Xalkori
Specialty Drug

Crizotinib

CRIZOTINIB is a medicine that targets proteins in cancer cells and stops the cancer cells from growing. It is used to treat non-small cell lung cancer. Compare kinase inhibitors.

Xalkori Medicare Coverage

Overview

Does Medicare cover Xalkori?

Yes.
100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Xalkori 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
$16260
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
$4065 – $5366
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$7317
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 – $813
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 Xalkori

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

Manufacturer Coupon
Pay as little as $10 per month with insurance.
Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Xalkori 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 60 capsules of Xalkori 250mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $4434
AARP MedicareComplete Plan 1 (HMO) $4654
AARP MedicareComplete SecureHorizons (HMO) $4295
AARP MedicareRx Preferred (PDP) $5199
AARP MedicareRx Saver Plus (PDP) $4065
Aetna Medicare Rx Saver (PDP) $4065
Cigna-HealthSpring Preferred (HMO) $4987
Cigna-HealthSpring Rx Secure (PDP) $4065
Cigna-HealthSpring Rx Secure-Extra (PDP) $4390
EnvisionRxPlus Silver (PDP) $4065
Express Scripts Medicare - Value (PDP) $4065
First Health Part D Value Plus (PDP) $5366
Humana Enhanced (PDP) $5366
Humana Preferred Rx Plan (PDP) $4065
Humana Walmart Rx Plan (PDP) $4065
Kaiser Permanente Senior Advantage (HMO) $5366
MedicareBlue Rx Standard (PDP) $4065
SilverScript Choice (PDP) $5327
Symphonix Value Rx (PDP) $4065
WellCare Classic (PDP) $4065
Don't see your Medicare plan above?

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

Xalkori Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Xalkori 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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