Promacta
Specialty Drug

Eltrombopag

ELTROMBOPAG helps your body make more platelets. It is used to treat low platelets caused by chronic immune (idiopathic) thrombocytopenic purpura (ITP) or chronic hepatitis C infection. It is also used in patients with severe aplastic anemia when other medicines have not worked well enough. The lowest GoodRx price for the most common version of Promacta is around $8,205.71, 15% off the average retail price of $9,745.56. Compare thrombopoiesis stimulating agents.
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Promacta
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Promacta Medicare Coverage

Overview

Does Medicare cover Promacta?

Yes.
100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Promacta 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
$2272 – $9043
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
$1419 – $8789
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$2554 – $4306
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
$284 – $452
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 Promacta

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

Manufacturer Coupon
Pay as little as $25 per prescription with insurance.
Learn More
Patient Assistance Program
Receive your prescription at no charge if you are eligible.
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Patient Assistance Program
Save at least $5 per month on your prescription.
Learn More

Find Your Promacta 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 30 tablets of Promacta 50mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $3476
AARP MedicareRx Saver Plus (PDP) $2183
AARP MedicareRx Walgreens (PDP) $2071
Aetna Medicare Rx Saver (PDP) $2276
Anthem Blue Cross MedicareRx Plus (PDP) $2683
Anthem MediBlue Essential (HMO) $2545
Cigna-HealthSpring Preferred (HMO) $2500
EnvisionRxPlus (PDP) $2160
Express Scripts Medicare - Choice (PDP) $2123
Express Scripts Medicare - Value (PDP) $2042
First Health Part D Value Plus (PDP) $2849
Humana Enhanced (PDP) $2635
Humana Preferred Rx Plan (PDP) $1997
Humana Walmart Rx Plan (PDP) $1995
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $2272
MedicareBlue Rx Standard (PDP) $2102
SilverScript Plus (PDP) $2815
Symphonix Value Rx (PDP) $2182
TexanPlus Classic (HMO) $7102
WellCare Classic (PDP) $2176
Don't see your Medicare plan above?

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

Promacta Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Promacta 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.

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 health care provider 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 Promacta typically on?

Tier 5

Medicare plans typically list Promacta 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.
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