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Is Fycompa covered by insurance? | How much does Fycompa cost without insurance? | How to get Fycompa without insurance
Fycompa is a brand-name prescription drug used alone or with other anticonvulsants to prevent partial-onset seizures and tonic-clonic seizures (convulsive seizures) in people with epilepsy. Its active ingredient, perampanel, is an AMPA-receptor antagonist that slows down the brain by blocking nerve signals. Common side effects of Fycompa include dizziness, tiredness, and weight gain. Fycompa is not available as a generic drug, and over-the-counter drugs and supplements are not suitable for preventing seizures. Since Fycompa is only sold as a brand-name drug, people without insurance may find that it might not be the best economical choice. However, Fycompa patients do have other options to save.
What is the generic for Fycompa?
The active ingredient in Fycompa is perampanel, but it is currently not sold as a generic drug. Generic perampanel won’t be available until 2026 at the earliest, but even that is uncertain.
Is Fycompa covered by insurance?
Fycompa is covered by 96% of health insurance plans, Medicare drug plans, and Medicaid plans. The cost of Fycompa with insurance is hard to predict, but most insurance plans place the drug in their higher drug tiers, so the copay cost could be high. Keep in mind that factors such as coverage denials, quantity limits, and coverage phases can influence the final out-of-pocket cost.
How much does Fycompa cost without insurance?
For cash-paying patients, a 30-day supply of Fycompa (30, 6 mg tablets) will average about $1,336, a little over $45 per tablet. This means that a year of Fycompa treatment could end up costing $15,000 or more. The dosage strength does not affect the retail price, but a prescription for Fycompa oral suspension costs more than tablets. Many alternative antiepileptic drugs are available as lower-cost generic drugs and may serve as effective and safe treatment options. Ask a trusted healthcare professional which one may be the best fit.
Compare Fycompa prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Fycompa | $1,336 for 30, 6 mg tablets | $1,065 for 30, 6 mg tablets of brand-name Fycompa | See updated prices |
| Vimpat | $1,182 for 60, 100 mg tablets | $31 for 60, 100 mg tablets of generic lacosamide | See updated prices |
| Keppra (levetiracetam) | $658 for 60, 500 mg tablets | $8 for 60, 500 mg tablets of generic levetiracetam | See updated prices |
| Lamotrigine | $91 for 30, 100 mg tablets | $4 for 30, 100 mg tablets of generic lamotrigine | See updated prices |
| Aptiom | $1,315 for 30, 800 mg tablets | $1,122 for 30, 800 mg tablets of brand-name Aptiom | See updated prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see updated drug prices.
How to get Fycompa without insurance
A one-month prescription of Fycompa costs about $1,300. These costs can add up month after month without the aid of insurance. Your healthcare prescriber may be able to provide a free sample of Fycompa, enough medicine to last a week or more. That could save anywhere from $300 to $1,300 off the first month’s prescription. It also gives you a little time to explore ways to pay for the prescription. Below are some ideas to help lower out-of-pocket costs if paying cash for Fycompa. Start with a SingleCare prescription savings card.
1. Use a SingleCare discount card to save $300 on a Fycompa prescription
Fycompa patients could save up to $300 per month at well-known local pharmacies. Over a year, these savings could add up to as much as $3,600. SingleCare participating pharmacies offer different discount prices for Fycompa, so visit SingleCare’s Fycompa coupon page to compare savings.
2. Consider purchasing health insurance
Since seizure disorders are long-term or even lifelong medical conditions, getting health insurance is a reasonable way to save money. Before choosing an insurance plan, verify that Fycompa, as well as other necessary prescription drugs and treatments, are covered at an affordable copay cost.
3. Consider enrolling in Medicaid
Both state Medicaid and managed Medicaid plans typically cover Fycompa prescriptions with a low out-of-pocket cost. Premiums and copay costs will be low for medical care. However, each state may have different eligibility requirements and enrollment processes, so start with your state’s Medicaid website. Again, before committing, make sure that the plan being considered will cover a Fycompa prescription.
4. Ask the prescriber about other anticonvulsants
Fycompa isn’t the only drug effective at preventing partial onset seizures or tonic-clonic seizures. Fycompa can have serious side effects that include life-threatening psychiatric or behavioral reactions, such as suicidal thoughts. Additionally, it’s a controlled substance, unlike many other antiepileptic drugs. Fortunately, healthcare professionals have some lower-cost FDA-approved generic anticonvulsants that may work just as well: generic Epitol (carbamazepine) or generic Trileptal (oxcarbazepine) are two common examples. Before committing to Fycompa, ask the prescriber for medical advice about any untried treatment options that may be more affordable.
