Does Medicare Cover Cellcept?

Christian Worstell
In this article...
  • Cellcept, a prescription drug used to prevent organ rejection following a transplant, may be covered by Medicare. Learn about the potential costs of Cellcept.

For people who have had an organ transplant, Cellcept works by preventing the immune system from rejecting the transplanted organ. According to, Cellcept isn't typically covered by Medicare prescription drug plans. Some Medicare plans may cover Cellcept, which is a brand-name drug, if it's medically necessary. The generic alternative to Cellcept, mycophenolate, is covered by 100% of Medicare drug plans

What is Cellcept Used For?

Cellcept is an immunosuppressive drug given to individuals who have had a heart, kidney or liver transplant. It prevents the body's immune system from attacking the new organ to reduce the chance of organ rejection. There are serious risks with taking this drug, including increased risk of infection, which should be discussed thoroughly with the prescriber. 

Cellcept Side Effects

Cellcept may cause drowsiness, confusion, dizziness and shaking, so you shouldn't drive or operate heavy machinery until you know how the medication affects you.

Due to increased infection risk, you shouldn't have vaccinations while taking Cellcept. Serious side effects that require immediate medical attention include chest pain, rash, difficulty breathing and fever. 

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How Much Does Cellcept Cost With Medicare? 

Cellcept isn't typically covered by Medicare unless medically necessary. Your doctor will need to submit a request to your Medicare plan asking for Cellcept coverage. If you're approved for coverage, you'll pay higher out-of-pocket costs for Cellcept that are comparable to drugs on Tier 4 or Tier 5 of your drug plan; costs may exceed $1,200 for a 30-day supply. 

The generic alternative, mycophenolate, is less expensive than Cellcept and usually offered on Tier 2 of Medicare prescription drug plans. Average co-pays for mycophenolate range from $0 to $20. Some Medicare beneficiaries may qualify for Extra Help with prescription drug costs or Medicaid, which could result in zero out-of-pocket costs for the generic version of Cellcept. 

Christian Worstell
About the Author

Christian Worstell is a senior Medicare and health insurance writer with He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

While at HelpAdvisor, Christian has written hundreds of articles that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. You can find Christian’s most recent articles in our blog.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at

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