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How does Xolair cost if you are Medicare?

  • I have Asthma and I am 70 years of age. I have just started on Xolair  and would like to know if anyone like me has received a bill. I wanted to know the approximate cost of Xolair? Thanks albjerryg
Related Topics: Medicare, Asthma

Answers From Experts & Organizations (1)

Health Reform
924 Answers
2,333 Helpful Votes
The answer depends in large part on the type of Medicare coverage you have and the way this drug is administered. 

I'm not a doctor, so I don't can't comment on the clinical use of this particular medication. But best as I can tell, this drug is sometimes administered in a doctor's office and sometimes not. Also, in certain cases you may have to meet clinical criteria or get prior authorization in order for the drug to be covered.

If the drug is administered in a physician's office it would be covered under Medicare Part B (that's the part that pays for outpatient care). If not, it would be covered under you Medicare Part D prescription drug coverage plan.

All plans have different formularies (the list of covered drugs) and out-of-pocket costs. You'll need to check with your plan and/or your doctor's office to learn how this drug is covered for you, and what, if any out-of-pocket costs you may be on the hook for. 

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