Prevnar 13 is part of the Vaccinations class and treats Pneumonia. Vaccinations are used to prevent a number of infections, conditions, and diseases, including chickenpox, hepatitis A, hepatitis B, HPV, meningitis, pneumonia, ear infections, rabies, typhoid, rotavirus, flu, and shingles. They work to build immunity and protection in the body. Prevnar 13 is only available as a brand name drug. Compare vaccinations.

Prescription Settings

Savings Alert: Coupons for vaccines are for the medicine only and do not cover administration fees. Learn More

Biologic Drug: Biologic drugs are made from living cells and are often expensive. Because biologic drugs are difficult to copy, they typically don’t have generic alternatives available. Learn More.

Save thousands per year on your Medicare coverage

Prevnar 13 Medicare Prescription Drug Coverage

Overview

Do Medicare prescription drug plans cover Prevnar 13?

No.

In general, Medicare prescription drug plans (Part D) do not cover this drug. Be sure to contact your specific plan to verify coverage information. A limited set of drugs administered in a doctor's office or hospital outpatient setting may be covered under Medical Insurance (Part B).

If my Medicare prescription drug plan covers Prevnar 13, how much will I pay?

It depends on which coverage stage you are in. Click on a tab below…

Deductible

Post-Deductible

Donut Hole

Post-Donut Hole

Copay Range

$260

In the Deductible stage, you may be responsible for the full cost of your drug.

Copay Range

$260

After your deductible has been satisfied, you will enter the Post-Deductible (also called Initial Coverage) stage, where you pay your copay and your plan covers the rest of the drug cost.

Copay Range

$260

In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug. Therefore, you may pay more for your drug.

Copay Range

$260

In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.

Want an exact price for your co-pay?

Ways to Save on Prevnar 13

Here are some ways that may lower the cost of your Prevnar 13 prescription.

Instead of Medicare, Use a Coupon

If your Medicare co-pay is higher than $220.00, you can save money by using a GoodRx coupon instead.

See Prices

Patient Assistance Program from Pfizer

Receive your prescription at no charge if you are eligible.

Learn More

Lower Cost Alternative

Less expensive drugs that work the same way may be available.

Learn More

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of Oct 2024 and the information may be updated. If you encounter any issues, please let us know.

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