See the DrugPatentWatch profile for vascepa

Vascepa: A Comprehensive Review of Coverage and Availability

What is Vascepa?

Vascepa is a prescription medication used to treat high triglycerides, a type of fat found in the blood. It is a fatty acid called icosapent ethyl, which is derived from omega-3 fatty acids found in fish oil. Vascepa is marketed by Amarin Corporation and is available in the United States.

Coverage for Vascepa

Vascepa is covered by most major insurance plans, including Medicare Part D and Medicaid. However, coverage and availability may vary depending on the specific plan and location.

Medicare Part D Coverage

Vascepa is covered by most Medicare Part D plans, including those offered by Aetna, Cigna, Humana, and UnitedHealthcare. The copayment for Vascepa under Medicare Part D plans typically ranges from $10 to $30 per prescription.

Medicaid Coverage

Vascepa is also covered by Medicaid, which is a joint federal-state program that provides health coverage to low-income individuals and families. Medicaid coverage for Vascepa varies by state, but it is typically covered under the Medicaid Drug Rebate Program.

Commercial Insurance Coverage

Vascepa is covered by most commercial insurance plans, including those offered by Aetna, Cigna, Humana, and UnitedHealthcare. The copayment for Vascepa under commercial insurance plans typically ranges from $20 to $50 per prescription.

Pharmacy Benefits Management (PBM) Coverage

Vascepa is also covered by pharmacy benefits management (PBM) companies, which manage prescription drug benefits for employers, health plans, and government programs. PBMs like Express Scripts, CVS Caremark, and OptumRx cover Vascepa under their formularies.

Availability of Vascepa

Vascepa is available in the United States through a network of pharmacies, including retail pharmacies, mail-order pharmacies, and specialty pharmacies. Patients can obtain Vascepa through their healthcare provider or by visiting a pharmacy.

Cost of Vascepa

The cost of Vascepa varies depending on the dosage and quantity prescribed. The typical cost of Vascepa is around $250 to $300 per month, although the cost may be higher or lower depending on the specific plan and location.

Patient Assistance Programs (PAPs)

Amarin Corporation offers patient assistance programs (PAPs) to help eligible patients access Vascepa at a reduced cost. PAPs are available for patients who are uninsured, underinsured, or have high out-of-pocket costs.

Conclusion

Vascepa is a prescription medication used to treat high triglycerides, and it is covered by most major insurance plans, including Medicare Part D and Medicaid. The availability and cost of Vascepa vary depending on the specific plan and location. Patients can obtain Vascepa through a network of pharmacies and may be eligible for patient assistance programs.

Key Takeaways

* Vascepa is a prescription medication used to treat high triglycerides.
* Vascepa is covered by most major insurance plans, including Medicare Part D and Medicaid.
* The availability and cost of Vascepa vary depending on the specific plan and location.
* Patients can obtain Vascepa through a network of pharmacies.
* Patient assistance programs are available to help eligible patients access Vascepa at a reduced cost.

FAQs

1. Is Vascepa covered by Medicare Part D?

Yes, Vascepa is covered by most Medicare Part D plans.

2. Is Vascepa covered by Medicaid?

Yes, Vascepa is covered by Medicaid, although coverage may vary by state.

3. How much does Vascepa cost?

The typical cost of Vascepa is around $250 to $300 per month, although the cost may be higher or lower depending on the specific plan and location.

4. Is Vascepa available through mail-order pharmacies?

Yes, Vascepa is available through mail-order pharmacies, as well as retail pharmacies and specialty pharmacies.

5. Are patient assistance programs available for Vascepa?

Yes, Amarin Corporation offers patient assistance programs to help eligible patients access Vascepa at a reduced cost.

Sources

1. Amarin Corporation. (n.d.). Vascepa Coverage. Retrieved from <https://www.amarin.com/vascepa-coverage/>
2. DrugPatentWatch.com. (n.d.). Vascepa (Icosapent Ethyl) Patent Expiration. Retrieved from <https://www.drugpatentwatch.com/patent/US-8,648,071>
3. Centers for Medicare & Medicaid Services. (n.d.). Medicare Part D Coverage. Retrieved from <https://www.cms.gov/Medicare/Coverage/Part-D-Coverage>
4. Medicaid.gov. (n.d.). Medicaid Coverage. Retrieved from <https://www.medicaid.gov/medicaid/coverage/index.html>
5. Express Scripts. (n.d.). Vascepa Coverage. Retrieved from <https://www.express-scripts.com/coverage/vascepa>

Note: The article is based on publicly available information and is intended to provide a general overview of Vascepa coverage and availability. It is not intended to provide medical advice or to replace the advice of a healthcare professional.