Fair Square Medicare Wordmark

Does Medicare Cover Piqray?

breast cancer awareness ribbon stock image
By Daniel Petkevich
Dec 2, 2022

All Part D plans have you covered

For Medicare beneficiaries seeking treatment for breast cancer, knowing that you have coverage can offer peace of mind amidst very challenging times. If you are taking Piqray to treat your breast cancer, the good news is that all Part D prescription drug plans offer coverage. How much could it cost you? Let's find out.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

What is Piqray and what are its uses?

Piqray is a targeted therapy used to treat certain types of advanced or metastatic breast cancer. It works by blocking an enzyme called PI3K, which may help slow or stop the growth of some cancer cells. When taken in combination with other chemotherapy drugs, it can be an effective treatment option for breast cancer patients.

How does Medicare cover Piqray?

Most Part D plans offer coverage for Piqray. This means that if your doctor prescribes this medication, it should be covered by your Medicare plan. However, the amount of coverage will depend on the specific plan you have and its drug formulary. Before you start treatment, it's important to check with your insurance provider to make sure you're fully aware of what's covered and how much you'll need to pay out of pocket.

How much does Piqray cost on Medicare?

The cost of Piqray on Medicare depends on the Part D plan you have and which tier it has placed the drug in. Generally, generic drugs are less expensive than brand-name drugs and may be covered at a lower co-pay or co-insurance amount. Piqray will typically be found on Tier 5, which is usually the most expensive. How much you will pay will also depend on

your coverage phase

. It's also important to note that if you're enrolled in a Medicare Advantage Plan, your coverage and cost may differ. Speak to your doctor and insurance provider for more personalized information about how much you would pay.

Can I get help paying for Piqray?

There are several programs available that may be able to help you with the costs associated with taking Piqray. Your doctor may be aware of other resources, or your insurance provider may be able to direct you to programs that can help. Additionally, you may qualify for Extra Help from Medicare, which could lower the cost of your medications and healthcare services.

If you have questions about Medicare coverage of Piqray, who can you ask for help?

If you have questions about Medicare coverage of Piqray, one of the best resources is your doctor. Your doctor can provide personalized advice about your specific situation and help answer any questions or concerns you may have. Additionally, speaking to your insurance provider can also be helpful. They can provide more detailed information on what your plan covers and how much you might need to pay out-of-pocket for Piqray. You can also contact the Medicare helpline at 1-800-MEDICARE (1-800-633-4227) for more information. They have knowledgeable representatives who can help guide you through your coverage options.

Takeaway

Piqray is a prescription drug covered by most Part D plans. Depending on the specifics of your coverage, you may need to pay out-of-pocket for this medication. If you are having difficulty covering the costs associated with Piqray, several programs can help. Be sure to talk with your doctor before starting or stopping any medication (including Piqray). This content is for informational purposes only. Give us a call at Fair Square Medicare for all your Medicare questions.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Fair Square
Building the Future of Senior Healthcare
Aug 25, 2022
Dames Point Bridge in Jacksonville, Florida stock image
13 Best Ways for Seniors to Stay Active in Jacksonville
Mar 3, 2023
Heart on Heart Rhythm Background Concept stock photo
Does Medicare Cover the WATCHMAN Procedure?
Dec 1, 2022
senior couple working in a greenhouse stock image
Medicare Supplement Plans for Low-Income Seniors
Mar 23, 2023
Hepatitis C stock photo
Does Medicare Cover Hepatitis C Treatment?
Nov 22, 2022
hand holding up Invisalign stock photo
Does Medicare Cover Orthodontic Care?
Nov 18, 2022
pros and cons stock image
Are Medicare Advantage Plans Bad?
May 5, 2022
Cover image
Does Your Plan Include A Free Gym Membership?
Jul 12, 2023
Cover image
Medicare Deductibles Resetting in 2025
Jan 18, 2024
Rattlesnake biting on a hiker's boot stock image
Does Medicare Pay for Antivenom?
Dec 6, 2022
Seattle Public Market stock image
14 Best Ways for Seniors to Stay Active in Seattle
Mar 10, 2023
Myelofibrosis stock image
Does Medicare Cover Jakafi?
Dec 12, 2022
woman working from home with a headset on stock image
How Do Medicare Agents Get Paid?
Apr 12, 2023
senior man reaching to his ear with jumbled letters going into the ear stock image
Does Medicare Cover Hearing Aids?
Nov 9, 2022
Mental health stock photo
Does Medicare Cover Mental Health?
Oct 12, 2022
senior woman doing botox stock photo
Is Botox Covered by Medicare?
Jan 19, 2023
bearded man holding his head in confusion looking at his laptop stock image
Why Is Medicare So Confusing?
Apr 19, 2023
Illustrated referential images of a hospital bill, coins, cash in a wallet, a calculator, and a magnifying glass
What Are Medicare Part B Excess Charges?
Jan 6, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Indianapolis

14 Best Ways for Seniors to Stay Active in Washington, D.C.

14 Best Ways to Stay Active in Charlotte

20 Questions to Ask Your Medicare Agent

2024 Cost of Living Adjustment

Can Doctors Choose Not to Accept Medicare?

Can I Have Two Primary Care Physicians?

Can I switch From Medicare Advantage to Medigap?

Can I Use Medicare Part D at Any Pharmacy?

Can Medicare Help with the Cost of Tyrvaya?

Do All Hospitals Accept Medicare Advantage Plans?

Do I Need Medicare If My Spouse Has Insurance?

Do Medicare Supplement Plans Cover Dental and Vision?

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Flu Shots?

Does Medicare Cover Fosamax?

Does Medicare Cover Geri Chairs?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Ilumya?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Krystexxa?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Linx Surgery?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Penile Implant Surgery?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover PTNS?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover SIBO Testing?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Funeral Expenses?

Does Medicare pay for Opdivo?

Does Medicare Pay for Varicose Vein Treatment?

Does Medicare Require a Referral for Audiology Exams?

Fair Square Client Newsletter: AEP Edition

Finding the Best Dental Plans for Seniors

How Are Medicare Star Ratings Determined?

How Can I Get a Replacement Medicare Card?

How Medicare Costs Can Pile Up

How Much Does a Pacemaker Cost with Medicare?

How Much Does Medicare Cost?

How Much Does Medicare Part A Cost in 2025?

How Much Does Rexulti Cost with Medicare?

How Much Does Trelegy Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Apply for Medicare?

How Your Employer Insurance and Medicare Work Together

Is Displacement Affecting Your Medicare Coverage?

Medicare & Ozempic

Medicare Advantage MSA Plans

Medicare Explained

The Fair Square Bulletin: October 2023

Welcome to Fair Square's First Newsletter

What If I Don't Like My Plan?

What Is a Medicare Advantage POS Plan?

What Is a Medicare Supplement SELECT Plan?

What Is Medical Underwriting for Medigap?

What Is the Medicare Birthday Rule in Nevada?

What To Do If Your Medicare Advantage Plan Is Discontinued

What to Do When Your Doctor Doesn't Take Medicare

What You Need to Know About Creditable Coverage

When to Choose Medicare Advantage over Medicare Supplement

Why You Should Keep Your Medigap Plan

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M