How much is Xiidra without insurance?

Is Xiidra covered by insurance? | How much does Xiidra cost without insurance? | How to get Xiidra without insurance

Xiidra is a prescription drug known by its generic name, lifitegrast ophthalmic solution. It comes as an eye drop solution and treats dry eye disease, which includes eye irritation and blurred vision. Unlike over-the-counter lubricant eye drops, Xiidra helps directly target inflammation that may contribute to the condition. 

While it can be an effective prescription eye drop for symptoms of dry eye disease, the cost of Xiidra can be a barrier for some people, especially those without insurance coverage—a 30-day supply of the medication is typically priced at over $500. Cost-saving options may be available through various discounts, Xiidra coupons, or assistance programs that may help reduce the out-of-pocket expenses for the medication.

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What is the generic for Xiidra?

Novartis Pharmaceuticals Corporation manufactures Xiidra as a brand-name medication without a generic version currently available. Generic drugs are typically less expensive than brand-name drugs that contain the same active ingredients and work similarly. The timeline for when a generic alternative for Xiidra might become available will depend on various factors, including patents and FDA approval. The earliest a generic may become available is 2033 when the brand-name patent is expected to expire. 

Is Xiidra covered by insurance?

Insurance coverage for Xiidra can vary widely. Most health insurance companies will have different policies regarding coverage for prescription drugs. While some commercial insurance plans may cover Xiidra, there may be out-of-pocket expenses, such as a copay or coinsurance amount. Those who still need to meet their deductible may have to pay the full retail price of the drug.

Medicare coverage for prescription drugs is often provided under Part D plans, which private companies approved by Medicare offer. While some prescription drug plans may include Xiidra, coverage is not guaranteed and depends on the specific Medicare Part D plan’s formulary. Similarly, Medicaid coverage for prescription drugs is managed at the state level and may cover Xiidra, but again, this can vary from one state to another.

How much does Xiidra cost without insurance?

Xiidra comes in single-use containers, with a recommended dosage of one drop in each eye twice daily. Therefore, a monthly supply consists of 60 vials. The cash or retail price for Xiidra can vary depending on the pharmacy, with an average cash price of around $522 for a 30-day prescription. Therefore, the annual cost of using Xiidra without insurance could exceed $6,000. 

Some patients might find financial assistance through manufacturer programs or consider alternatives such as Restasis, another brand-name prescription medication with similar approved uses. It’s recommended to consult with a healthcare provider when considering alternatives, as they can help recommend the most appropriate treatment based on your budget and needs.

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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 (unless otherwise specified). The listed SingleCare price references the price of generic drugs, if available. Click the link under “Savings options” to see the latest drug prices.

How to get Xiidra without insurance

Purchasing prescription drugs like Xiidra without insurance can sometimes be challenging. However, savings options like prescription savings cards and coupons may help reduce Xiidra prices. Here are some ways to potentially reduce the costs:

1. Consider generic or comparable medications

Generic medications or similar drugs offer a more affordable alternative. While Xiidra doesn’t have a generic equivalent, talking to a healthcare provider about alternatives can be a starting step. They can advise on other medications that might not cause side effects and are less costly but effective in treating dry eye syndrome. For example, cyclosporine, the active ingredient in a similar brand-name medication called Restasis, is a lower-cost generic for treating dry eye syndrome.

2. Use prescription discount cards

Prescription savings cards offered by independent companies can sometimes reduce the cost. For example, the SingleCare discount card may help reduce the retail cost of Xiidra at participating pharmacies. Check with your pharmacy to see if they’ll accept Xiidra savings cards and coupons. 

3. Compare prices among pharmacies

Not all pharmacies charge the same price. Therefore, compare the costs of Xiidra at different pharmacies. Some might offer lower prices or run special promotions that help reduce prescription drug costs.

4. Enroll in prescription assistance programs

Assistance programs may be available for eligible patients with trouble paying for prescription drugs. Individuals experiencing financial hardship who meet the eligibility and enrollment requirements may receive Xiidra at no cost.

5. Request a 90-day supply

Obtaining a 90-day supply of Xiidra may be more cost-effective than a 30-day supply, as buying in bulk usually reduces the per-unit cost. Sometimes, a pharmacist may be able to dispense a 90-day supply. However, you can also consult a healthcare professional for medical advice to explore this option and adjust your prescription accordingly. 

6. Check eligibility for government aid

Some government programs may offer assistance for prescription medications. Therefore, it’s worth checking whether programs like Medicaid have provisions for medications like Xiidra, especially for people with low income or certain disabilities.