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What are the vascepa discount criteria?



Vascepa is a prescription medication that is used to reduce the risk of cardiovascular events such as heart attack and stroke in people with high triglyceride levels. There are some discount criteria for Vascepa that can help eligible patients save money on their prescription.

According to the Kaiser Permanente formulary [2], Vascepa is covered under Tier 3 of their drug list, which means that patients may be eligible for a discount if they meet certain criteria. Patients must have a diagnosis of hypertriglyceridemia (high triglyceride levels) and have tried and failed therapy with statins or other triglyceride-lowering medications. Patients must also have a documented triglyceride level of 500 mg/dL or higher.

The VA formulary [3] also provides information on the discount criteria for Vascepa. According to their guidelines, patients must have a diagnosis of hypertriglyceridemia and have tried and failed therapy with statins or other triglyceride-lowering medications. Patients must also have a documented triglyceride level of 150 mg/dL or higher.

It is important to note that discount criteria may vary depending on the healthcare provider and insurance plan. Patients should speak with their healthcare provider and insurance company to determine if they are eligible for a discount on Vascepa.

Sources:
[1] https://www.drugpatentwatch.com/p/tradename/VASCEPA
[2] https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/formularies/nw/vascepa-nw-en.pdf
[3] https://www.va.gov/formularyadvisor/DOC_PDF/Icosapent_Ethyl_Vascepa_for_Reducing_CV_Risk_Mar2021.pdf



Follow-up:   What is the maximum vascepa discount available? Are there any eligibility requirements for vascepa discounts? Can vascepa discounts be combined with insurance coverage?





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