The medication Xiaflex (collagenase clostridium histolyticum) is a pharmaceutical product indicated for the treatment of Dupuytren's contracture and Peyronie's disease. For individuals without insurance, the cost of this injectable medication can be substantial.
Understanding the Uninsured Cost of Xiaflex
The price of Xiaflex can vary significantly depending on the pharmacy or clinic. On average, the retail price for one Xiaflex injection is approximately $7,430. Some sources indicate the cost per injection may range from $3,000 to $4,000 without insurance. When considering a full course of treatment, which might involve multiple injections over time, the total cost could exceed $30,000. For example, a full course of eight injections could cost approximately $26,000, plus additional doctor's fees.
Many factors contribute to the price, including where the medication is purchased and whether it is obtained through a specialty pharmacy or a doctor's office. Some clinics that treat Peyronie's disease, for instance, claim to offer Xiaflex at a fraction of the cost compared to large hospitals, where prices can range from $10,000 to $16,000 per dose. Websites like MDsave allow patients on high deductible plans or without insurance to compare upfront prices for a Xiaflex Treatment (in office), which they list as ranging from $7,130 to $8,800.
Comparing Costs: Xiaflex with and without Insurance
For those with health insurance, Xiaflex is usually covered, although prior authorization may be required. Manufacturer-sponsored programs, such as the Xiaflex Copay Assistance Program, can significantly reduce out-of-pocket costs for commercially insured patients, sometimes to as low as $0. Approximately 94% of eligible commercially insured patients may pay $0 out of pocket with this program.
Conversely, patients without insurance face the full retail price, making the financial burden much heavier. The uninsured cost often includes not only the medication itself but also associated administration fees and doctor's visit charges. These additional costs are typically covered by health plans for insured patients.
Comparison Table: Estimated Xiaflex Costs
| Item | Estimated Cost (Without Insurance) | Estimated Cost (With Insurance & Assistance Program) |
|---|---|---|
| Per Injection (Average Retail) | $7,430 | Potentially $0 |
| Per Injection (Range) | $3,000 - $8,800 | Potentially $0 |
| Full Treatment Course (e.g., 8 inj.) | Over $30,000 | Potentially significantly lower |
Assistance and Savings Options for Uninsured Patients
For uninsured individuals facing the high cost of Xiaflex, several options can help alleviate the financial strain:
- Patient Assistance Programs: The manufacturer of Xiaflex offers a Copay Assistance Program. While primarily designed for commercially insured patients, eligible uninsured individuals may also qualify to receive Xiaflex free of charge or at a significantly reduced cost. It's crucial to contact Endo Advantage™ at 1-800-743-2382 for details and eligibility requirements.
- Discount Coupons and Savings Cards: Various platforms offer free discount coupons and savings cards that can be used at participating pharmacies. These can potentially reduce the price of Xiaflex by a percentage. Examples include GoodRx, WellRx, BuzzRx, and RxGo. It is important to note that these programs may have limitations or restrictions, and the actual savings may vary.
- Discussion with Healthcare Provider: Your doctor's office may be able to provide information on specific patient assistance programs or offer discounted rates for uninsured patients. They may also have details on local programs or alternative treatment options if Xiaflex is unaffordable.
- Understanding Billing: Since Xiaflex is administered by a healthcare professional, the cost might be billed through primary health insurance rather than the prescription drug portion. This is more relevant for insured patients but highlights the complexity of medical billing. For uninsured patients, it means understanding that the total cost includes the drug itself plus administration and facility fees.
Conclusion
The cost of Xiaflex without insurance can be substantial, with a single injection averaging around $7,430 and a full course potentially exceeding $30,000. However, various resources exist to help uninsured patients manage these expenses. Exploring patient assistance programs, discount coupons, and discussing options with your healthcare provider are crucial steps. While the financial burden can be high, these avenues can help make Xiaflex treatment more accessible for those without insurance coverage.
Visit the official XIAFLEX website for more information on patient resources
