Rexulti and cost

Rexulti cost

As with all medications, the cost of Rexulti (brexpiprazole) can vary. Factors that may affect the price you’ll pay include:

• your treatment plan
• your insurance coverage
• the pharmacy you use
• whether Rexulti has a savings program you are eligible for

To find out what the cost of Rexulti will be for you, talk with your doctor, pharmacist, or insurance provider.

Note: If you have insurance, your insurance company may require prior authorization before it covers Rexulti. This means the company and your doctor will discuss Rexulti 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 Rexulti requires prior authorization.

Common questions about cost and Rexulti

Here are answers to some frequently asked questions about drug cost and Rexulti.

How much does Rexulti cost with insurance versus without insurance?

Typically, the cost of a medication is higher without insurance than with insurance. However, the cost of Rexulti with insurance versus without insurance depends on your individual situation.

For example, your cost may depend on the strength of Rexulti you’re prescribed for your condition. Rexulti tablets are available in strengths of 0.25 milligrams (mg), 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg.

The cost per month for Rexulti with insurance could also depend on your plan. For example, you may have a copay (a fixed amount you pay) for the medication. Or you may have to pay a percentage of the cost of the medication.

Other factors that may affect your cost include:

• the pharmacy you choose
• whether you get a 30-day or 90-day supply of Rexulti
• your Rexulti dosage
• eligibility for cost saving programs

To learn more about your cost for Rexulti, ask your insurance provider, pharmacist, or doctor for more information.

Does Rexulti have a copay card or another copay savings option?

Yes. While it’s not called a copay card, the Rexulti Savings Card may provide some copay assistance if you have private insurance coverage.

If you don’t have insurance coverage, you may still be able to save on the cost of Rexulti. The manufacturer of Rexulti has a patient assistance program you might be eligible for. You can visit the program website to learn more.

For more information on cost savings options that may be available, see the “Financial and insurance assistance” section.

How much does Rexulti cost with Medicare?

It depends on your plan’s coverage. Rexulti’s manufacturer provides an estimate of the drug’s cost with Medicare and other details on the drug’s website.

If you have Medicare Part D prescription insurance with a high deductible, note that there’s no separate high deductible savings card for Rexulti. You can contact your Medicare plan provider to learn what your cost for Rexulti will 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 also be able to provide information about your cost for Rexulti if you have Medicare.

Brand-name vs. generic drugs

Currently, Rexulti is only available as a brand-name drug. The Food and Drug Administration (FDA) has approved a generic version of Rexulti. However, this generic is not yet available to prescribe.

A generic drug contains 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 produce generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as their brand-name versions, they don’t require the same costly testing.

Ways to reduce long-term drug costs

If you take Rexulti 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 Rexulti. 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

Rexulti 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.

Financial and insurance assistance

If you need financial support to pay for Rexulti, or if you need help understanding your insurance coverage, help is available. For example:

• The manufacturer of Rexulti offers a savings card that can help with the cost of the drug if you have private insurance coverage. For more information and to find out whether you’re eligible, call 844-415-0674 or visit the manufacturer’s website.
• If you don’t have insurance, you may be able to save on your prescription through the Otsuka Patient Assistance Foundation.
• You may be able to find drug coupons on prescription discount websites that can reduce the cost of your medication. These coupons cannot be used with insurance copays or benefits, but the discounted price may be lower than what you would pay through insurance.
• 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:
  • Medicine Assistance Tool
  • NeedyMeds

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.