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How much does Addyi cost? Navigating pricing, insurance, and savings

3 min read

The average retail price for a one-month supply of Addyi is typically over $1,100 without insurance, though discounts can significantly lower this cost. Finding affordable access to this medication depends heavily on navigating insurance, discount coupons, and patient support programs. Understanding how much does Addyi cost is the first step toward exploring all available options for managing expenses.

Quick Summary

The cost of Addyi varies substantially depending on insurance coverage and eligibility for savings programs. Patients without insurance face a high monthly cost, but manufacturer coupons, discount cards, and patient assistance programs can dramatically reduce the out-of-pocket expenses.

Key Points

  • High Retail Price: Without insurance, the retail cost for a 30-day supply of Addyi is often over $1,100.

  • Limited Insurance Coverage: Most insurance plans, including Medicare, do not cover Addyi, requiring patients to explore alternative payment methods.

  • Significant Coupon Savings: Discount cards from services like GoodRx or SingleCare can lower the price for a 30-day supply to under $300 for cash-paying customers.

  • Manufacturer Savings Program: Eligible commercially insured patients can get Addyi for as low as $20 per month using the official Addyi Savings Card.

  • Patient Assistance Available: Financial aid through patient assistance programs may be an option for qualifying low-income or uninsured individuals.

  • Cost Comparison: Addyi is a daily oral medication with a different pricing structure than its injectable counterpart, Vyleesi, or various OTC supplements.

In This Article

Addyi's Retail Price Without Insurance

For patients without insurance, or those whose insurance does not cover the medication, the cash price for a 30-day supply of Addyi is notably high. The average retail price can exceed $1,100 per month. This high list price is a significant barrier for many individuals seeking treatment for hypoactive sexual desire disorder (HSDD).

However, a cash price is not the only option. Through various discount programs, uninsured patients can bring down the cost substantially. These savings are essential for making a long-term treatment like Addyi financially manageable, as it is a daily medication taken over an extended period.

Insurance Coverage and Copay Programs

Insurance coverage for Addyi is often limited. Most insurance plans, including many commercial and Medicare plans, either do not cover Addyi or classify it as a non-formulary drug, requiring patients to pay a high copay. Coverage can vary by individual plan, so it is crucial to check with your insurance provider directly.

For commercially insured patients, the manufacturer offers an Addyi Savings Card. This program can reduce monthly out-of-pocket costs to as low as $20 for eligible individuals. Terms and conditions apply, so patients should confirm their eligibility. The manufacturer also works with specialty pharmacies to provide free home delivery for those who qualify.

Discount Coupons and Savings Cards

Several pharmacy discount services provide coupons that can be used at participating pharmacies to lower the cost of Addyi. Websites like GoodRx, SingleCare, and WellRx offer free coupons that can bring the price down significantly from the average retail price. For example, a GoodRx coupon can lower the cost for 30 tablets to under $300. For the uninsured, some savings cards may offer a lower price than the cash-paying option. It is always recommended to compare coupons from different providers as prices can vary.

Patient Assistance Programs

Patient assistance programs (PAPs) are another pathway to affordability for those facing financial hardship. These programs are typically sponsored by pharmaceutical companies or non-profit organizations to help low-income or uninsured individuals access medications at no or low cost. Eligibility for a PAP is generally based on income and insurance status.

The Patient Access Network (PAN) Foundation is one example of an organization that may offer copay assistance for Addyi. It is important to contact these organizations directly to understand their specific criteria and application process.

Comparison of Addyi Costs and Alternatives

When considering Addyi, it's helpful to compare its pricing with other HSDD treatments and alternatives. The following table provides a general comparison, though specific costs can fluctuate.

Feature Addyi (flibanserin) Vyleesi (bremelanotide) OTC Supplements (e.g., Ristela)
Mechanism Daily oral tablet, adjusts brain chemistry Injectable, as-needed Oral supplement, herbal ingredients
Cost (No Insurance) ~$1,100+ per month (retail) ~$2,000+ for 8 doses ~$40-$70 per month
Cost with Savings $149+ per month (manufacturer coupon) $0-$99+ per dose (manufacturer program) Varies by brand and store
Administration Daily As-needed injection Daily (usually)
Alcohol Restriction Severe restriction No restriction Generally none
Availability Prescription only Prescription only, specialty pharmacy OTC, widely available

How to Reduce Your Addyi Costs

For those seeking to lower the expense of Addyi, a multi-step approach is most effective:

  • Verify insurance coverage: Contact your insurance provider to understand their specific coverage rules and any copay requirements.
  • Use the manufacturer's savings card: If you have commercial insurance, apply for the official Addyi savings card to reduce your monthly copay.
  • Explore discount coupons: Before filling your prescription, check reputable coupon websites like GoodRx, SingleCare, or WellRx to find the lowest price available at local pharmacies.
  • Consider patient assistance: If financial constraints are an issue, investigate patient assistance programs offered by the manufacturer or non-profits like the Patient Access Network Foundation.
  • Discuss alternatives with your doctor: Talk to your healthcare provider about other treatments, including non-pharmacological options, if cost remains a significant barrier.

Conclusion

While the sticker price of Addyi can be daunting, the actual cost to the patient can be significantly lower. By leveraging a combination of manufacturer-sponsored savings cards, pharmacy discount coupons, and patient assistance programs, individuals can dramatically reduce their out-of-pocket expenses. The key is proactive research and communication with both your healthcare provider and pharmacist. It is essential to explore all these avenues to find the most financially feasible path to treatment.

For more information on discounts and pharmacy prices, visit GoodRx.com.

Frequently Asked Questions

Without insurance or discounts, the average retail price for a 30-day supply of Addyi (100 mg tablets) is over $1,100 per month.

With commercial insurance, eligible patients using the manufacturer's Addyi Savings Card may pay as little as $20 per month. However, many insurance plans do not cover Addyi or require a high copay, so costs will vary based on your specific plan.

Yes, discount coupons are available from services like GoodRx and SingleCare, which can reduce the monthly cost. For example, a GoodRx coupon can lower the price to under $300 for cash-paying customers.

Yes, patient assistance programs are available for Addyi through the manufacturer and non-profit organizations for individuals who meet certain income and insurance criteria.

Most Medicare plans do not cover Addyi. Patients with Medicare should check their plan details to confirm coverage and explore alternative savings methods.

No, there is currently no generic alternative available for Addyi, which is why it is only available as a brand-name drug.

Addyi is an oral tablet with a high monthly retail cost, while Vyleesi is an on-demand injectable with a different pricing structure, costing over $2,000 for eight doses at retail price. Both offer manufacturer savings programs.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.