Pegintron Coupon - Pegintron 1 vial of 150mcg/0.5ml package
Specialty Drug
PEGINTERFERON ALFA-2b (peg in ter FEER on AL fa 2 b) is a man-made drug that acts like a protein made by the body. It is used to treat chronic hepatitis C infections. Compare interferon alphas.

Pegintron Medicare Coverage

Overview

Does Medicare cover Pegintron?

Yes.
90% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Pegintron 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
$1001 – $3825
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
$625 – $1262
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1001 – $1721
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 – $1001
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 Pegintron

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

Patient Assistance Program
Save at least $5 per month on your prescription.
Patient Assistance Program
Save up to $2,500 on your prescription.

Find Your Pegintron 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 package (1 vial) of Pegintron 150mcg/0.5ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO)Lower price available $979
AARP MedicareComplete Plan 1 (HMO)Lower price available $1030
AARP MedicareComplete SecureHorizons (HMO)Lower price available $941
AARP MedicareRx Preferred (PDP)Lower price available $1136
AARP MedicareRx Saver Plus (PDP)Lower price available $886
Aetna Medicare Rx Saver (PDP)Lower price available $901
Cigna-HealthSpring Preferred (HMO)Lower price available $1093
Cigna-HealthSpring Rx Secure (PDP)Lower price available $879
Cigna-HealthSpring Rx Secure-Extra (PDP)Lower price available $949
EnvisionRxPlus Silver (PDP)Lower price available $1001
Express Scripts Medicare - Value (PDP)Lower price available $891
First Health Part D Value Plus (PDP)Lower price available $1189
Humana Enhanced (PDP)Lower price available $1160
Humana Preferred Rx Plan (PDP)Lower price available $879
Humana Walmart Rx Plan (PDP)Lower price available $877
Kaiser Permanente Senior Advantage (HMO)Lower price available $1204
MedicareBlue Rx Standard (PDP)Lower price available $888
SilverScript Choice (PDP)Lower price available $1210
Symphonix Value Rx (PDP)Lower price available $888
WellCare Classic (PDP)Lower price available $923
Don't see your Medicare plan above?

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Pegintron Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Pegintron 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 Pegintron typically on?

Tier 5

Medicare plans typically list Pegintron 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.
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