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 Part C (Advantage) plans with drug coverage may also cover it.
To find out if your Part C 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 an add-on Part D drug plan or a Part C plan that covers Repatha, you can use the Medicare website’s plan finder tool to search 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.
Learn how to compare Medicare Part D plans.
Repatha’s exact costs for Medicare beneficiaries can vary according to their specific Part D or Part C plans.
Repatha’s manufacturer estimates that most people with Repatha coverage through Medicare Part D pay $49 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 $561.49.
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, as low as $5 per month.
Learn more about Medicare Part D drug plans and how to choose one that meets your needs.
