What tier is Eliquis on Medicare?

Asked by: Dr. Abdullah Kling  |  Last update: January 21, 2024
Score: 5/5 (42 votes)

What drug tier is Eliquis typically on? Medicare prescription drug plans typically list Eliquis on Tier 3 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

Is Eliquis covered by Medicare Part B?

Medicare Advantage (Part C) and Medicare Part D (prescription drugs) typically cover the cost of Eliquis. However, original Medicare (parts A and B) may cover only the associated hospital costs and medical services.

How much do Medicare patients pay for Eliquis?

Medicare. Patients who have prescription insurance through Medicare pay, on average, $44 per month. And 5 out of 10 ELIQUIS patients pay $30 or less. Low-Income Subsidy patients may pay $0 to $10.35 per month through the Social Security Administration's Extra Help4 program.

How do I get Eliquis for $10 a month?

Eligible patients who present an activated Co-pay Card together with a valid prescription for ELIQUIS at participating pharmacies may pay as little as $10 per 30-day supply (up to 74 tablets for the first fill and up to 60 tablets for all subsequent fills) for up to 24 months, subject to a maximum annual benefit of ...

What can I take if I can't afford Eliquis?

6) Look for alternatives
  • Warfarin (Coumadin, Jantoven). Warfarin is a comparable generic drug that can cost as little as $4 with a GoodRx discount. ...
  • Pradaxa, Xarelto, and Savaysa. These are also similar medications to Eliquis, but there aren't cheaper, generic versions for them yet.

How To Save Money On Eliquis With Medicare Part D, SingleCare, and Patient Assistance Programs

17 related questions found

What is the average monthly cost for Eliquis?

The list price for a 30-day supply of ELIQUIS is $561. On average, patients pay $51 per month, and 5 out of 10 ELIQUIS patients pay $35 or less. Co-pay Card information.

Is there a cheaper blood thinner than Eliquis?

Warfarin is a generic medication, which is why it's a lot more affordable when compared to Eliquis and Xarelto, which are brand-name prescriptions. The chart also includes the cost for other commonly used blood thinner medications, such as Heparin, Enoxaparin, and Savaysa.

When will Eliquis price go down?

However, in August 2020, the manufacturers of Eliquis – Pfizer and Bristol Myers Squibb (BMS) – won an appeal in federal court, which upheld their patent claim for this medication. As a result, rival companies cannot produce a low-cost generic version of Eliquis for at least six years (until 2026).

Is there a generic equivalent for Eliquis?

The Food and Drug Administration (FDA) has approved a generic version of Eliquis called apixaban. A generic drug is considered as safe and effective as the original drug. And generics tend to cost less than brand-name drugs.

Is Eliquis a Tier 1 prescription?

What drug tier is Eliquis typically on? Medicare prescription drug plans typically list Eliquis on Tier 3 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

What does Walgreens charge for Eliquis?

Pay $ 586.44 chevron_right at Walgreens with a GoodRx discount. That's 13% off the retail price of $674.

What drugs does Medicare Part B pay for?

List of medications covered by Medicare Part B
  • Medication used with medical equipment like infusion pumps or nebulizers.
  • Antigens.
  • Injectable osteoporosis medications.
  • Erythropoiesis-stimulating agents if you have end-stage renal disease (ESRD) or anemia related to other conditions.
  • ESRD medications that are take by mouth.

What is Eliquis generic use for?

Generic Name: apixaban

In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood.

Does Medicare Part B cover all costs?

After you've paid your Medicare Part B deductible for the year, Part B generally pays for 80% of covered medically necessary services. You're responsible for a 20% Part B coinsurance for most covered services.

Will there be a generic for Eliquis in 2023?

A court ruling granted that extension and now a generic will not be available for sale until April 2028. Patent extension or restoration is a common tactic pharmaceutical companies use to hold onto revenue for their products.

Why is CVS dropping Eliquis?

The ACC articles says that CVS pointed to medical specialty guidelines, including atrial fibrillation guidelines issued jointly by the ACC, the American Society of Hematology and Heart Rhythm Society in 2019 as justifying the decision to drop Eliquis off of its formularies.

Which blood thinner is safer Eliquis or Xarelto?

Are there any differences in side effects between Eliquis Vs Xarelto? Two large retrospective studies (78,702 patients [Study 1] + 581,451 patients [study 2]) have found that overall, Eliquis appears to be safer than Xarelto.

What is the best blood thinner with the least side effects?

Direct oral anticoagulants, or DOACs, have been found to be safer than warfarin for patients with atrial fibrillation. A new study published in November 2022 in Annals of Internal Medicine found apibaxan to be the safest blood thinner among DOACs, including dabigatran, edoxaban and rivaroxaban.

What is the most expensive blood thinner on the market?

Upon market entrance, Xarelto's list price was $218 for a month's supply, and Eliquis' list price was $250. As of January 2022, the list prices for a month's supply of Xarelto and Eliquis are $516 and $529, respectively. Medicare Part D has spent more than $46 billion on the two drugs since 2015.

How much does Pfizer Eliquis cost?

The cost for Eliquis oral tablet 5 mg is around $600 for a supply of 60 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Is Plavix cheaper than Eliquis?

Clopidogrel (Plavix) is a blood thinner that's used to prevent heart attack and stroke in people who are at higher risk for those events. It's less expensive because it's available as a generic medication.