Pegfilgrastim Coupon - Pegfilgrastim 6mg/0.6ml syringe
Pegfilgrastim
Specialty Drug

Neulasta

PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, a type of white blood cell important in the body's fight against infection. It is used to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow, and to increase survival after being exposed to high doses of radiation. Compare leukocyte growth factors.
Pegfilgrastim Coupon - Pegfilgrastim 6mg/0.6ml syringe

Pegfilgrastim Medicare Coverage

Overview

Does Medicare cover Neulasta?

Yes.
72% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Neulasta 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
$4736 – $6220
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
$1184 – $6220
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$2131 – $6220
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
$15 – $6220
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 Pegfilgrastim

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

Manufacturer Coupon
Pay as little as $0 for your first fill and $25 for each refill, with insurance.
Patient Assistance Program
Receive your prescription at no cost if you are eligible.

Find Your Pegfilgrastim 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 6mg/0.6ml of Neulasta

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $1424
AARP MedicareComplete Plan 1 (HMO) $1467
AARP MedicareComplete SecureHorizons (HMO) $1371
AARP MedicareRx Preferred (PDP) $1655
AARP MedicareRx Saver Plus (PDP) $1290
Aetna Medicare Rx Saver (PDP)Lower price available $6220
Cigna-HealthSpring Preferred (HMO) $1595
Cigna-HealthSpring Rx Secure (PDP) $1296
Cigna-HealthSpring Rx Secure-Extra (PDP) $1400
EnvisionRxPlus Silver (PDP)Lower price available $6220
Express Scripts Medicare - Value (PDP) $1317
First Health Part D Value Plus (PDP)Lower price available $6220
Humana Enhanced (PDP) $1704
Humana Preferred Rx Plan (PDP) $1291
Humana Walmart Rx Plan (PDP) $1289
Kaiser Permanente Senior Advantage (HMO) $1752
MedicareBlue Rx Standard (PDP)Lower price available $6220
SilverScript Choice (PDP)Lower price available $6220
Symphonix Value Rx (PDP) $1286
WellCare Classic (PDP)Lower price available $6220
Don't see your Medicare plan above?

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

Pegfilgrastim Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Neulasta 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 doctor 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 Neulasta typically on?

Tier 5

Medicare plans typically list Neulasta 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). 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.