Velaglucerase Alfa
Specialty Drug

Vpriv

Velaglucerase alfa is a man-made form of an enzyme that is missing in patients with Gaucher's disease. It is used to treat the symptoms of Gaucher's disease. It is not a cure. Compare enzyme replacement therapies.

Velaglucerase Alfa Medicare Coverage

Overview

Does Medicare cover Vpriv?

Yes.
75% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Vpriv 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
$1344 – $1584
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
$336 – $1584
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$465 – $1584
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
$67 – $1584
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 Velaglucerase Alfa

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

Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.
Lower Cost Alternative
Less expensive drugs that work the same way may be available.

Find Your Velaglucerase Alfa 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 1 vial of Vpriv 400 units

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $576
AARP MedicareRx Saver Plus (PDP) $435
AARP MedicareRx Walgreens (PDP)Lower price available $1511
Aetna Medicare Rx Saver (PDP) $360
Anthem Blue Cross MedicareRx Plus (PDP) $447
Anthem MediBlue Essential (HMO) $427
CareMore Value Plus (HMO) $790
Cigna-HealthSpring Preferred (HMO) $407
EnvisionRxPlus (PDP)Lower price available $1584
Express Scripts Medicare - Choice (PDP)Lower price available $1584
Express Scripts Medicare - Value (PDP)Lower price available $1584
First Health Part D Value Plus (PDP) $476
Humana Enhanced (PDP) $448
Humana Preferred Rx Plan (PDP) $339
Humana Walmart Rx Plan (PDP) $339
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $491
MedicareBlue Rx Standard (PDP)Lower price available $1584
SilverScript Plus (PDP)Lower price available $1584
Symphonix Value Rx (PDP)Lower price available $1584
TexanPlus Classic (HMO)Lower price available $1584
Don't see your Medicare plan above?

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

Velaglucerase Alfa Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Vpriv 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.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.
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.