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There isn’t one fixed price for Breztri with Medicare. Your out-of-pocket cost depends on your specific coverage (Medicare Part D plan or Medicare Advantage with Part D), your deductible, where you fill the prescription, and whether you’re in the coverage gap. What usually influences the cost: - Part D formulary tier for Breztri (brand-name drugs often have higher copays) - Your plan’s deductible and whether you’ve already met it - Whether you’re in the “donut hole” or catastrophic coverage - Pharmacy location and any discounts or discounts through the plan How to get an exact estimate: - Use the Medicare Plan Finder: medicare.gov/plan-compare. Enter Breztri and your Part D plan to see your estimated copay for each plan. - Check your plan’s formulary and your individual plan’s cost-share for Breztri. - Ask your pharmacist for the “my retail price” (cash price) and the “member price” with your plan. - If you want a quick reference, you can also check the cash price at local pharmacies or look up price ranges with GoodRx, but note that GoodRx may not reflect your insurer’s price. If you share your ZIP code and whether you have a specific Part D plan (or the name of your Medicare Advantage plan), I can help you walk through Plan Finder or give a more tailored estimate. I can also point you to any manufacturer savings programs that might apply.
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