is harvoni covered by insurance? | How much does Harvoni cost without insurance? | how to get harvoni without insurance
harvoni is a brand-name prescription medication used to treat chronic hepatitis c, a viral infection of the liver. harvoni combines two direct-acting antiviral drugs, ledipasvir and sofosbuvir. both prevent the hepatitis c virus from multiplying. The standard dose of Harvoni is a single 90/400 mg tablet or packet of granules taken by mouth once a day for 12 or 24 weeks, depending on the severity of liver damage (cirrhosis). some people may also need to take another antiviral agent, ribavirin, at the same time.
harvoni is a high-cost brand-name drug, and while its generic, ledipasvir sofosbuvir, costs less, it can still be cost-prohibitive for many who need it. it is possible to receive harvoni treatment without health insurance; read on for more information.
is harvoni covered by insurance?
harvoni is a high-priced drug, so while it’s typically covered by private insurance, medicare, and even medicaid, some plans may not cover it. Harvoni is a life-saving drug, so some insurance companies rank it in Tier 2, the second-lowest copay tier, while others rank it in the highest tier. Beneficiaries of Medicare Part D can expect to pay a few thousand dollars for treatment, mainly in the catastrophic phase of coverage. however, what an individual pays out-of-pocket will be determined by their insurance plan’s formulary, copay cost, deductible, and coinsurance. these will vary.
how much does harvoni cost without insurance?
Without insurance, a four-week supply of Harvoni will cost an average of $37,240 at retail. each bottle contains 28 tablets, so people without insurance pay an average of $1,300 per daily tablet. The average 12-week treatment, three bottles total, will cost about $110,000 for the Harvoni treatment. twice that for people in 24 weeks of treatment with harvoni.
Most people without health insurance will find it hard to pay that much in such a short amount of time, so health insurance helps defray some of the cost. Gilead Sciences, the drug’s manufacturer, has licensed a less expensive generic version of Harvoni, but it can still retail for around $24,000, well beyond many people’s budgets. Other medications that include sofosbuvir include epclusa (sofosbuvir-velpatasvir), also in an approved generic version, vosevi (sofosbuvir-velpatasvir-voxilaprevir), and sovaldi (sofosbuvir). all, including the harvoni, are made by gilead.
Other direct-acting antiviral agents approved by the FDA to treat hepatitis C include mavyret (glecaprevir-pibrentasvir), zepatier (elbasvir-grazoprevir), and viekira pak (ombitasvir-paritaprevir-ritonavir-dasabuvir). Both Mavyret and Zepatier are significantly less expensive than either of the other combination drugs, but will still cost thousands of dollars at full price. still, it’s worth asking if paying for harvoni is out of the question.
harvoni prices for related drugs
Prescription drug prices change often. these are the most accurate drug prices at the time of publication. the price indicated without insurance refers to 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 view up-to-date drug prices.
how to get harvoni without insurance
harvoni is an effective treatment for hepatitis c that saves lives. however, at a cost of over $100,000 for a 12-week course of treatment, many uninsured patients may need some form of financial assistance. Fortunately, there are many places to get help. Uninsured patients might start by investigating patient assistance programs offered by Gilead Sciences or Asegua, the pharmaceutical company that makes generic ledipasvir-sofosbuvir. however, not everyone will be able to meet the eligibility requirements. manufacturer coupons and discounts can also help, when available. Here are five ways to lower the cost of treatment with Harvoni, starting with a single care savings card:
1. use a single care drug discount card
You can save up to $13,000 on a Harvoni prescription just by using a Harvoni Single Care coupon at a participating pharmacy. Lowering the price of a four-week prescription from $37,000 to $23,000 may be enough to make Harvoni treatment possible.
2. get health insurance
Realistically speaking, most health insurance policies are less than the $100,000 cost of a full course of Harvoni treatment. start with the health care exchange in your state. Make sure, however, that the policies being considered cover Harvoni at a reasonable cost.
3. sign up for medicaid
if you qualify, medicaid can be a good way to reduce the costs of hepatitis c treatment. will depend on the state. Some states will only approve the expensive drug costs for Hepatitis C treatment if there is extensive liver damage. therefore, research not only your state’s medicaid eligibility requirements, but also the requirements to cover various hepatitis c therapies.
4. sign up for adap to get free or low-cost medicines for hepatitis c
for people with hcv and aids, usa. uu. The Department of Health and AIDS Drug Assistance Program (ADAP) may pay for both HIV/AIDS and HCV prescriptions for the uninsured. Each state administers enrollment through its health department.
5. ask your doctor about alternative medications for hepatitis c
there are other effective antiviral therapies for hepatitis c. some are single drugs, others are combination drugs, and many are considerably less expensive than harvoni. If financial assistance for Harvoni is not available, then it is better to get treatment than to let the infection go unchecked. however, not all medications work effectively against the hepatitis c genotypes that harvoni targets. side effects will also vary. so ask your prescribing health care provider for medical advice about the most effective treatments before you switch.