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 $2,492.73, 20% off the average retail price of $3,134.15. Compare atypical antipsychotics.
Paliperidone Palmitate Coupon - Paliperidone Palmitate 1.5ml of 234mg syringe

Paliperidone Palmitate Medicare Coverage


Does Medicare cover Invega Sustenna?

100% 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…

Donut Hole
Post-Donut Hole
Co-Pay Range
$2439 – $2692
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 – $2664
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1098 – $1292
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
$122 – $135
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 no more than $10 per prescription.
Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.

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) $1042
AARP MedicareRx Saver Plus (PDP) $652
AARP MedicareRx Walgreens (PDP) $632
Aetna Medicare Rx Saver (PDP) $671
Anthem Blue Cross MedicareRx Plus (PDP) $817
Anthem MediBlue Essential (HMO) $781
Cigna-HealthSpring Preferred (HMO) $759
EnvisionRxPlus (PDP) $656
Express Scripts Medicare - Choice (PDP) $649
Express Scripts Medicare - Value (PDP) $624
First Health Part D Value Plus (PDP) $840
Humana Enhanced (PDP) $822
Humana Preferred Rx Plan (PDP) $623
Humana Walmart Rx Plan (PDP) $622
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $95
MedicareBlue Rx Standard (PDP) $762
SilverScript Plus (PDP) $1054
Symphonix Value Rx (PDP) $652
TexanPlus Classic (HMO) $2111
WellCare Classic (PDP) $1101
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 July 2018 and the information may be updated. If you encounter any issues, please let us know.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.
In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards, and is not required to register as a discount card provider. In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.
Safe Pharmacy