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Is Ajovy covered by insurance? | How much does Ajovy cost without insurance? | How to get Ajovy without insurance
Ajovy is a brand-name prescription drug used to reduce the incidence and severity of migraine headaches. The active ingredient, fremanezumab-vfrm, is a monoclonal antibody that blocks a molecule, calcitonin peptide, which signals cranial blood vessels to constrict. Each subcutaneous injection is effective for several weeks, so Ajovy is injected either once per month or once every three months. For monthly injections, the dose is 225 mg, but people taking Ajovy once every three months will inject 675 mg. Ajovy can be an expensive brand-name drug. There is no generic equivalent. There are ways, however, to make Ajovy affordable even without health insurance.
Is Ajovy covered by insurance?
Many insurance companies cover Ajovy prescriptions, but they may require prior authorization or that other drugs be tried first. People with Medicare Part D or Medicaid coverage are less likely to have Ajovy coverage.
Health insurance can help, but the out-of-pocket cost is hard to predict. The copay cost will depend on how the insurance company classifies a drug. Ajovy is usually classified in the highest tiers and so will have a high copay. There may be deductibles or coinsurance costs that have to be met, too.
How much does Ajovy cost without insurance?
People without insurance coverage for Ajovy will pay an average retail price of $834 for a 225 mg auto-injector, enough medicine for a single monthly dose. A year of treatment, then, will cost about $10,000 per year.
For people without insurance or who are denied coverage, there may be alternatives, including other drugs that work just like Ajovy, called CGRP inhibitors. These include monoclonal antibody injections similar to Ajovy: Aimovig (erenumab), Vyepti (eptinezumab), and Emgality (galcanezumab). Unfortunately, all cost more than Ajovy.
While over-the-counter medications and supplements may partly relieve migraine symptoms, they are not proven preventive treatments like Ajovy and other prescription treatments.
Compare Ajovy prices to related drugs |
|||
|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Ajovy (fremanezumab) | $834 for 1, 1.5 mL for 225 mg/1.5 mL solution prefilled syringe | $576 for 1, 1.5 mL for 225 mg/1.5 mL solution prefilled syringe of brand-name Ajovy | See updated prices |
| Vyepti (eptinezumab) | No coupon at this time. Check back periodically | More details | |
| Emgality (galcanezumab) | $894 for 1, 1 mL of 120 mg/mL solution auto-injector | $492 for 1, 1 mL of 120 mg/mL solution auto-injector of brand-name Emgality | See updated prices |
| Aimovig
(erenumab) |
$919 for 1, 1 mL of 140 mg/mL solution auto-injector | No coupon at this time. Check back periodically | More details |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs. The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see updated drug prices.
How to get Ajovy without insurance
Patients without health insurance or denied coverage will first be encouraged by their prescriber to enroll in Teva’s patient assistance program. It’s a great solution, but not everyone will be able to meet the eligibility requirements for financial assistance. If the patient assistance program doesn’t work out, here are the most reliable ways to make Ajovy treatment more affordable.
1. Start by using a SingleCare discount card
A SingleCare savings card can immediately reduce the cost of a monthly Ajovy injection to
$576 at participating pharmacies, a savings of about $250 off the average retail price. Over a year, those monthly savings could add up to $3,000.
2. Get health insurance
Consider getting health insurance or switching insurance companies if your insurance plan does not cover Ajovy. For a new health insurance policy, visit the health insurance online marketplace. Consult with an agent to find out if the plan covers Ajovy.
3. Enroll in Medicaid
If a usable health insurance policy is too expensive, the next step is to research your state’s Medicaid eligibility requirements. It is likely that some Medicaid plans will not cover Ajovy or other CGRP antagonists, so check to make sure.
4. Do some price shopping
When other strategies are coming up short, the best solution is to find the lowest pharmacy price for Ajovy. Using SingleCare’s pharmacy finder can help you compare local pharmacy prices that accept SingleCare coupons.
5. Consider switching to other treatments
Ask your healthcare provider about more affordable preventive treatments. Many are available as generic drugs. Keep in mind that they may differ in their effectiveness and side effects, but they have been proven effective at preventing migraines.
