Simponi Aria Coupon - Simponi Aria 4ml of 50mg/4ml vial
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Simponi Aria Coupon - Simponi Aria 4ml of 50mg/4ml vial

Simponi Aria Medicare Coverage


Does Medicare cover Simponi Aria?

38% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Simponi Aria 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
$1457 – $10472
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
$366 – $10472
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$656 – $10472
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 – $10472
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 Simponi Aria

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

Manufacturer Coupon
Pay as little as $5 per infusion with insurance.
Patient Assistance Program
Receive your prescription at no charge if you are eligible.

Find Your Simponi Aria 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 6 vials (4ml) of Simponi Aria 50mg/4ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $409
AARP MedicareComplete Plan 1 (HMO) $430
AARP MedicareComplete SecureHorizons (HMO) $395
AARP MedicareRx Preferred (PDP)Lower price available $10472
AARP MedicareRx Saver Plus (PDP)Lower price available $10472
Aetna Medicare Rx Saver (PDP)Lower price available $10472
Cigna-HealthSpring Preferred (HMO)Lower price available $10472
Cigna-HealthSpring Rx Secure (PDP)Lower price available $10472
Cigna-HealthSpring Rx Secure-Extra (PDP)Lower price available $10472
EnvisionRxPlus Silver (PDP) $370
Express Scripts Medicare - Value (PDP)Lower price available $10472
First Health Part D Value Plus (PDP)Lower price available $10472
Humana Enhanced (PDP)Lower price available $10472
Humana Preferred Rx Plan (PDP)Lower price available $10472
Humana Walmart Rx Plan (PDP)Lower price available $10472
Kaiser Permanente Senior Advantage (HMO) $507
MedicareBlue Rx Standard (PDP)Lower price available $10472
SilverScript Choice (PDP)Lower price available $10472
Symphonix Value Rx (PDP)Lower price available $10472
WellCare Classic (PDP)Lower price available $10472
Don't see your Medicare plan above?

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

Simponi Aria Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Simponi Aria 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 Simponi Aria typically on?

Tier 5

Medicare plans typically list Simponi Aria 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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