Yondelis is part of the Alkylating Drugs class and treats Soft Tissue Sarcoma. Alkylating drugs are used to treat brain tumors, melanoma, Hodgkin's disease, Non-Hodgkin's lymphoma, breast cancer, ovarian cancer, neuroblastoma, leukemia, multiple myeloma, retinoblastoma, and prostate cancer. They work by inhibiting cancer cell growth and slowing it down. Yondelis is only available as a brand name drug. Compare alkylating drugs.

Yondelis Medicare Coverage

Overview

Does Medicare cover Yondelis?

Yes.
79% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Yondelis 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
$795 – $3295
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
$702 – $3295
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1263 – $3295
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
$140 – $3295
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 Yondelis

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

Manufacturer Coupon
Pay as little as $20 per infusion.
Patient Assistance Program
Receive your prescription at no charge if you are eligible.

Find Your Yondelis 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 Yondelis 1mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $1187
AARP MedicareRx Saver Plus (PDP) $747
AARP MedicareRx Walgreens (PDP) $734
Aetna Medicare Rx Saver (PDP) $795
Anthem Blue Cross MedicareRx Plus (PDP) $945
Anthem MediBlue Essential (HMO) $888
Cigna-HealthSpring Preferred (HMO) $853
EnvisionRxPlus (PDP) $737
Express Scripts Medicare - Choice (PDP) $746
Express Scripts Medicare - Value (PDP) $717
First Health Part D Value Plus (PDP) $995
Humana Enhanced (PDP)Lower price available $3295
Humana Preferred Rx Plan (PDP)Lower price available $3295
Humana Walmart Rx Plan (PDP)Lower price available $3295
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $795
MedicareBlue Rx Standard (PDP)Lower price available $3295
SilverScript Plus (PDP)Lower price available $3295
Symphonix Value Rx (PDP) $747
TexanPlus Classic (HMO)Lower price available $3295
WellCare Classic (PDP)Lower price available $3295
Don't see your Medicare plan above?

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

Yondelis Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Tier 5

Medicare plans typically list Yondelis 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). They are accurate as-of July 2018 and the information may be updated. If you encounter any issues, please let us know.
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