"Expense of Xtandi in 2025: Discount Coupons and Additional Savings Strategies"
Xtandi (enzalutamide) is a brand-name prescription medication approved by the FDA to treat castration-resistant prostate cancer and a type of metastatic prostate cancer [6]. The cost of this medication can vary significantly, depending on several key factors.
One of the most influential factors is insurance coverage. Whether and how much insurance covers Xtandi greatly affects out-of-pocket costs. Different plans may place Xtandi in various formulary tiers, affecting copayments or coinsurance rates [1][3][5]. It's crucial to note that if you start treatment without prior authorization from your insurance company, you could pay the full cost of the medication [1].
Another factor that impacts the cost is the pharmacy location and type. Where the medication is filled matters; costs can vary if obtained from retail pharmacies versus mail-order pharmacies and depending on network participation [1][3][5].
Xtandi may be classified into different formulary tier placements such as preferred brand, non-preferred, or specialty drug tiers. A higher tier usually means more patient cost-sharing (e.g., coinsurance percentages or copays) [3][5].
Quantity and supply duration also play a role in the cost. Larger or extended supplies (e.g., 30 days vs. 90 days) might affect total or per-dose cost and what cost-sharing applies [3].
Additional payment assistance eligibility can reduce the effective cost for patients. Programs such as the Xtandi Support Solutions, the Xtandi Patient Savings Program, and resources like the Medicine Assistance Tool and NeedyMeds can help manage Xtandi copay or provide financial aid [3].
Geographic location can also cause cost variation due to regional differences in pharmacy pricing and insurance formularies [1].
To find out if Xtandi is covered by Medicare, contact your specific Medicare plan provider [7]. The cost of the 40-milligram (mg) strengths of Xtandi oral capsules and oral tablets may vary depending on factors such as insurance and prescription drug coverage [1].
To learn more about Xtandi's cost and other aspects, refer to additional articles about Medicare drug coverage, Xtandi, prostate cancer, and the Medicare drug list [8]. If you don't have health insurance, talk with your doctor or pharmacist about online pharmacy options [2]. It's essential to be well-informed about the costs associated with Xtandi to make the best decisions for your health and finances.
[1] https://www.goodrx.com/xtandi [2] https://www.healthcare.gov/medicare-and-you/part-d/how-does-part-d-work/ [3] https://www.xtandi.com/support/financial-assistance [4] https://www.needymeds.org/ [5] https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/ [6] https://www.fda.gov/drugs/information-drug-class/xtandi [7] https://www.medicare.gov/find-a-plan/questions/drug-coverage.aspx [8] https://www.cancer.net/navigating-cancer-care/financial-considerations/managing-costs-cancer-treatment/medicare-coverage-prostate-cancer-treatments
- It's crucial to check your insurance coverage for Xtandi, as this can significantly influence the out-of-pocket costs you might incur.
- The pharmacy location and type also impact the cost of Xtandi; the total or per-dose cost may vary based on whether you obtain it from a retail or a mail-order pharmacy.
- Xtandi can be categorized into different formulary tier placements such as preferred brand, non-preferred, or specialty drug tiers, which might affect your cost-sharing, such as coinsurance percentages or copays.
- Geographic location can cause cost variation due to regional differences in pharmacy pricing and insurance formularies, so it's essential to consider this factor when estimating your cost for Xtandi.
