Mavenclad and cost

As with all medications, the cost of Mavenclad can vary. Factors that may affect the price you’ll pay include:

• your treatment plan
• your insurance coverage
• the pharmacy you use
• whether Mavenclad has a savings program (see the “Financial and insurance assistance” section below)

To find out what the cost of Mavenclad will be for you, talk with your doctor, pharmacist, or insurance provider.

Mavenclad is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active ingredient in a brand-name medication.

Generics tend to cost less than brand-name drugs.

WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?

Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.

If you need financial support to pay for Mavenclad, or if you need help understanding your insurance coverage, help is available. For example:

• A program called MS LifeLines Co-Pay Assistance Program is available for Mavenclad. For more information and to find out whether you’re eligible for support, call 877-447-3243 or visit the program website.
• Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
  • Medicine Assistance Tool
  • NeedyMeds

To learn more about saving money on prescriptions with or without insurance, check out this article.

Here are answers to some frequently asked questions about drug cost and Mavenclad.

How much does Mavenclad cost with insurance?

If you have insurance, your cost for Mavenclad depends on factors such as:

• your particular plan benefits, including your drug copay amount
• your dosage of the drug
• whether you apply and qualify for a savings program

To find out how much Mavenclad will cost you with insurance, contact your insurance provider or doctor.

How does Mavenclad’s cost compare with that of medications such as Ocrevus or Mayzent?

The price you’d pay for Mavenclad versus that of Ocrevus (ocrelizumab) or Mayzent (siponimod) depends on various factors.

For instance, the form of the drug may affect its price. Mavenclad and Mayzent are available in oral tablets and Ocrevus is available as an intravenous (IV) infusion. Typically, IV infusions cost more than oral tablets.

There are additional factors that can affect your prescription cost, including:

• the length of your treatment
• whether there are payment assistance programs for your prescribed treatment
• whether you’re paying out of pocket or have insurance

To learn more about the cost of Mavenclad compared with other treatments for your condition, talk with your doctor, pharmacist, or insurance provider.

Below is information you may want to consider if you have insurance and receive Mavenclad.

If you have insurance, your insurance company may require prior authorization before it covers Mavenclad. This means the company and your doctor will discuss Mavenclad in regard to your treatment. The insurance company will then determine whether the medication is covered.

If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Mavenclad requires prior authorization.

Now that you’ve learned about cost and Mavenclad, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Mavenclad. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Mavenclad.

Here are some other resources you may find helpful:

• Medicare drug coverage: To learn about Medicare coverage for drugs, see these articles about Medicare prescription drug plans, drug coupons and Medicare, and the Medicare drug list.
• More details: For details about other aspects of Mavenclad, refer to this article.
• Dosage: Learn about Mavenclad and dosage by viewing this article.
• Side effects: For details about Mavenclad’s side effects, see this article [link to MNT or HL side effect article]. You can also look at the Mavenclad prescribing information.
• Information about your condition: For more information about multiple sclerosis, see our multiple sclerosis hub.

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.