Specialty Drug


EVOLOCUMAB is known as a PCSK9 inhibitor. It is used to lower the level of cholesterol in the blood. This medicine is only for patients whose cholesterol is not controlled by diet and other cholesterol-lowering therapy. Compare PCSK9 inhibitors.

Repatha Medicare Coverage


Does Medicare cover Repatha?

57% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Repatha 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
$549 – $1285
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
$137 – $1285
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$247 – $1285
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 – $1285
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 Repatha

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

Manufacturer Coupon
Pay no more than $5 per prescription.
Patient Assistance Program
Receive your prescription at no cost if you are eligible.

Find Your Repatha 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 syringes (1ml) of Repatha 140mg/ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $153
AARP MedicareComplete Plan 1 (HMO) $161
AARP MedicareComplete SecureHorizons (HMO) $149
AARP MedicareRx Preferred (PDP)Lower price available $1285
AARP MedicareRx Saver Plus (PDP)Lower price available $1285
Aetna Medicare Rx Saver (PDP) $143
Cigna-HealthSpring Preferred (HMO) $187
Cigna-HealthSpring Rx Secure (PDP) $138
Cigna-HealthSpring Rx Secure-Extra (PDP) $150
EnvisionRxPlus Silver (PDP) $137
Express Scripts Medicare - Value (PDP) $142
First Health Part D Value Plus (PDP) $188
Humana Enhanced (PDP)Lower price available $1285
Humana Preferred Rx Plan (PDP)Lower price available $1285
Humana Walmart Rx Plan (PDP)Lower price available $1285
Kaiser Permanente Senior Advantage (HMO) $195
MedicareBlue Rx Standard (PDP)Lower price available $1285
SilverScript Choice (PDP)Lower price available $1285
Symphonix Value Rx (PDP) $141
WellCare Classic (PDP)Lower price available $1285
Don't see your Medicare plan above?

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

Repatha Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Repatha 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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