How Much Does Trelegy Cost with Medicare?
Fair Square Medicare

How Much Does Trelegy Cost with Medicare?

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By Daniel Petkevich

Jan 24, 2023

The right Part D plan could save you hundreds

For Medicare beneficiaries with COPD or asthma, Trelegy Ellipta is a treatment without a suitable replacement. The good news is that over 96% of Medicare Part D prescription drug plans cover Trelegy. But some plans can save you $700 on your copay. Read on to see how you can save on Trelegy.

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Overview of Trelegy and how it works

Trelegy Ellipta (fluticasone furoate, umeclidinium, and vilanterol) is a once-daily prescription medication used to treat chronic obstructive pulmonary disease (COPD). It's the only treatment that contains three medicines in one inhaler. These three medicines are a corticosteroid, a long-acting muscarinic antagonist (LAMA), and a long-acting beta2 agonist (LABA). Trelegy helps reduce COPD symptoms like shortness of breath, chest tightness, and coughing. Trelegy also helps to reduce the frequency of COPD flare-ups or exacerbations.

Benefits of using Trelegy for treating COPD symptoms include:

  • Once-daily inhaler with three medicines in one

  • Improved breathing and reduced shortness of breath

  • Reduced frequency of COPD flare-ups

  • Less coughing and chest tightness

If you're covered by a Medicare Part D prescription drug plan or a Medicare Advantage Plan that includes prescription drug coverage, you may be eligible for coverage of Trelegy. The exact cost of your copayment will depend on how much the prescription drug plan covers and how much your insurance provider is willing to pay. Speak with your doctor or pharmacist to find out how much Trelegy costs with Medicare.

How much does Trelegy cost with Medicare coverage

If you have Medicare insurance, how much it costs for Trelegy depends on how your plan is structured. Many Medicare plans cover prescription medications and will require that you pay a copay for your Trelegy inhaler. The copay amount can vary depending on how much the medication costs and how much coverage you have. Some plans may also require that you pay a deductible before your copay starts to apply. You can contact your Medicare plan directly or look at their website to find out how much your Trelegy copayment will be.

Your cost on Medicare will depend on which coverage phase you are in. According to GoodRx, if you are in the post-deductible phase, your copay could range between $0-$713. If you are in the donut hole coverage phase, your copay could vary between $5-$713.

If you want to find the best Part D plan for you that includes Trelegy, call one of our Licensed Medicare experts at 1-888-376-2028.

What are the eligibility requirements for getting Trelegy through Medicare?

To get Trelegy through Medicare, you must be enrolled in a Part D prescription drug plan or a Medicare Advantage Plan that includes prescription drug coverage. You will also need to get a written order from your doctor and have the prescription filled at participating pharmacies. Your insurance plan may require prior authorization before they will cover Trelegy. Check with your insurance plan to make sure you have the proper coverage and how much you will need to pay for Trelegy.

Tips on how to get the most out of your treatment while using Trelegy

Using Trelegy as directed can help you get the most out of your treatment. Here are some tips to keep in mind:

  • Take your medicine at the same time every day for the best results

  • Rinse and gargle with water after each inhalation

  • Make sure to use all of Trelegy even if you don’t feel short of breath

  • Get regular checkups with your doctor to monitor how Trelegy is working for you

  • Ask your doctor how often to use a rescue inhaler and when to add other treatments.

  • Consult your doctor or pharmacist if you have any questions about treatment for your COPD.

Resources and support available to help manage your COPD symptoms with Trelegy

If you have COPD and are taking Trelegy, there are resources available to help you manage your symptoms. The manufacturer of Trelegy offers a patient support program called TRELEGY Together. This program provides access to educational materials, information on how to use the medication correctly, and other resources related to managing COPD.

Conclusion

Trelegy is a three-medicine inhaler that can help reduce COPD symptoms like shortness of breath, chest tightness, and coughing. If you're covered by a Medicare Part D prescription drug plan or a Medicare Advantage Plan that includes prescription drug coverage, you may be eligible for coverage of Trelegy. As always, talk with your doctor to see if Trelegy Ellipta is right for you. This content is for informational purposes only. For all of your Medicare questions, Fair Square is here for you.

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


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