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How much is Epclusa without insurance? | SingleCare

Is epclusa covered by insurance? | how much does epclusa cost without insurance? | how to get epclusa without insurance

Epclusa is a medicine used to treat chronic hepatitis C infections (genotypes 1 to 6). By combining two direct-acting antiviral drugs, sofosbuvir and velpatasvir, epclusa prevents the hepatitis C virus from reproducing itself. The goal of the 12-week treatment is to reduce the hepatitis C virus to undetectable levels in the blood and keep it there. epclusa and other direct-acting antiviral (DAA) medications are highly effective. over 90% (and 95-99% in some studies) of patients taking daas will be cured with the first treatment. cure rates for retreatment are up to 95%. adults will take a single 400/100 mg tablet each day with or without a ribavirin tablet, an older direct-acting antiviral. children will take tablets or granules; the dose will depend on body weight. At a monthly price of tens of thousands of dollars, epclusa can be prohibitively expensive without health insurance coverage. however, uninsured patients should not lose hope. there are ways to get epclusa at an affordable price.

Reading: What is hcv treatment medicine price outside of insurance

is epclusa covered by insurance?

epclusa is generally covered by most commercial health insurance plans, medicare and some medicaid plans. coverage may require prior authorization. however, your out-of-pocket expense will depend on the insurance plan’s formulary, deductibles, and coinsurance. People with health insurance may qualify for an epclusa copay coupon, which can significantly lower your monthly cost. For Medicare patients, 80%, according to Gilead Sciences, Inc., pay $15 or less. 99% of Medicaid-covered patients pay $5 or less per month for epclusa.

how much does epclusa cost without insurance?

Epclusa’s total retail price averages $39,000 for 28 tablets, enough for four weeks. Since the treatment lasts 12 weeks, the total cost of the epclusa treatment without insurance is close to $120,000.

There are “less expensive” treatments, but the cost may still be prohibitive for many patients. the approved generic version of epclusa, sofosbuvir-velpatasvir, has a list price of $24,000 for 28 tablets. we will list other options in the table below.

Over-the-counter medications, dietary supplements, and natural remedies are not effective substitutes for prescription antiviral medications to control HCV infections.

compare prices of harvoni with related drugs

See also: Transparency in Coverage Final Rule Fact Sheet (CMS-9915-F) | CMS

(sofosbuvir, velpatasvir)

(elbasvir/grazoprevir)

(glecaprevir, pibrentasvir)

(ombitasvir, paritaprevir, ritonavir, dasabuvir).

(sofosbuvir, velpatasvir, voxilaprevir)

(ledipasvir, sofosbuvir)

Prescription drug prices often change. these are the most accurate drug prices at the time of publication. the price indicated without insurance references is the price of brand-name drugs. the single care price indicated refers to the price of generic drugs, if available. click the link under “savings options” to see up-to-date drug prices.

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Epclusa treatment is highly effective and can save lives, but may be unaffordable at full retail price. therefore, many people without insurance will need to find financial assistance to purchase the medication. While some pharmaceutical companies may offer manufacturer coupons or discounts, they are not always available or you may need to meet certain eligibility requirements. When this doesn’t work, here are other ways to get financial help.

1. start with a singlecare discount card

a singlecare savings card can save up to $20,000 in four weeks of treatment with epclusa. simply download or print a free singlecare coupon and take it to a participating pharmacy.

2. get health insurance

When you add up all the costs of hepatitis c treatment, health insurance is often much better than paying the out-of-pocket price for antiviral drugs. Even people who qualify for Gilead Patient Assistance often have some form of health insurance. Get started with the online healthcare marketplace in your state.

3. sign up for medicaid

The next step is to research the Medicaid eligibility criteria in your state. Medicaid plans can help reduce the cost of epclusa substantially.

4. enroll in extra help from medicare

for people on medicare, extra help from medicare (medicare low income subsidy or lis) may help pay for epclusa during coverage gaps as well as lower the overall cost of treatment. Eligibility criteria, enrollment instructions, and additional information can be found on the Medicare website.

5. get free or cheap epclusa from adap

For people with HCV and AIDS, Epclusa is included in the AIDS Drug Assistance Program (ADAP) formulary. led by the usa Department of Health and administered by individual states, ADAP provides uninsured and underinsured patients with free prescription HIV/AIDS medications. Talk to your state or local health officials for enrollment information.

6. get medical advice on cheaper HCV antiviral treatments

direct-acting antiviral drugs (daa) such as epclusa are considered the first option to reduce hepatitis c to undetectable levels. there is more than one, and several are considerably less expensive. however, be sure to consult with a healthcare professional, as not all are as effective as epclusa, and the best drug is often determined by the genetic “type” of the virus.

See also: Is Health Insurance Required in Your State? | eHealth

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