{"id":630858,"date":"2024-12-31T13:20:43","date_gmt":"2024-12-31T18:20:43","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630858"},"modified":"2026-01-13T17:22:05","modified_gmt":"2026-01-13T22:22:05","slug":"is-aimovig-covered-by-medicaid","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/is-aimovig-covered-by-medicaid\/","title":{"rendered":"Is Aimovig covered by Medicaid?"},"content":{"rendered":"

With the pain, sensitivity to light, nausea, and vision disturbances, migraines can derail an entire day and keep you bedridden for hours on end. That\u2019s why <\/span>Aimovig<\/span><\/a> (erenumab-aooe) comes as such a reassurance. It\u2019s the first prescription drug approved by the Food and Drug Administration (FDA) to prevent migraines before they strike, and clinical trials have proven its ability to reduce monthly migraine days. <\/span>That effectiveness doesn\u2019t always come cheap, though. Fortunately, Medicaid may cover <\/span>Aimovig<\/span><\/a>, but coverage varies by state and plan. Here are the important details.<\/span><\/p>\n

Does Medicaid cover Aimovig?<\/span><\/h2>\n

Most people who have some type of health insurance receive coverage for Aimovig. In fact, the manufacturer of Aimovig, <\/span>Amgen Inc.<\/span><\/a>, says 87% of patients with a commercial insurance plan, Medicare, or Medicaid have coverage for Aimovig. However, Amgen doesn\u2019t indicate just how much coverage these insured individuals receive.<\/span><\/p>\n

Every plan is different, and states determine their own criteria for Medicaid coverage. So while one state\u2019s Medicaid program may cover Aimovig, another\u2019s may not. Chances are, Medicaid will cover it, but you\u2019ll need to check your plan\u2019s formulary to be sure.<\/span><\/p>\n

RELATED: <\/b>Does Medicare cover Aimovig?<\/b><\/a><\/p>\n

Factors influencing Medicaid coverage of Aimovig\u00a0<\/span><\/h2>\n

Individuals who haven\u2019t yet enrolled in Medicaid need to make sure they\u2019re eligible first. Eligibility requirements vary by state, but qualified applicants typically need to have a household income below a certain threshold. The Centers for Medicare and Medicaid Services publishes <\/span>state overviews<\/span><\/a>, which you can use to find the income requirements and other details about your state\u2019s Medicaid program.\u00a0<\/span><\/p>\n

But let\u2019s say you already have Medicaid, and your plan covers Aimovig. That\u2019s a great start, but it doesn\u2019t mean you\u2019ll automatically get your medication for free. Not every plan covers it 100%, so you might still have copays, or you might need to meet a deductible before your coverage kicks in.<\/span><\/p>\n

\u201cIn some cases, Aimovig is covered by Medicaid without contractual obligation but still may need prior approval through a formulary exception,\u201d says John Lowe, MD, a physician in private practice in Ogden, Utah. This is called <\/span>prior authorization<\/span><\/a>, and depending on the plan, the prescribing healthcare provider may need to provide some documentation of the patient\u2019s symptoms or other treatments they\u2019ve tried. You may also have to complete step therapy, which means trying other medications before Aimovig.<\/span><\/p>\n

The <\/span>Aimovig dosage<\/span><\/a> prescribed might play a role, too. \u201cCertain plans can avoid providing coverage for certain strengths such as <\/span>70 mg or 140 mg<\/span><\/a> monthly,\u201d Dr. Lowe says.<\/span><\/p>\n

All this information is available in your plan\u2019s formulary, a list that shows how it covers each drug. These formularies typically classify the medications as preferred or nonpreferred. Preferred drugs are often covered more comprehensively, while nonpreferred ones are more likely to have prior authorization or step therapy requirements.<\/span><\/p>\n

How much does Aimovig cost?<\/span><\/h2>\n

Without using insurance or Medicaid, the average out-of-pocket cost of Aimovig is around $1,035 per 1 mL of 140 mg\/mL autoinjector pen. It\u2019s a once-monthly subcutaneous injection, so each pen constitutes a one-month supply. Still, over the course of a full year, that full price can add up to over $12,000.<\/span><\/p>\n

As a biologic medication, Aimovig can be expensive, but it\u2019s important to note that $1,035 isn\u2019t a set-in-stone price, and most people don\u2019t pay that amount. Your Aimovig price could depend on the dosage prescribed, as well as your location and pharmacy. <\/span>Prices can change significantly between pharmacies<\/span><\/a>, even ones in the same town.<\/span><\/p>\n

Costs of Aimovig with Medicaid<\/span><\/h3>\n

Every prescription drug plan has policies on cost sharing, where the insurer pays a certain percentage, and the beneficiary is responsible for the rest, in the form of copays and coinsurance. And plans can have different policies for different drugs.<\/span><\/p>\n

Even though it\u2019s a pricier brand-name drug, Amgen says <\/span>99% of Medicaid beneficiaries pay less than $10 per month<\/span><\/a> in cost-sharing for their prescriptions, and the other 1% pay an average of $128. But again, it depends on the particular plan and state.<\/span><\/p>\n

For example, <\/span>Illinois\u2019 preferred drug list<\/span><\/a> (PDL) classifies Aimovig as a preferred drug that requires prior authorization, and the <\/span>Medicaid copay for brand-name drugs is $3.90<\/span><\/a>. By comparison, <\/span>Florida lists Aimovig as a preferred drug<\/span><\/a>, too, but it doesn\u2019t require prior authorization and charges a maximum of <\/span>$7.50 in coinsurance per prescription drug<\/span><\/a>. Prices are subject to change.<\/span><\/p>\n

Ways to get discounts on Aimovig<\/span><\/h2>\n

Many health plans might cover Aimovig, but it\u2019s still not guaranteed, which might have you lining up your backup plans. Fortunately, there are <\/span>a few other ways to save money<\/span><\/a>.<\/span><\/p>\n

One of the easiest ways to save is by using a <\/span>SingleCare prescription discount card<\/span><\/a>. Just show it to your pharmacist when you\u2019re paying for your prescription. Savings vary by pharmacy, but you could pay $768 instead of $1,035 per Aimovig pen with a <\/span>SingleCare coupon for Aimovig<\/span><\/a>. Just know that you can\u2019t use these coupons on top of Medicaid coverage.<\/span><\/p>\n

Or, go straight to the source. Aimovig\u2019s manufacturer (Amgen) offers a couple of assistance programs that can help make the drug\u2019s price more manageable. The <\/span>Amgen Safety Net Foundation<\/span><\/a> provides free medications to patients who show financial need, and you may be eligible even if you have Medicaid.<\/span><\/p>\n

If you\u2019re struggling to pay for your migraine medications, don\u2019t hesitate to talk to your healthcare provider. They often know ways to make medication more affordable and may even be able to recommend <\/span>Aimovig alternatives<\/span><\/a>.\u00a0<\/span><\/p>\n

The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Jan. 13, 2026. Prices vary by pharmacy. Visit our <\/span><\/i>Aimovig coupon page<\/span><\/i><\/a> for updated Aimovig prices near you.<\/span><\/i><\/small><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"

With the pain, sensitivity to light, nausea, and vision disturbances, migraines can derail an entire day and keep you bedridden for hours on end. That\u2019s why Aimovig (erenumab-aooe) comes as such a reassurance. It\u2019s the first prescription drug approved by the Food and Drug Administration (FDA) to prevent migraines before they strike, and clinical trials […]<\/p>\n","protected":false},"author":15,"featured_media":630859,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4343,15103,16,4316],"coauthors":[8861],"class_list":["post-630858","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-brand-name-drugs","tag-drug-pricing","tag-medicaid","tag-migraine","wpautop"],"acf":[],"yoast_head":"\nIs Aimovig covered by Medicaid?<\/title>\n<meta name=\"description\" content=\"Aimovig is covered by many Medicaid plans, but coverage varies by state. 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