Amvuttra (Vutrisiran) Cost and Financial Assistance

Amvuttra cost and savings

Several factors can affect the price you’ll pay for Amvuttra. These include:

• your treatment plan
• your insurance coverage
• the pharmacy you use
• the cost of the visit to your healthcare professional to receive doses of Amvuttra
• available financial assistance for Amvuttra (see the “Financial and insurance assistance” section)

Amvuttra may need to be purchased through a specialty pharmacy authorized to carry specialty drugs. This type of drug may be costly or require help from healthcare professionals to be taken safely and effectively. For more details about how to obtain Amvuttra, talk with your doctor.

To find out your cost for Amvuttra, talk with your doctor, pharmacist, or insurance provider.

Brand-name vs. generic

Amvuttra only comes as a brand-name drug. It’s not currently available in a generic version. A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less.

Why is there such a cost difference between brand-name drugs and generics?

Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.

Financial and insurance assistance

If you need financial support to pay for Amvuttra or help understanding your insurance coverage, assistance is available. For example:

• A program called Alnylam Assist is available for Amvuttra. For more information and to find out whether you’re eligible for support, call 833-256-2748 or visit the program website.
• Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
  • Medicine Assistance Tool
  • NeedyMeds

Frequently asked questions about Amvuttra’s cost

Here are answers to some commonly asked questions about Amvuttra’s cost.

Is Amvuttra covered by Medicare?

Amvuttra may be covered by Medicare, depending on your specific plan and whether you meet the medical necessity criteria.

Costs are generally covered under Medicare Part B, which is medical insurance, rather than Part D, which is prescription drug coverage. This is because Amvuttra is given by a healthcare professional in a clinical setting.

What does Amvuttra cost?

The cost of Amvuttra will vary based on your treatment plan, your insurance coverage, and the pharmacy you use. The price will also vary based on whether you use an Amvuttra savings program, such as Alnylam Assist.

What’s more, Amvuttra is only available at specialist pharmacies and is given by a healthcare professional, so there may be other costs associated with visiting these pharmacies and professionals.

Why is Amvuttra so expensive?

Amvuttra may be expensive because it’s a brand-name medication with no generic alternative. This means only one manufacturer is licensed to sell the medication. Generic drugs are often cheaper than brand-name medications.

Insurance considerations

You may want to consider the following information if you have insurance and use Amvuttra.

Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Amvuttra. This means the company and your doctor will discuss the drug in regard to your treatment. The insurance company will then determine whether Amvuttra is covered. If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Amvuttra requires prior authorization.

Type of insurance coverage: Amvuttra is given by your doctor or another healthcare professional. If you have insurance, the price of your Amvuttra doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Amvuttra doses, such as at your doctor’s office, an infusion clinic, or a hospital. If you have questions about this process, contact your doctor or your insurance provider.

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.