Repatha Cost for Medicare

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  • Rapatha is a popular medication used to lower bad cholesterol in adults with cardiovascular disease. You may be able to get Rapatha under Medicare Part D.

Repatha is a popular medication used to lower bad cholesterol in adults with cardiovascular disease. The medication helps reduce the risk of heart attack and stroke by lowering bad cholesterol levels, and it’s sometimes used in conjunction with other cholesterol medications.

Is Repatha Covered by Medicare?

Repatha is covered by most Medicare benefit plans under Medicare Part D, which is the prescription drug benefit. Repatha is a self-injected medication that’s purchased at a retail pharmacy, so it falls under Medicare drug coverage guidelines. Actual coverage will depend on your plan’s list of covered medications.

Coverage cost for the drug varies based on plans. Some Medicare recipients will pay a lower price if they qualify for a low-income subsidy while others will have coverage applied to the list price of the drug. Additionally, some Medicare recipients will fall in between and pay a reduced price that is lower than the list price and higher than the subsidized price.

Is Repatha Covered Under Medicare Part B?

If Rapatha is given in a doctor’s office or at a clinic, it may be covered by Medicare Part B. If it’s administered during an inpatient stay at a hospital or skilled nursing facility, Medicare Part A may cover the costs.

How Does Repatha Work?

Cholesterol is a healthy substance produced by the body that lubricates the cardiovascular system. It helps in blood and nutrient flow throughout your body. However, there are two types of cholesterols called high-density lipoproteins and low-density lipoproteins or HDL and LDL. When HDL and LDL levels are imbalanced in the body, serious problems can occur.

Too much LDL cholesterol in the body can reduce blood flow and increase blood pressure, increasing the risk of heart attack or stroke. For many people, adjustments in diet and exercise can help, but for others where too much LDL is produced naturally, Repatha can help.

Repatha helps the liver lower LDL cholesterol levels by limiting a specific protein in the liver that prevents it from doing its job. It’s administered as a subcutaneous injection every two weeks or once a month. It’s provided as a single-dose autoinjector, and the proper dosage is determined by your doctor.

How Can I Get Free Repatha?

You can enroll in the RepathaReady program by going to www.repatha.com/repatharead-services/ or by calling 1-844-REPATHA. For adults enrolled in Medicare Extra Help or Medicare Low Income Subsidy, you’ll pay no more than $10 per month for Repatha.

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