Cabometyx (cabozantinib) is a brand-name oral tablet prescribed for certain types of cancer in adults and some children. The cost of the drug, with and without insurance, can depend on several factors.
As with all medications, the cost of Cabometyx can vary. Factors that may affect the price you’ll pay include:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- whether Cabometyx has a savings program (see the “Financial and insurance assistance” section)
To find out what the cost of Cabometyx will be for you, talk with your doctor, pharmacist, or insurance provider.
Here are answers to some frequently asked questions about drug cost and Cabometyx.
How much does Cabometyx cost with insurance?
If you have insurance, your cost for Cabometyx depends on factors such as:
- your particular plan benefits, including your drug copay amount
- your dosage of the drug
- whether you apply and qualify for a savings program
Note that Cabometyx oral tablet comes in three different strengths: 20 milligrams (mg), 40 mg, and 60 mg. It’s possible that Cabometyx prices vary by tablet strength.
To find out how much Cabometyx will cost you with insurance, contact your insurance provider, doctor, or pharmacist.
You can visit Optum Perks for price estimates for several medications. However, Optum Perks coupons cannot be used with any insurance benefits or copays. (Optum Perks is a sister site of Medical News Today.)
Is Cabometyx covered by Medicare?
It may be. You can call your Medicare plan provider to learn whether your particular plan covers the cost of this drug. There are many types of Medicare plans, so your coverage and what you pay for prescriptions will be based on your particular plan’s benefits.
You may also need to obtain prior authorization before your plan will cover the cost of this medication.
Your doctor may have information about your cost for Cabometyx if you have Medicare.
Cabometyx is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active ingredient in a brand-name medication. Generics tend to cost less than brand-name drugs.
WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.
If you take Cabometyx long term, you may be able to lower its cost in the following ways.
Getting a 3-month supply
You may be able to get a 90-day supply of Cabometyx. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.
Using a mail-order pharmacy
Cabometyx may be available through a mail-order pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via mail order.
If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you need financial support to pay for Cabometyx or help understanding your insurance coverage, help is available. For example:
- The EASE Co-Pay Program is available for Cabometyx. For more information and to find out whether you’re eligible for support, call 844-900-3273 or visit the program website.
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
To learn more about saving money on prescriptions with or without insurance, check out this article.
Below is information you may want to consider if you have insurance and receive Cabometyx.
If you have insurance, your insurance company may require prior authorization before it covers Cabometyx. This means the company and your doctor will discuss Cabometyx in regard to your treatment. The insurance company will then determine whether the medication is covered.
If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Cabometyx requires prior authorization.
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.