Medicare Part D Coverage Gap
Glecaprevir-Pibrentasvir Cost in the Medicare Donut Hole
In the Medicare Part D coverage gap, patients pay 25% of drug costs for Glecaprevir-Pibrentasvir (Glecaprevir/Pibrentasvir). That means approximately $6625 per fill at retail. Script Unlock cash prices start from $18550 — compare to find your best option.
Glecaprevir-Pibrentasvir Cost Comparison — Donut Hole vs Cash Pay
Retail price
$26500
Donut hole (25%)
$6625
Script Unlock cash
from $18550
How the Medicare Donut Hole Works for Glecaprevir-Pibrentasvir
- Initial coverage: you pay your plan copay
- Coverage gap (donut hole): you pay 25% of Glecaprevir-Pibrentasvir cost
- Catastrophic coverage: you pay very little once TrOOP reached
- Script Unlock cash price may beat your gap cost-sharing
FAQs — Glecaprevir-Pibrentasvir and Medicare Donut Hole
How much does Glecaprevir-Pibrentasvir cost in the Medicare donut hole?
In the Medicare Part D coverage gap (donut hole), you typically pay 25% of the drug cost for Glecaprevir-Pibrentasvir. Based on a retail price of $26500, that would be approximately $6625. Compare this to Script Unlock's cash price of from $18550 — you may save by paying cash instead of using your Medicare coverage.
Is it cheaper to pay cash for Glecaprevir-Pibrentasvir during the donut hole?
It depends on the pharmacy and your specific plan. Script Unlock cash prices start from $18550 — compare this to your specific Medicare plan's donut hole cost for Glecaprevir-Pibrentasvir. Some patients find cash pay cheaper; others find Medicare still wins.
Does paying cash for Glecaprevir-Pibrentasvir count toward my Medicare deductible or donut hole?
Generally no — paying cash typically does not count toward your Medicare Part D True Out-of-Pocket (TrOOP) spending that helps you exit the coverage gap. However, this can be worthwhile if the cash price is significantly lower than your donut hole cost-sharing. Consult your Medicare plan's EOB for your specific situation.
This information is for educational purposes. Medicare Part D coverage gaps vary by plan. Consult your plan's EOB and a Medicare counselor for personalized guidance.