The price you pay for Hizentra may depend on several factors. These include your dosage, whether you have health insurance, and the pharmacy you use. Financial assistance may be available to help you with the cost of Hizentra.

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

  • your treatment plan
  • your insurance coverage
  • the pharmacy you use
  • any equipment you may need to purchase for infusions of Hizentra, such as needles and syringes
  • available financial assistance for Hizentra (see the “Financial and insurance assistance” section)

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

Hizentra is a biologic drug, which means it’s made from parts of living organisms. It doesn’t come in a biosimilar form. Biosimilars are like generic drugs, but unlike generics (which are made for nonbiologic drugs), biosimilars are made for biologics.

Why is there such a cost difference between biologic drugs and biosimilar drugs?

Biologic drugs can be expensive because of the research and testing needed to ensure their safety and effectiveness. The manufacturer of a biologic drug can sell it exclusively for up to 12 years. When the biologic drug’s patent expires, other drugmakers can create biosimilar versions. This competition in the market may lead to lower costs for biosimilars. And because biosimilars are very similar to biologic drugs, they don’t need to be studied again. This can also lead to lower costs for biosimilars.

If you take Hizentra long term, you may be able to lower your costs in the following ways:

  • Look into getting a 90-day supply: You may be able to get a 90-day supply of Hizentra if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of the drug. If you’re interested in a 90-day supply of Hizentra, talk with your doctor, pharmacist, or insurance provider.
  • Use a mail-order pharmacy: Using a mail-order pharmacy might help lower your cost for Hizentra. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

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

  • A program called Hizentra Connect is available for Hizentra. For more information and to find out whether you’re eligible for support, call 877-355-4447 or visit the program website.
  • Some websites provide details about drug assistance programs and ways to make the most of your insurance coverage. Some also provide links to savings cards and other services. Two such websites are:

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

How much does Hizentra cost with insurance vs. without it?

The price of Hizentra with insurance versus without it depends on several things.

Factors that could affect what you pay for this drug without insurance include:

  • the quantity you’re prescribed (such as a 90-day or 30-day supply)
  • whether you apply and qualify for any available savings programs
  • your dosage and treatment plan
  • the pharmacy you use

These same factors may affect your price for Hizentra with insurance. But the price you pay if you have insurance will also depend on:

  • your specific plan benefits
  • any prior authorization requirements you have for drug coverage

To learn more about what you’d pay for Hizentra with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).

Is Hizentra covered by Medicare?

It may be. You can call your Medicare plan provider to learn whether your particular plan covers the cost of this drug. Many types of Medicare plans are available. Your coverage and what you pay for prescriptions will be based on your particular plan’s benefits.

You may need to obtain prior authorization before your plan will cover the cost of this medication. (See the next section for more about this.)

Your doctor may be able to provide information about your cost for Hizentra if you have Medicare.

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

If you have insurance, your insurance company may require prior authorization before it covers Hizentra. This means the company and your doctor will discuss the drug in regard to your treatment. The insurance company will then determine whether Hizentra 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 Hizentra requires prior authorization.

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.