How Much Does Xeljanz Cost with Medicare?
Fair Square Medicare

How Much Does Xeljanz Cost with Medicare?

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By Daniel Petkevich

Jan 25, 2023

Most plans will cover Xeljanz, but your cost depends a couple factors

Xeljanz is a popular but expensive treatment option for Medicare beneficiaries dealing with arthritis. However, if it's the right medication for you, Fair Square can help make sure you're on the best plan to save money. 84% of Medicare Part D prescription drug plans cover Xeljanz, but your cost could vary greatly. Read on to learn more.

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Overview of Xeljanz and how it is used to treat certain conditions

Xeljanz is a prescription medication used to treat certain inflammatory conditions, including rheumatoid arthritis and psoriatic arthritis. It belongs to a class of drugs known as janus kinase (JAK) inhibitors. Xeljanz works by blocking certain proteins that cause inflammation in the body, reducing joint pain and swelling associated with arthritis.

How much does Xeljanz cost with Medicare coverage?

The exact cost of Xeljanz will depend on how your plan classifies the drug. Most plans will cover it, but how much you pay out-of-pocket each month may vary depending on how much your plan covers and how often you use the medication. The price will also depend on what coverage phase you are in. According to GoodRx, Xeljanz is generally a Tier 5 drug, which is the most expensive in most formularies. In the post-deductible coverage phase, Xeljanz may cost between $21-$5982. In the donut hole coverage phase, it may cost between $34-$5982.

Your cost will be specific to your Part D plan. Contact your plan provider to get more information about how much your Medicare Part D plan covers for this medication. And if you need to change plans, talk with a License Medicare Expert at Fair Square.

Potential out-of-pocket costs associated with Xeljanz treatment under Medicare

If your plan covers Xeljanz, you may need to pay a certain amount out-of-pocket each month for the medication. This could include copayments, coinsurance and/or deductible payments depending on how your plan is set up. It’s best to speak with your doctor or pharmacist about potential costs associated with the medication. Additionally, you can contact your plan’s customer service representative for more information about how much Xeljanz will cost under Medicare.

Tips on how to save money when using Xeljanz as a part of your healthcare plan

  1. Talk to your pharmacist about potential discounts or coupons on the drug.

  2. Look into how much your Medicare Part D plan covers for Xeljanz and how you can save money by using it.

  3. Check with your healthcare provider to see if they offer any programs or discounts on Xeljanz medications.

  4. Ask your doctor about other treatment options for arthritis that may be more affordable for you.

With a little research and preparation, you can find the most cost-effective and comprehensive way to treat your condition with Xeljanz. As a reminder, this content is for informational purposes only.

Resources available to help you find the best deals on medications like Xeljanz under Medicare coverage

  • Medicare.gov – This website has a tool that allows you to compare how different drug plans cover Xeljanz for Part D beneficiaries.

  • GoodRx – Can provide information on how much certain drugs cost with or without insurance and how to get discounts or coupons on medications.

  • Your doctor or pharmacist – They may be able to provide information on how your plan covers Xeljanz and how to get the most affordable medication.

  • Your Medicare Part D plan provider – They can tell you how much you will pay for Xeljanz each month under your coverage.

By researching, you can find the best deals on Xeljanz and ensure that you are getting the most out of your coverage.

Conclusion

Xeljanz is a widely used medication for treating certain inflammatory conditions, including rheumatoid arthritis and psoriatic arthritis. Speak with your doctor to see if Xeljanz is right for you. This content is for informational purposes only.

Most Medicare Part D plans cover Xeljanz, but how much you pay out-of-pocket each month may vary based on how your plan is set up. There are a few ways to save money when using Xeljanz under Medicare coverage, including talking to your pharmacist about discounts or coupons and looking into how much your Part D plan covers for the medication. If you have questions about finding the right Part D plan for you, call us at Fair Square Medicare.

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.


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