Paliperidone Palmitate Coupon - Paliperidone Palmitate 1.5ml of 234mg syringe
Paliperidone Palmitate

Invega Sustenna

PALIPERIDONE injection is either given as a once-monthly injection (Invega Sustenna) for the treatment of schizophrenia and schizoaffective disorder or as an injection every 3 months (Invega Trinza) for the treatment of schizophrenia. The lowest GoodRx price for the most common version of Invega Sustenna is around $2,439.52, 18% off the average retail price of $2,983.60. Compare atypical antipsychotics.
Paliperidone Palmitate Coupon - Paliperidone Palmitate 1.5ml of 234mg syringe

Paliperidone Palmitate Medicare Coverage

Overview

Does Medicare cover Invega Sustenna?

Yes.
99% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Invega Sustenna 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
$2269 – $2743
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
$95 – $2743
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$796 – $2743
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
$113 – $2743
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 Paliperidone Palmitate

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

Manufacturer Coupon
Pay as little as $10 per fill at the pharmacy, with insurance.
Patient Assistance Program
Receive your prescription at no charge if you are eligible.

Find Your Paliperidone Palmitate 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 syringe (1.5ml) of Invega Sustenna 234mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $955
AARP MedicareRx Saver Plus (PDP) $600
AARP MedicareRx Walgreens (PDP) $579
Aetna Medicare Rx Saver (PDP) $839
Anthem Blue Cross MedicareRx Plus (PDP) $757
Anthem MediBlue Essential (HMO) $720
CareMore Value Plus (HMO) $1312
Cigna-HealthSpring Preferred (HMO) $687
EnvisionRxPlus (PDP)Lower price available $2743
Express Scripts Medicare - Choice (PDP) $604
Express Scripts Medicare - Value (PDP) $580
First Health Part D Value Plus (PDP) $1166
Humana Enhanced (PDP) $758
Humana Preferred Rx Plan (PDP) $574
Humana Walmart Rx Plan (PDP) $574
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $95
MedicareBlue Rx Standard (PDP) $821
SilverScript Plus (PDP) $952
Symphonix Value Rx (PDP) $600
TexanPlus Classic (HMO) $1928
Don't see your Medicare plan above?

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

Paliperidone Palmitate Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Invega Sustenna 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.

What drug tier is Invega Sustenna typically on?

Tier 5

Medicare plans typically list Invega Sustenna 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 January 2017 and the information may be updated. If you encounter any issues, please let us know.
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