COST QUESTIONS?
CALL 1-877-628-9738
TO FIND OUT
HOW MUCH YOUR 
TREATMENT WILL COST.

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Find Out Your Cost



Call 1-877-628-9738 to find out how much MAVYRET will cost.

Wholesale Acquisition Cost (WAC)



The Wholesale Acquisition Cost (WAC), also known as the list price, for a 4-week supply of MAVYRET is $13,200.00 as of December 2018. WAC may not reflect the price paid for patients.

UNDERSTANDING INSURANCE*

If you have: You could pay:
Commercial Insurance (usually provided by employer) (Blue Cross Blue Shield, Aetna, etc) As little as $5 with MAVYRET Co-pay card
Medicaid $8.00 or less per month, depending on state plan
Medicare: Part D $650.00 – 2,542.00 per month, depending on coverage phase

Monthly out-of-pocket cost for MAVYRET may vary depending on patient's other medication costs.

Most Medicare patients have Standard Part D prescription coverage, which has different costs depending on deductibles and coverage gaps. An Insurance Specialist can help you understand what these costs mean to you, by calling 1-877-628-9738.
Medicare: Low Income Subsidy (LIS) $8.50 per month starting January 1, 2019
Other Insurance (VA, DOD, Tricare, others) Because coverage varies by plan, call 1-877-628-9738 to speak to an Insurance Specialist to find out how much MAVYRET will cost you
Un-insured or if you cannot afford your medication Call 1-877-628-9738 or visit pparx.org for assistance
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*Important Details About Understanding Your Individual Costs:
The chart above provides cost information based on what a person with the type of coverage listed may pay for a 4-week supply of MAVYRET. Your type of health or prescription insurance plan will determine exactly how much you will pay.

Terms and Conditions apply. This benefit covers MAVYRET® (glecaprevir and pibrentasvir). Eligibility: Available to patients with commercial prescription insurance coverage for MAVYRET who meet eligibility criteria. Copay assistance program is not available to patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. If at any time a patient begins receiving prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the MAVYRET copay card and patient must call MAVYRET Patient Support at 1-877-628-9738 and stop use of the copay card. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from MAVYRET Patient Support including the copay card from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance.