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How Much Does Upneeq Cost Without Insurance?

3 min read

The average cash price of Upneeq without health insurance is $276.37 for a 30-solution box. For individuals managing ptosis, understanding the cost of Upneeq without insurance is crucial, as costs can vary based on factors like pharmacy, location, and available discounts. This guide explores the expenses and ways to mitigate them.

Quick Summary

Upneeq cost without insurance averages $276.37 for a 30-solution box. Savings are possible through discount cards and patient assistance programs.

Key Points

  • Average Cash Price: Upneeq without insurance typically costs $276.37 for a 30-solution box.

  • SingleCare Discount: Using a free SingleCare coupon can reduce the price to as low as $205.75 for the same quantity.

  • Factors Affecting Cost: The final price can depend on the pharmacy you use, your location, and the specific quantity prescribed.

  • Savings Options: Discount cards (SingleCare, Optum Perks), mail-order pharmacies (RVL Pharmacy), and patient assistance programs can help lower the cost.

  • No Generic Available: Upneeq is currently only available as a brand-name medication, which affects its price point.

  • Insurance Coverage: Even with insurance, verify coverage as co-pays or lack of coverage can still result in out-of-pocket expenses.

  • Ptosis Surgery Cost: Surgical intervention for droopy eyelids averages $3,235 but can range higher, depending on medical necessity versus cosmetic considerations.

In This Article

Upneeq (oxymetazoline ophthalmic) is a prescription medication used to treat acquired blepharoptosis, commonly known as droopy eyelids. While it offers a non-surgical option for lifting the eyelids, the cost of Upneeq without insurance can be a significant concern for many patients. Understanding the average retail price and exploring available savings options are essential steps for those considering this treatment.

Understanding the Cost of Upneeq Without Insurance

The average out-of-pocket price for Upneeq without health insurance is $276.37 for a 30-solution box, typically a 1-month supply. This cost can fluctuate depending on several factors, including the specific pharmacy you choose and your geographic location.

Factors Influencing Price:

  • Pharmacy: Different pharmacies may offer varying prices. Comparing prices across major retailers like CVS, Walmart, and Walgreens is recommended.
  • Location: Retail prices for medications can differ by state or even within the same city.
  • Dosage and Quantity: The prescribed quantity and dosage of Upneeq will directly impact the total cost.

Saving on Upneeq Without Insurance

For individuals without health insurance coverage, several options can help reduce the cost of Upneeq.

1. Prescription Discount Cards

Prescription discount cards are widely available and can provide substantial savings on medications, including Upneeq. Services like SingleCare offer coupons that can lower the price significantly.

  • SingleCare: With a free Upneeq coupon from SingleCare, the cost for a 1, 30-solution box can be as low as $205.75. This represents a significant saving compared to the average retail price.
  • Optum Perks: Another option is Optum Perks, which also provides coupons that can lead to considerable savings on prescription costs.

2. Mail-Order Pharmacies

Some medications, including Upneeq, may be available through mail-order pharmacies. RVL Pharmacy is one such option that may help reduce the cost and offers the convenience of home delivery. This service may also allow for larger supply purchases, like a 90-day supply.

3. Patient Assistance Programs

Patient assistance programs are designed to help eligible, uninsured patients facing financial hardship obtain necessary medications for free or at a reduced cost. Organizations like the Bristol Myers Squibb Patient Assistance Foundation offer information and resources for such programs.

4. Talk to Your Doctor or Pharmacist

If you don't have health insurance, your doctor or pharmacist can be a valuable resource. They may be able to suggest online pharmacy options or alternative medications that could be more affordable.

Upneeq vs. Alternatives: Cost Comparison (Without Insurance)

Upneeq is a unique medication specifically approved for acquired blepharoptosis. While other treatments for droopy eyelids exist, they may not be direct alternatives or come with different costs.

Treatment Option Description Estimated Cost (Without Insurance)
Upneeq Prescription eye drops for acquired ptosis (oxymetazoline ophthalmic 0.1%). ~$205.75 - $276.37 per 30-solution box with/without discount cards.
Ptosis Surgery Surgical correction for drooping eyelids, often covered by insurance if vision is impaired. Average $3,235, ranging up to $6,999, primarily if deemed cosmetic.
Apraclonidine/Iopidine Off-label use for temporary lift, sometimes used for Botox-induced ptosis. Not a long-term solution. Costs vary, typically less than Upneeq; off-label use may affect coverage.
BOTOX Can provide a slight eyebrow lift, potentially improving mild ptosis. Costs vary by provider and region, often considered cosmetic.
OTC Eye Drops Primarily for redness or dryness, not designed to lift eyelids. Generally $5 - $20 per bottle, varies by brand.

Note: Costs for surgical procedures can vary widely based on the surgeon, facility, anesthesia, and the complexity of the case.

Important Considerations

  • Insurance Coverage: Even with insurance, some plans may not cover Upneeq, or the co-pay could be high. It's important to contact your insurance provider for specific details. Medicare and Medicaid plans may also have varying coverage.
  • Side Effects: Upneeq has potential side effects, including eye irritation, redness, dry eye, blurred vision, headache, and an increased risk of angle-closure glaucoma. Discussing these with your healthcare provider is crucial.
  • Prescription: Upneeq requires a prescription from an eye doctor (ophthalmologist) or another qualified healthcare provider to ensure it's the right treatment for your specific condition.
  • No Generic Available: Upneeq is a brand-name medication, and currently, there is no generic equivalent available, which can contribute to its higher cost.

Conclusion

The cost of Upneeq without insurance averages around $276.37 for a 30-solution box. However, this price can be significantly reduced using discount cards like SingleCare, which may lower the cost to around $205.75. Exploring discount programs, mail-order pharmacies, and patient assistance initiatives can provide additional savings for those facing financial constraints. Consulting with a healthcare provider and comparing options is essential for managing the cost of Upneeq and determining the most suitable treatment path for acquired blepharoptosis.

Frequently Asked Questions

The average cash price for Upneeq without health insurance is $276.37 for a 1, 30-solution box.

Yes, you can use prescription discount cards like SingleCare or Optum Perks to reduce the cost. With SingleCare, you might pay as low as $205.75 for a 30-solution box.

Yes, independent charitable programs exist to provide free medication to eligible, uninsured patients experiencing financial hardship. For more information, you can check resources like Bristol Myers Squibb's patient assistance information.

Coverage for Upneeq varies by specific Medicare or Medicaid plans. It's best to contact your plan provider directly for information regarding drug coverage. If not covered, discount cards like SingleCare can still be used.

No, Upneeq is a brand-name prescription medication, and there is no generic form currently available.

Yes, using a mail-order pharmacy like RVL Pharmacy may help lower the drug's cost and allow for convenient home delivery.

Common side effects include eye inflammation or irritation, redness, dry eye, blurred vision, headache, and eye pain around the time the drops are used.

Upneeq is an FDA-approved prescription eye drop used to treat acquired blepharoptosis, or droopy eyelids, which can occur due to various reasons like aging, certain medical conditions, or even Botox injections.

References

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Medical Disclaimer

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