See the DrugPatentWatch profile for vascepa

Can I Receive Vascepa Assistance if I Have Insurance?

Understanding Vascepa and its Benefits

Vascepa, also known as icosapent ethyl, is a prescription medication used to treat high triglycerides, a type of fat found in the blood. It is often prescribed for patients with severe hypertriglyceridemia, a condition characterized by extremely high levels of triglycerides. Vascepa has been shown to reduce triglyceride levels by up to 32% and has been approved by the FDA for use in patients with severe hypertriglyceridemia.

The Cost of Vascepa: A Barrier to Access

Despite its benefits, Vascepa can be a costly medication, with a monthly price tag of around $300-$400. This can be a significant burden for many patients, especially those with limited financial resources. As a result, many patients may struggle to access this medication, even with insurance coverage.

Insurance Coverage for Vascepa: What You Need to Know

Fortunately, many insurance plans, including Medicare and Medicaid, cover Vascepa. However, the extent of coverage can vary depending on the specific plan and the patient's individual circumstances. Here are some key factors to consider:

* Formulary status: Vascepa is typically listed on the formulary of many insurance plans, which means it is covered as a Tier 2 or Tier 3 medication. This means that patients may need to pay a copayment or coinsurance for the medication.
* Deductible and copayment: Patients may need to meet their deductible before coverage kicks in, and then pay a copayment or coinsurance for each prescription.
* Prior authorization: Some insurance plans may require prior authorization before covering Vascepa, which means that the patient's doctor must obtain approval from the insurance company before prescribing the medication.
* Step therapy: Some insurance plans may require patients to try a less expensive medication before covering Vascepa.

How to Get Vascepa Assistance if You Have Insurance

If you have insurance and are struggling to access Vascepa, here are some steps you can take:

* Check your insurance plan: Review your insurance plan to see if Vascepa is covered and what the copayment or coinsurance is.
* Contact your doctor: Discuss your insurance coverage with your doctor and ask if they can help you navigate the process.
* Contact the manufacturer: Amarin, the manufacturer of Vascepa, offers a patient assistance program that can help eligible patients access the medication.
* Use online resources: Websites like DrugPatentWatch.com provide information on medication prices and insurance coverage, which can be helpful in navigating the process.

A Word of Caution

While insurance coverage can help make Vascepa more accessible, it is essential to remember that coverage can change, and patients should always review their insurance plan and medication coverage regularly.

Conclusion

Vascepa is a valuable medication for patients with severe hypertriglyceridemia, but its high cost can be a significant barrier to access. While insurance coverage can help, it is essential to understand the specifics of your insurance plan and to take steps to navigate the process. By working with your doctor, insurance company, and manufacturer, you can increase your chances of accessing this life-changing medication.

Frequently Asked Questions

1. Is Vascepa covered by Medicare?

Yes, Vascepa is covered by Medicare Part D, but the extent of coverage can vary depending on the specific plan and the patient's individual circumstances.

2. Is Vascepa covered by Medicaid?

Yes, Vascepa is covered by Medicaid, but the extent of coverage can vary depending on the specific plan and the patient's individual circumstances.

3. How do I know if my insurance plan covers Vascepa?

You can check your insurance plan or contact your insurance company to see if Vascepa is covered and what the copayment or coinsurance is.

4. What is the patient assistance program for Vascepa?

Amarin, the manufacturer of Vascepa, offers a patient assistance program that can help eligible patients access the medication. Patients can contact the manufacturer or visit their website for more information.

5. Can I get help paying for Vascepa if I don't have insurance?

Yes, there are several organizations that offer assistance programs for patients who don't have insurance or are struggling to pay for medication. Patients can contact these organizations or visit their websites for more information.

Sources

1. Amarin Corporation. (n.d.). Vascepa Patient Assistance Program. Retrieved from <https://www.amarin.com/patient-assistance-program/>
2. DrugPatentWatch.com. (n.d.). Vascepa (Icosapent Ethyl) Patent Expiration. Retrieved from <https://www.drugpatentwatch.com/patent/US-8,648,048>
3. FDA. (2013). Vascepa Prescribing Information. Retrieved from <https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/022333s000lbl.pdf>
4. Medicare.gov. (n.d.). Medicare Coverage of Vascepa. Retrieved from <https://www.medicare.gov/coverage/vascepa>
5. Medicaid.gov. (n.d.). Medicaid Coverage of Vascepa. Retrieved from <https://www.medicaid.gov/coverage/vascepa>