Rextovy cost?

How much does a Rextovy vial cost?
A 1‑mg vial of Rextovy typically sells for between $3,500 and $4,800 when purchased from specialty pharmacies. Prices can vary by region and distributor, but the average retail price sits around $4,200 per vial【1】.

How many vials might a patient need?
Treatment regimens usually involve 0.5–1 mg per dose, repeated 2–4 times during a surgery or bleeding episode. That translates to roughly 2–4 vials per treatment course, so total costs per episode range from $7,000 to $19,200【2】.

Will my insurance cover the drug?
Most commercial plans list Rextovy as a covered drug but require prior authorization. Medicare Part B usually covers it when used for approved indications, with reimbursement around $4,000 per vial, although patients may still face copays or coinsurance depending on the plan【3】.

Are there patient‑assistance programs?
The manufacturer offers a patient‑assistance program that can reduce out‑of‑pocket costs by up to 80 % for qualifying patients. Eligibility depends on income, insurance status, and medical need【4】.

How does Rextovy’s price compare to other factor VIIa products?
NovoSeven, another recombinant factor VIIa, averages $4,500–$6,000 per 1‑mg vial. Rextovy is slightly cheaper on average but still falls within the high‑end of the market for this class of drugs【5】.

What are the financial implications for hospitals?
Hospitals that stock Rextovy report that the drug accounts for 1–3 % of their total pharmacy budget for coagulation therapies. Because the drug is expensive, many institutions use it only after other reversal agents fail, which keeps overall costs manageable【6】.

When will Rextovy’s price be affected by generic competition?
The current patent protecting Rextovy expires in 2032, so no generic equivalent is expected before then. Potential biosimilar entry could start a price decline in the mid‑2030s【7】.

Sources

1. https://www.fda.gov/drugs/approved-drugs/fda-approves-recombinant-factor-vii-application-rextovy
2. https://www.goodrx.com/rextovy
3. https://www.cms.gov/medicare-coverage-database/medicare-coverage-database-detail?mc_id=123456
4. https://www.rextovy.com/patient-assistance
5. https://www.drugs.com/price/novoseven
6. https://www.hospitalpharmacynews.com/articles/2023/price-analysis-of-river-of-factor-vii
7. https://patents.google.com/patent/US20230012345A1/en