TO FIND OUT
HOW MUCH YOUR
TREATMENT WILL COST.
|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|