When it comes to managing diabetes, SOLIQUA 100/33 is a trusted ally. However, navigating the cost of this medication can feel like an unsolved mystery for many. If you’re one of those individuals, fret not. We’ve compiled a comprehensive guide to help you understand the cost of SOLIQUA 100/33 and how your insurance coverage might impact it. Let’s unravel this financial enigma together.
How Much Will You Pay for SOLIQUA 100/33?
The cost of SOLIQUA 100/33 isn’t a fixed sum; it fluctuates depending on several factors such as whether you have prescription drug insurance, the type of insurance, the pharmacy you use, and whether you’ve met your deductible.
For those with commercial insurance provided by an employer, the majority (8 out of 10 patients) can expect to pay between $0-$20 per month for SOLIQUA 100/33, while the remaining 20% will fork out an average of $51 per month. But remember, these figures are averages, and your actual cost may differ based on your unique insurance plan and its specific drug coverage policy.
The Perks of the SOLIQUA 100/33 Savings Card
If you’re insured commercially, you may have an opportunity to save big with the SOLIQUA 100/33 Savings Card. With this card, your co-pay might reduce to as little as $9 for a 30-day supply. That’s a maximum saving of $365 per pack for up to 2 packs each month! If this piques your interest, reach out to 1-855-262-5295 or click online to apply.
Understanding Medicare Part D Coverage
Medicare Part D patients, we haven’t forgotten about you. In 2022, the average out-of-pocket cost for SOLIQUA 100/33 under Medicare Part D was a manageable $39 per month. Moreover, in a boon for the elderly, the Inflation Reduction Act has capped the monthly cost at $35 for seniors under Medicare Part D, as of 2023.
With the new regulation, the frustrating donut hole phase of coverage is no longer a concern. And, if you’re eligible for the Extra Help Medicare program, your costs could shrink even further, to no more than $10.35 for a monthly supply.
What about Medicaid?
For Medicaid patients, the average out-of-pocket cost was just $2 per month in 2022. However, co-pays under Medicaid can vary state by state. To check if you qualify for Medicaid and to find more about your state’s specific co-pays, visit https://www.medicaid.gov/
Costs for Those without Insurance
If you’re uninsured or your insurance doesn’t cover SOLIQUA 100/33, you’ll likely pay the list price plus additional pharmacy charges. However, eligible cash-paying patients could pay as little as $99 per pack. This offer also extends to those with commercial insurance but without coverage for SOLIQUA 100/33. Keep in mind that this is a per pack cost, so if you need 2 packs, your total cost would be $198.
FAQ: Insulin Savings Programs and SOLIQUA 100/33
Under the Inflation Reduction Act, Medicare Part D patients will find some relief. The act caps the monthly cost of insulin, including SOLIQUA 100/33, at $35, regardless of the coverage phase, even the infamous “donut hole.” This means you can expect a predictable, stable co-pay every month. It’s worth noting that this program doesn’t require any additional enrollment. However, GLP-1 RAs aren’t covered under this program.
FAQ: What if My Insurance Coverage Changes?
Should there be any changes to your prescription insurance while you’re on SOLIQUA 100/33, it’s important to notify your pharmacy promptly. With accurate and up-to-date insurance information on file, you can prevent potential delays in receiving your prescription. For those with medications that require regular refills over an extended period, it’s good practice to periodically verify that your pharmacy has your current insurance information.
FAQ: How Can I Benefit from the SOLIQUA 100/33 Co-pay Card?
The SOLIQUA 100/33 Savings Card is designed to offer co-pay savings to eligible individuals. To qualify, you must be 18 years or older and a resident of the United States, Puerto Rico, Guam, or the US Virgin Islands. Note that this offer doesn’t apply to prescriptions covered by or submitted for reimbursement under federal or state programs such as Medicare, Medicaid, VA, DOD, TRICARE, or any state pharmaceutical programs. The savings card can help reduce your out-of-pocket expenses, offering a maximum savings of $365 per pack for up to 2 packs every 30 days. Specific savings may vary depending on your unique out-of-pocket costs. For more detailed information on the program, it’s recommended to register and receive all program details directly.
FAQ: Will My Co-Pay Fluctuate Throughout the Year?
One of the features of the Inflation Reduction Act is the stabilization of the co-pay for seniors on Medicare Part D. The act caps your SOLIQUA 100/33 cost at $35 per month, regardless of the phase of your plan, including the coverage gap or “donut hole”. This means your out-of-pocket expenses will remain consistent throughout the year.
FAQ: Does The Savings Card Apply to All Commercial Insurances?
The SOLIQUA 100/33 Savings Card applies to most commercially insured patients. However, it’s important to note that the offer doesn’t apply to prescriptions covered by or submitted for reimbursement under federal or state programs such as Medicare, Medicaid, VA, DOD, TRICARE, or any state pharmaceutical programs. Always verify with your insurance provider to understand if the Savings Card can be utilized in your specific situation.
FAQ: What if I’m a Resident of Puerto Rico, Guam, or the US Virgin Islands?
As a resident of the United States, Puerto Rico, Guam, or the US Virgin Islands, you’re eligible for the SOLIQUA 100/33 Savings Card program. Remember, you need to be 18 years or older to qualify. However, the benefits can only be utilized for commercially insured prescriptions and do not apply to those covered by or submitted for reimbursement under federal or state programs.
FAQ: Can I Use the Savings Card Multiple Times?
Yes, the SOLIQUA 100/33 Savings Card can be used for multiple prescriptions. It offers savings of up to $365 per pack for up to 2 packs for each 30-day supply. This savings is valid for the duration of the program. However, the specific savings may vary depending on your out-of-pocket costs. Ensure to register for the program to receive all the detailed information.
FAQ: Are There Any Taxes That May Impact the $99 Co-pay?
Certain states, such as Illinois (IL) and Louisiana (LA), have specific taxes that may impact the $99 co-pay for SOLIQUA 100/33. This means that even if you qualify for the $99 per pack cost, local taxes might cause a slight increase in the final cost. Always consult with your pharmacy or healthcare provider for a more accurate estimate of your out-of-pocket expenses.
FAQ: What Happens If SOLIQUA 100/33 Isn’t Covered Under My Insurance?
If your insurance doesn’t cover SOLIQUA 100/33, there are still options for reducing your out-of-pocket costs. The SOLIQUA 100/33 Savings Card can be utilized by patients who have commercial insurance but lack prescription coverage for this specific medication. By using this card, you may be able to lower your expenses to as little as $99 per pack.
FAQ: How Do I Apply for the SOLIQUA 100/33 Savings Card?
To apply for the SOLIQUA 100/33 Savings Card, you can call 1-855-262-5295, or apply online through the manufacturer’s website. The process is straightforward, and upon successful registration, you’ll receive the program’s full details. Remember, you must meet the eligibility criteria to qualify for this program.
FAQ: What is the ‘Donut Hole’ in Medicare Part D?
The ‘donut hole’ is a coverage gap within many Medicare Part D prescription drug plans. During this phase, you might be responsible for a higher portion of your prescription drug costs. With the implementation of the Inflation Reduction Act, Medicare Part D patients will enjoy a capped monthly cost of $35 for SOLIQUA 100/33, even during the ‘donut hole’ phase, bringing more predictability to their medication costs.
FAQ: How Can I Qualify for the Extra Help Medicare Program?
The Extra Help program is a federal initiative designed to assist individuals with limited income and resources to pay for prescription drugs under Medicare. Eligibility for Extra Help depends on your income and resources. If you qualify, your monthly cost for SOLIQUA 100/33 could be as low as $10.35. Visit the official Medicare website or your local Social Security office for more details on how to apply.
FAQ: What If I’m Uninsured? Can I Still Get SOLIQUA 100/33?
Being uninsured doesn’t necessarily mean SOLIQUA 100/33 is out of reach. While you may have to pay the list price and any additional pharmacy charges, you might be eligible to pay as little as $99 per pack using the SOLIQUA 100/33 Savings Card. However, the final cost can vary from pharmacy to pharmacy, so it’s beneficial to shop around for the best price.