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Symtuza Medicare Prescription Drug Coverage

Overview

Do Medicare prescription drug plans cover Symtuza?

Yes.
100% of Medicare prescription drug plans cover this drug.

If my Medicare prescription drug plan covers Symtuza, 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
$124 – $141
In the Deductible stage, you may be responsible for the full cost of your drug.
Copay Range
$31 – $138
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
$56 – $64
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
$7
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 Symtuza

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

Manufacturer Coupon
Pay as little as $0 per fill with insurance.
Patient Assistance Program from Johnson & Johnson
Receive your prescription at no charge if you are eligible.
Patient Assistance Program from Good Days
Call to get more information on how they can financially assist you with your prescription.

Symtuza Medicare Prescription Drug Plans Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare prescription drug plans have restrictions on coverage of Symtuza that may include:

Quantity Limits

Most Medicare prescription drug plans have quantity limits to restrict the amount of this drug that can be filled at one time.

What drug tier is Symtuza typically on?

Tier 5

Medicare prescription drug plans typically list Symtuza on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

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 April 2020 and the information may be updated. If you encounter any issues, please let us know.
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