Flibanserin, sold under the brand name Addyi, can be expensive. The out-of-pocket cost varies widely, depending on your insurance plan and pharmacy. Expect to pay anywhere from $300 to $500 or more per month without coverage.
Factors Affecting Cost
Several factors influence the final price. Your insurance provider’s formulary status–whether they cover Addyi and at what tier–is paramount. Higher tiers mean higher co-pays. Also, consider your pharmacy: prices differ between providers. Always check with your insurance company and pharmacy before purchasing to get an accurate price estimate.
Insurance Coverage
Many insurance plans cover Addyi, but coverage isn’t guaranteed. Medicare Part D generally doesn’t cover it. Private insurance policies often require pre-authorization before dispensing. This process involves submitting documentation confirming medical necessity. To maximize your chances of coverage, work directly with your doctor and insurance provider.
Manufacturer Assistance Programs
Addyi’s manufacturer offers assistance programs to reduce costs. These programs often have income requirements and specific guidelines. Explore the manufacturer’s website or consult your pharmacist for details about these programs.
Comparison Table
| Insurance Coverage | Significant; co-pay varies widely based on plan and tier. |
| Pharmacy | Prices differ between pharmacies; shop around for best price. |
| Manufacturer Programs | May provide financial assistance; income restrictions apply. |
| Prescription Quantity | Cost increases with increased quantity. |
Finding Affordable Options
To find the most affordable option, directly compare prices among pharmacies, investigate manufacturer assistance programs, and discuss your insurance coverage options with your doctor and insurance company before starting treatment.
