The price you pay for Izervay may depend on factors such as whether you have health insurance. Financial assistance may be available to help you with the cost of Izervay.
Several factors can affect the price you’ll pay for Izervay. These include:
- your treatment plan
- your insurance coverage
- the cost of the visit to your healthcare professional to receive doses of Izervay
- available financial assistance for Izervay (see the “Financial and insurance assistance” section)
To find out your cost for Izervay, talk with your doctor or insurance provider.
Izervay only comes as a brand-name drug. It’s not currently available in a generic version. A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less.
Why is there such a cost difference between brand-name drugs and generics?Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.
If you need financial support to pay for Izervay or help understanding your insurance coverage, assistance is available. For example:
- A program called Izervay My Way is available for Izervay. For more information and to find out whether you’re eligible for support, call 888-256-9929 or visit the manufacturer’s website.
- 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:
Learn more about saving money on prescriptions with or without insurance.
Here are answers to some commonly asked questions about Izervay’s cost.
How does Izervay’s cost compare with that of similar drugs, such as Syfovre?
The price you may pay for Izervay versus that of pegcetacoplan (Syfovre) depends on various factors.
Factors that can affect your prescription cost include:
- the length of your treatment
- whether there are payment assistance programs for your prescribed treatment
- whether you’re paying out of pocket or have insurance
To learn more about the cost of Izervay compared with other treatments for your condition, including Syfovre, talk with your doctor or insurance provider.
Does Medicare cover Izervay injections?
It might. 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.
The total price you pay for Izervay may also depend on the cost to receive injections at your doctor’s office or clinic. 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 Izervay if you have Medicare.
You may want to consider the following information if you have insurance and receive Izervay.
Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Izervay. This means the company and your doctor will discuss the drug in regard to your treatment. The insurance company will then determine whether Izervay 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 Izervay requires prior authorization.
Type of insurance coverage: Izervay is given by your doctor or another healthcare professional. If you have insurance, the price of your Izervay doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Izervay doses, such as at your doctor’s office, an infusion clinic, or a hospital. If you have questions about this process, contact your doctor or your insurance provider.
Disclaimer: Healthline 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.