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Myrbetriq savings guide

Easy ways to lower the cost of your OAB medication
A prescription bottle with several $20 bills: Myrbetriq savings guide

Key takeaways

  • A 30-day supply of Myrbetriq (30, 50 mg extended-release oral tablets) costs an average of $625 without insurance or discounts.

  • You can lower the out-of-pocket cost of Myrbetriq with SingleCare coupons, financial assistance programs, Medicare, Medicaid, or private insurance.

  • Cheaper Myrbetriq alternatives include generic drugs such as oxybutynin and tolterodine.

Myrbetriq (mirabegron) is a brand-name oral prescription medication that is approved by the Food and Drug Administration (FDA) to treat overactive bladder (OAB) symptoms. Myrbetriq works by relaxing the main bladder muscle to alleviate urinary incontinence and urinary frequency. Like most brand-name drugs, Myrbetriq can be pricey, especially for those who are uninsured or underinsured. Fortunately, SingleCare coupons, financial assistance programs, and other cost-cutting strategies can help reduce the out-of-pocket cost of a Myrbetriq prescription. 

How much does Myrbetriq cost?

Without insurance or discounts, the average cash price of Myrbetriq is $625 for 30, 50 mg extended-release oral tablets. This comprises a one-month supply based on standard dosage. However, drug prices vary by pharmacy, and you may pay less with insurance or financial assistance.  

Does insurance cover Myrbetriq?

Myrbetriq is typically covered by insurance, but coverage varies by plan, and some plans may require you to try lower-cost medications before they’ll cover Myrbetriq. “Even when covered, copays can differ significantly depending on the plan,” says JaLorean Hayes, a registered nurse, public health consultant, and founder of Hayes Global Health Strategies. 

Medicare typically covers Myrbetriq “without any restrictions,” according to Troy Alexander-El, MD, a board-certified internal medicine physician in Chicago, Illinois. Conversely, she says Medicaid coverage normally requires prior authorization and step therapy. Prior authorization, or preauthorization, is when a health insurance provider requires documentation from a healthcare professional that the treatment is medically necessary. Step therapy is a process that involves patients trying at least one cheaper medication before moving onto a more expensive drug like Myrbetriq. 

Ultimately, the only way to know how much your Myrbetriq prescription will cost with insurance is to contact your insurance plan. If you are not insured, check your eligibility for savings opportunities like prescription discount cards or patient assistance programs. 

How to save money on Myrbetriq

If you need help paying for Myrbetriq, check your eligibility for these discounts and savings programs.

1. Myrbetriq coupons from SingleCare

Using Myrbetriq coupons from SingleCare could reduce the cost of Myrbetriq by hundreds of dollars per month. With a coupon or your SingleCare prescription discount card, you can expect to pay $452 instead of $625 for 30, 50 mg 24-hour extended-release tablets—a one-month supply of Myrbetriq. Prices vary by quantity, pharmacy, and location.

You can save even more with a SingleCare coupon for generic mirabegron, which costs $187 for 30, 50 mg 24-hour extended-release tablets. 

To access these savings, type in the name of your medication in the search field of the SingleCare website or app. Next, compare the prices shown at pharmacies near you, and ask your healthcare provider to send your prescription to that pharmacy. If your prescription has already been sent to a different pharmacy, your chosen pharmacy can easily initiate the transfer of your prescription from the other pharmacy. Once you’re ready to pay, show your SingleCare prescription discount card or Myrbetriq coupon, and they’ll charge you the SingleCare price. 

It’s important to know that while people with health insurance can use SingleCare coupons, they cannot use the coupon in addition to billing insurance. You must choose between lowering the cash price with a coupon or using insurance coverage, whichever is cheaper.

2. Medicare Extra Help

Medicare’s Extra Help program, also known as the Low-Income Subsidy (LIS), helps eligible Medicare Part D beneficiaries pay their plan premiums and drug costs. Those accepted into the Extra Help program pay less for brand-name prescriptions like Myrbetriq.

3. Manufacturer savings

Astellas Pharma U.S., Inc. offers a Myrbetriq copay card for people with commercial insurance, but there’s a maximum savings of $840 per year. Patients are still responsible for the first $20, plus any amount over $90 for each prescription. Not everyone is eligible for the program.

4. Healthcare provider samples

“Occasionally, if the medication is prescribed by a specialist such as a urologist, they may have free samples,” Dr. Alexander-El says. Free samples aren’t a long-term savings strategy, but they are a helpful way to trial the medication to find out if it might be worth paying for a prescription. Ask your prescribing healthcare provider if they have free samples at your next medical appointment for OAB.

5. Comparison shopping

Drug prices can vary from pharmacy to pharmacy, so comparing costs before filling your first Myrbetriq prescription is a good idea. Make sure to compare the costs of a 30-day supply versus a 90-day supply as well. You may find that you’ll pay less per tablet when purchasing the larger volume. 

Is there a cheaper alternative to Myrbetriq?

Myrbetriq isn’t the only FDA-approved overactive bladder treatment. There are several Myrbetriq alternatives your healthcare provider may recommend that may be less expensive for those without insurance. 

Dr. Alexander-El says that Gemetesa (vibegron) is the most similar to Myrbetriq based on the mechanism of action. However, Gemtesa is also a brand-name prescription drug that costs $689 for 30, 75 mg tablets. It is only likely to be cheaper than Myrbetriq if you have an insurance plan that covers Gemtesa over Myrbetriq. 

Cheaper alternatives include OAB drugs that are available in generic form. These include oxybutynin, tolterodine, and solifenacin, all antimuscarinic agents, which have an efficacy of 65%–70% in reducing major OAB symptoms. “Oxybutynin would be the cheaper alternative. It can have side effects such as dry eyes or dry mouth. The long-acting formulation usually has fewer side effects than the immediate-release,” Dr. Alexander-El says.

Current retail prices, before insurance or discounts, for a one-month supply of these generic OAB treatments are as follows:

Bottom line

While there are cheaper alternatives to Myrbetriq, it’s important to seek personalized medical advice about the best treatment for your OAB symptoms. The best prescription for you may depend on your medical history, past allergic reactions, other health conditions such as high blood pressure, other medications you’re taking, and insurance coverage.

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