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Remodulin Medicare Coverage


Does Medicare cover Remodulin?

86% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Remodulin 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
$847 – $3356
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
$727 – $7322
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1309 – $7322
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
$145 – $7322
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 Remodulin

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

Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Remodulin 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 2 vials (20ml) of Remodulin 2.5mg/ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $1298
AARP MedicareRx Saver Plus (PDP) $817
AARP MedicareRx Walgreens (PDP) $801
Aetna Medicare Rx Saver (PDP) $867
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $7322
Anthem MediBlue Essential (HMO) $971
Cigna-HealthSpring Preferred (HMO) $933
EnvisionRxPlus (PDP) $806
Express Scripts Medicare - Choice (PDP) $814
Express Scripts Medicare - Value (PDP) $783
First Health Part D Value Plus (PDP) $1085
Humana Enhanced (PDP) $960
Humana Preferred Rx Plan (PDP) $727
Humana Walmart Rx Plan (PDP) $727
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $847
MedicareBlue Rx Standard (PDP) $835
SilverScript Plus (PDP) $1098
Symphonix Value Rx (PDP) $817
TexanPlus Classic (HMO) $2799
WellCare Classic (PDP) $851
Don't see your Medicare plan above?

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

Remodulin Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Remodulin 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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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.
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