Price & resources
SUBLOCADE pricing
What to know about paying for SUBLOCADE.
Pay as little as $5 per monthly dose of SUBLOCADE, if eligible.*
There is copay assistance offered through the INSUPPORT® Copay Assistance Program, which may help eligible patients with their out-of-pocket costs for SUBLOCADE. If a patient is eligible for copay assistance, they may pay as little as $5 per monthly dose of SUBLOCADE. For the first two doses of each calendar year, an expanded copay assistance amount of up to the list price of SUBLOCADE is provided. Following the first two doses, the copay for subsequent doses for the remainder of the calendar year may be reduced. The expanded copay assistance of up to the list price resets at the beginning of the calendar year. The program is applicable to medical expenses of the drug, not administration costs. If you have additional questions about copay, download the Copay FAQs Brochure.
Complete the INSUPPORT® Patient Enrollment Form with a healthcare provider. A healthcare provider will submit this form. INSUPPORT® Hub Services may provide information on insurance coverage and copay assistance for SUBLOCADE.
*The INSUPPORT® Copay Assistance Program is valid ONLY for patients with private insurance who are prescribed SUBLOCADE® (buprenorphine extended-release) for on-label use. Patients with government insurance are not eligible for the Copay Assistance Program, including, but not limited to, Medicare, Medicaid, Medigap, VA, DOD, TriCare, CHAMPVA, or any other federally or state-funded government-assisted program. Other restrictions apply. See here for full Terms & Conditions.
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UNDERSTANDING THE PRICE FOR SUBLOCADE®‡
It can be hard to understand what you have to pay for the medicines that you are prescribed. Depending on insurance coverage, coupon offers, and other savings tools, people may end up paying different out-of-pocket amounts.
The list price* of SUBLOCADE (for both 300 mg and 100 mg dosage forms) is $1659 per month. However, most people will not pay this amount.
If you have commercial insurance
You could pay between $1 and $2400 per month, with the average out-of-pocket cost for SUBLOCADE itself being $248.10 or less.†
If you have Medicare
You could pay between $3.70 and $1913.50 per dose (whether 300 mg or 100 mg)† if you are receiving SUBLOCADE once monthly (depending on your specific Medicare benefits), with the average out-of-pocket cost of SUBLOCADE itself being $75.70 or less.† If you have Medicare Part B, you may also have a supplemental insurance plan that will pay all or part of your SUBLOCADE costs. If you have Medicare Part C, there is an out-of-pocket maximum and what you will pay for SUBLOCADE depends on your plan's benefit design and the level of other healthcare expenses you have during the year. Please check with your Medicare plan administrator for further details.
If you have Medicaid
You could pay between $0.50 and $30 per month, (depending on the state plan), with the average out-of-pocket cost of SUBLOCADE itself being $3.24 or less.† To find out if you qualify for Medicaid, or to get more information about copayments in your state, please use this link to visit the Medicaid website.
If you do not have insurance coverage
If you do not have medical coverage for SUBLOCADE, you can expect to pay the list price shown above.
Talk to your insurance provider for the most accurate information for you.
*An estimate of the manufacturer's list price for a drug to wholesalers or other direct purchasers, not including discounts or rebates. This price is defined by federal law. This information is accurate as of Jan 1, 2020. The list prices listed may differ significantly from actual prices paid by customers and consumers. In addition, a product's list price is typically not associated with per-dose pricing and does not necessarily reflect price per dosage or price per course of treatment.
†Symphony Health, PayerSource®, September 2018 – August 2019. Calculations were based on a survey of pharmacy and medical claim amounts for SUBLOCADE alone, examining 79 managed care commercial plans, 17 Medicare managed care plans, and between 21-71 Medicaid managed care plans prior to any discounts or copay card applications, and exclude zero dollar claims and data outliers.
‡Indivior cannot guarantee payment of any claim. Coding, coverage, and reimbursement may vary significantly by payor, plan, patient, and setting of care. Actual coverage and reimbursement decisions are made by individual payors following the receipt of claims. For additional information, customers should consult with their payors for all relevant coding, reimbursement, and coverage requirements. It is the sole responsibility of the provider to select the proper code and ensure the accuracy of all claims used in seeking reimbursement. All services must be medically appropriate and properly supported in the patient medical record.