Specialty Drug

Azacitidine

AZACITIDINE is a chemotherapy drug. This medicine reduces the growth of cancer cells and can suppress the immune system. It is used for treating myelodysplastic syndrome or some types of leukemia. Compare nucleoside metabolic inhibitors.

Vidaza Medicare Coverage

Overview

Does Medicare cover azacitidine?

Yes.
98% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my azacitidine 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
$368 – $528
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
$10 – $174
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$10 – $306
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
$5 – $26
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 Vidaza

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

Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.
Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.
Lower Cost Alternative
Less expensive drugs that work the same way may be available.

Find Your Vidaza 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 12 vials of azacitidine 100mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $120
AARP MedicareComplete Plan 1 (HMO) $126
AARP MedicareComplete SecureHorizons (HMO) $117
AARP MedicareRx Preferred (PDP) $135
AARP MedicareRx Saver Plus (PDP) $110
Aetna Medicare Rx Saver (PDP) $119
Cigna-HealthSpring Preferred (HMO) $128
Cigna-HealthSpring Rx Secure (PDP) $104
Cigna-HealthSpring Rx Secure-Extra (PDP) $112
EnvisionRxPlus Silver (PDP) $113
Express Scripts Medicare - Value (PDP) $116
First Health Part D Value Plus (PDP) $157
Humana Enhanced (PDP) $151
Humana Preferred Rx Plan (PDP) $114
Humana Walmart Rx Plan (PDP) $114
Kaiser Permanente Senior Advantage (HMO) $10
MedicareBlue Rx Standard (PDP) $130
SilverScript Choice (PDP) $165
Symphonix Value Rx (PDP) $113
WellCare Classic (PDP) $126
Don't see your Medicare plan above?

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

Vidaza Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list azacitidine 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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