Key takeaways
- Most Medicare Part D plans include coverage for Repatha, though specific coverage details can vary among plans.
- Out-of-pocket costs for Repatha under Medicare Part D typically average around $49 per month, but this can fluctuate based on your plan’s premiums, deductibles, and coinsurance.
- If you have Medicare, you are not eligible for the Repatha copay card, which is designed to lower costs for individuals with commercial insurance.
Most Medicare Part D (prescription drug) plans cover Repatha (evolocumab).
However, because private insurers provide Part D plans, coverage may vary by plan.
Most commercial insurance plans and Medicare Part D plans cover Repatha, and Medicare Advantage (Part C) plans with drug coverage may also cover it.
To find out if your Medicare Advantage or Part D plan covers Repatha, contact your plan’s administrator for the formulary, or covered drug list. Because Repatha is a brand-name drug, you may pay more than for generic drugs that lower cholesterol levels.
If you’re looking for a stand-alone Part D drug plan or a Medicare Advantage plan that covers Repatha, you can use the Medicare plan finder tool to search for plans that cover the drug. The tool can also estimate your monthly costs with each plan at different nearby pharmacies to help you find the best deal.
Repatha’s exact costs for Medicare beneficiaries can vary according to their specific Part D or Medicare Advantage plans.
Repatha’s manufacturer estimates that most people with Repatha coverage through Medicare Part D pay $50 or less per month for Repatha. You are also responsible for paying your plan’s premiums, yearly deductible, and coinsurance costs, which vary by plan.
These costs may be lower if you qualify for Medicare Extra Help, a program that reduces costs for people with a reduced income who are within the program’s income limits.
The monthly list price for Repatha without insurance is $572.70.
If you have Medicare, you are not eligible for the copay card.
The manufacturer’s copay card reduces the costs of Repatha for some people with commercial insurance, such as insurance through an employer, to as low as $5 per month.