insurance that covers Ofev
Live in the U.S. or a U.S. territory
People with government-funded insurance plans, such as Medicare and Medicaid, and those paying cash for Ofev are not eligible for this program.
2. Check if you’re eligible for a patient assistance program
Ofev’s manufacturer also offers a patient assistance program that provides Ofev for free. The program is open for eligible individuals who are uninsured or have Medicare Part D coverage and meet income requirements. You can enroll online, or you can print and mail or fax your completed application. Call 1-800-556-8317 if you have questions or need assistance.
Third-party financial assistance through independent charities is also available. Examples include the HealthWell Foundation, Accessia Health, and the Patient Advocate Foundation. If the fund is closed, you can sign up to receive alerts for updates. Keep in mind that each program has its own eligibility criteria and enrollment process.
3. Ask about 90-day supplies
If Ofev is working well for you, consider talking to your prescriber and pharmacy about filling a 90-day supply instead of monthly fills. Sometimes, filling a 90-day supply can be more cost-effective and help you save money on shipping fees.
4. Tap into your HSA, FSA, or HRA
If you have a health savings account (HSA), a flexible spending account (FSA), or a health reimbursement arrangement (HRA), you can use those tax-advantaged dollars to pay for Ofev. Use the debit card linked to the account or pay out of pocket and submit for reimbursement. Just remember to keep your receipts.
Keep in mind that FSA funds generally must be spent by the end of the plan year. HSA funds, on the other hand, roll over from year to year, allowing you to save and use money for eligible healthcare expenses whenever you need it.
The bottom line
Ofev (nintedanib) is an oral prescription medication that treats certain types of chronic, progressive lung conditions. Without insurance, Ofev can cost over $10,000 per month. Manufacturer copay cards and patient assistance programs can help lower your out-of-pocket costs.
Most insurance plans cover Ofev, but prior authorization is usually required. In some cases, you may need to try other medications first. Your specialty pharmacy can help you navigate insurance coverage requirements and see if you’re eligible for financial assistance.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of January 10, 2026.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
References
Accessia Health. (n.d.). We speak health and human.
Boehringer Ingelheim. (n.d.). Boehringer Cares Patient Assistance Program: How to apply.
Boehringer Ingelheim Cares Foundation. (2026). Patient assistance program.
Boehringer Ingelheim Pharmaceuticals. (2025). Ofev- nintedanib capsule [package insert]. DailyMed.
CareConnect4Me. (n.d.). Enroll now. Boehringer Ingelheim Pharmaceuticals.
HealthWell Foundation. (n.d.). What’s new.
Medicaid.gov. (n.d.). Managed care. Centers for Medicare & Medicaid Services.
Medicare Drug Price Negotiation Program. (2025). Medicare Drug Price Negotiation Program: Negotiated prices for initial price applicability year 2027. Centers for Medicare & Medicaid Services.
Ofev. (n.d.). The Ofev commercial copay program. Boehringer Ingelheim Pharmaceuticals.
Ofev. (2025). Explore your affordability options for Ofev capsules. Boehringer Ingelheim Pharmaceuticals.
Patient Advocate Foundation. (n.d.). We help inform and empower.
