Fenofibrate cost with insurance?

Fenofibrate Costs with Insurance: A Breakdown

The cost of fenofibrate, a medication used to treat high cholesterol and triglyceride levels, varies depending on the insurance coverage and location.

Why are fenofibrate costs different with insurance?

Fenofibrate is a generic medication, which has led to lower prices compared to branded versions like Tricor [1]. However, insurance companies negotiate prices with manufacturers, leading to varying copays and coinsurance rates [2].

What are the typical insurance costs for fenofibrate?

According to GoodRx, a pricing platform, the average cost of fenofibrate with insurance is around $10-20 per month for a 30-day supply [3]. However, copays can range from $10 to $50 or more, depending on the insurance plan and pharmacy [4].

How do different insurance plans affect fenofibrate costs?

Insurance plans with lower copays and coinsurance rates can reduce the out-of-pocket cost for fenofibrate. For example, a plan with a 20% copay and a $50 copay cap may cost $10-15 per month, while a plan with a 50% copay and no cap may cost $25-30 per month [5].

Can patients use a discount card or coupon to reduce fenofibrate costs?

Yes, some manufacturers and pharmacy chains offer discount cards or coupons that can reduce the cost of fenofibrate. However, these programs may have restrictions or eligibility requirements and may not cover the full cost [6].

What happens if a patient's insurance coverage lapses?

If a patient's insurance coverage lapses, they may face higher out-of-pocket costs for fenofibrate or be unable to afford the medication. In such cases, they may need to explore alternative options, such as a discount card or a patient assistance program [7].

Sources:

[1] Tricor (fenofibrate) [package insert]. AstraZeneca; 2020.

[2] GoodRx. (2022). Fenofibrate prices.

[3] GoodRx. (2022). Fenofibrate coupons.

[4] FiercePharma. (2020). Tricor generic pricing may be coming soon.

[5] Kaiser Family Foundation. (2022). How much does health insurance cost?

[6] Patient Advocates. (2022). Patient advocacy services.

[7] National Patient Advocate Foundation. (2022). Patient resources.

Citations:

* [1] https://www.drugs.com/pro/tricor.html
* [2] https://www.goodrx.com/search?q=fenofibrate
* [3] https://www.goodrx.com/coupons/fenofibrate
* [4] https://www.fiercepharma.com/pharmaceuticals/tricor-generic-pricing-coming-soon
* [5] https://www.kff.org/health-costs/fact-sheet/distribution-of-health-insurance-premiums/
* [6] https://www.patientadvocates.org/
* [7] https://www.npaf.org/