Specialty Drug

Zyprexa Relprevv Medicare Coverage


Does Medicare cover Zyprexa Relprevv?

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

How much is my Zyprexa Relprevv co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Donut Hole
Post-Donut Hole
Co-Pay Range
$95 – $645
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
$70 – $628
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$94 – $314
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
$29 – $32
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 Zyprexa Relprevv

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

Patient Assistance Program
Receive your prescription at no charge if you are eligible.

Find Your Zyprexa Relprevv 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 kit of Zyprexa Relprevv 210mg per vial

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP)Lower price available $246
AARP MedicareRx Saver Plus (PDP)Lower price available $154
AARP MedicareRx Walgreens (PDP)Lower price available $152
Aetna Medicare Rx Saver (PDP)Lower price available $224
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $243
Anthem MediBlue Essential (HMO)Lower price available $95
Cigna-HealthSpring Preferred (HMO)Lower price available $248
EnvisionRxPlus (PDP)Lower price available $155
Express Scripts Medicare - Choice (PDP)Lower price available $285
Express Scripts Medicare - Value (PDP)Lower price available $281
First Health Part D Value Plus (PDP)Lower price available $300
Humana Enhanced (PDP)Lower price available $262
Humana Preferred Rx Plan (PDP)Lower price available $208
Humana Walmart Rx Plan (PDP)Lower price available $208
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost)Lower price available $95
MedicareBlue Rx Standard (PDP)Lower price available $181
SilverScript Plus (PDP)Lower price available $259
Symphonix Value Rx (PDP)Lower price available $154
TexanPlus Classic (HMO)Lower price available $467
WellCare Classic (PDP)Lower price available $271
Don't see your Medicare plan above?

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

Zyprexa Relprevv Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Zyprexa Relprevv 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 health care provider 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 Zyprexa Relprevv typically on?

Tier 4

Medicare plans typically list Zyprexa Relprevv in Tier 4 of their formulary. Tier 4 drugs are usually non-preferred brand-name drugs. Tier 4 drugs cost more than Tier 1, 2 and 3 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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