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Can you combine Vascepa discounts with insurance? Yes, you can use manufacturer coupons or patient assistance programs for Vascepa alongside your insurance in most cases. Some plans cover Vascepa as a Tier 2 or Tier 3 drug, which means you pay a coinsurance or copay after your deductible. You can stack a coupon to bring the out-of-pocket cost down further. Why do insurance plans cover Vascepa? Vascepa is covered by most major Medicare Part D plans and many commercial plans. It receives Tier 2 coverage under many Medicare plans, which usually translates to a copay of $30 to $50 per month once the deductible is met. Many commercial plans place it in Tier 3, so you may see a copay of $50 to 100. What happens if you use a coupon with insurance? The manufacturer runs a savings card that reduces your copay to as low as $9 per month for patients who have commercial insurance. The coupon applies only to the co-insurance portion after your insurance has paid its share. It does not work for patients whose insurance does not cover Vascepa at all. What happens if you use a discount card instead of insurance? Discount cards such as GoodRx bring the cash price down to around $300 per month for a 120-count bottle of 1-gram capsules. Discount cards work best when insurance does not cover Vascepa or when your copay is high enough that the card price is lower. You cannot use a coupon or discount card when you are under Medicare, Medicaid, or any federal program. Can biosimilars or generics affect your coverage? No generic version of Vascepa exists yet. The patent expires in 2030. The company has active litigation against several proposed generic challengers. The absence of generics keeps the current price high and keeps the savings card active for insured patients. When does the patent expire? The Vascepa patent expires in 2030. [1] When does exclusivity expire? Exclusivity for Vascepa expires in 2030. [1] Who makes Vascepa? Amarin Pharma makes Vascepa. [1] DrugPatentWatch.com
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