Medicare Part D Coverage Gap
Micafungin Cost in the Medicare Donut Hole
In the Medicare Part D coverage gap, patients pay 25% of drug costs for Micafungin (Micafungin sodium). That means approximately $175 per fill at retail. Script Unlock cash prices start from $140 — potentially less than your donut hole cost-sharing.
Micafungin Cost Comparison — Donut Hole vs Cash Pay
Retail price
$700
Donut hole (25%)
$175
Script Unlock cash
from $140
💡 Cash pay may be cheaper than your donut hole cost for Micafungin
How the Medicare Donut Hole Works for Micafungin
- Initial coverage: you pay your plan copay
- Coverage gap (donut hole): you pay 25% of Micafungin cost
- Catastrophic coverage: you pay very little once TrOOP reached
- Script Unlock cash price may beat your gap cost-sharing
FAQs — Micafungin and Medicare Donut Hole
How much does Micafungin cost in the Medicare donut hole?
In the Medicare Part D coverage gap (donut hole), you typically pay 25% of the drug cost for Micafungin. Based on a retail price of $700, that would be approximately $175. Compare this to Script Unlock's cash price of from $140 — you may save by paying cash instead of using your Medicare coverage.
Is it cheaper to pay cash for Micafungin during the donut hole?
Yes — Script Unlock's cash price of $140 is lower than the typical Medicare donut hole cost-sharing of $175 for Micafungin. Paying cash may save you money AND help you exit the donut hole faster (by reducing your out-of-pocket True Out-of-Pocket spending).
Does paying cash for Micafungin 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.