The price you pay for Imfinzi may depend on factors such as your dosage, whether you have health insurance, and the pharmacy you use. Financial assistance may be available to help you with the cost of Imfinzi.
Several factors can affect the price you’ll pay for Imfinzi, including:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- the cost of the visit to your healthcare professional to receive doses of Imfinzi
- available financial assistance for Imfinzi (see the “Financial and insurance assistance” section)
To find out the cost of Imfinzi for you, talk with your doctor, pharmacist, or insurance provider.
Imfinzi 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. Unlike generics, which are made for nonbiologic drugs, biosimilars are made for biologic drugs.
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 need financial support to pay for Imfinzi or help understanding your insurance coverage, assistance is available. For example:
- A program called Access 360 is available for Imfinzi. For more information and to find out whether you’re eligible for support, call 844-ASK-A360 (844-275-2360) 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:
Learn more about saving money on prescriptions with or without insurance.
Here are answers to some commonly asked questions about Imfinzi’s cost.
Is Imfinzi 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. There are many types of Medicare plans, so your coverage and what you pay for prescriptions will be based on your particular plan’s benefits.
The total price you pay for Imfinzi may also depend on the cost to receive infusions at your doctor’s office or clinic. You may also need to obtain prior authorization before your plan will cover the cost of this medication.
Your doctor may also be able to provide information about your cost for Imfinzi if you have Medicare.
What is the cost of Imfinzi without insurance?
The price you’ll pay for Imfinzi if you don’t have insurance can vary based on several factors. But typically, the cost is higher for those without insurance.
There are other factors that could affect what you pay for this drug. These include:
- whether you apply and qualify for any available savings programs
- your dosage
- the pharmacy you use
To learn the exact cost you’d pay for this medication without insurance, ask your doctor or pharmacist. You may also want to contact several pharmacies to compare their prices for Imfinzi.
Check out Optum Perks* for price estimates for several medications. (Optum Perks coupons cannot be used with insurance benefits or copays.)
* Optum Perks is a sister site of Healthline.
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You may want to consider the following information if you have insurance and receive Imfinzi.
Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Imfinzi. This means the company and your doctor will discuss Imfinzi in regard to your treatment. The insurance company will then determine whether the medication 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 Imfinzi requires prior authorization.
Type of insurance coverage: Imfinzi is given by your doctor or another healthcare professional. If you have insurance, the price of your Imfinzi 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 Imfinzi 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.



