
Coverage & Insurance
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Coverage
Coverage and support to keep you on track
When you and your health care provider have decided it’s time for you to start LEQVIO®, here’s what you'll need to know about LEQVIO affordability.
You may pay as little as $0 for LEQVIO*†
If your doctor has prescribed LEQVIO to lower your bad cholesterol (LDL-C), you should know that LEQVIO is broadly covered and affordable for most patients—so you may pay as little as $0.
75% of commercial patients paid less than $10 and 86% of commercial patients who utilized the LEQVIO® Co-pay Program paid $0
Because it is given by your doctor, LEQVIO is covered primarily under the medical benefit, not the pharmacy benefit.
9 out of 10 patients have medical benefit confirmed for LEQVIO via their insurance plan
No matter what insurance you have, your doctor can work with the LEQVIO® Service Center to help you understand the costs of LEQVIO.
Plus, when you're on LEQVIO, you can enroll in the LEQVIO® Care Program, where a dedicated LEQVIO® Care Specialist can offer you personalized support when you need it.
Insurance info
Medicare Part B
If you have traditional Medicare with supplemental insurance, you may pay as little as $0.†
LEQVIO may be covered if you have traditional Medicare coverage (red, white, and blue card), also called Medicare Part B. You won’t have to wait for your doctor to get approval from your health plan. If you have traditional Medicare and do not have a supplemental plan (Medigap or retiree plan), you would be responsible for a 20% coinsurance payment.†
If you have a Medicare Advantage plan, your out-of-pocket costs will vary, depending upon your plan.
Medicare Advantage in 2022: Enrollment Update and Key Trends | KFF
Commercial insurance
LEQVIO is generally covered through commercial insurance. If you have commercial insurance through an employer or your own private insurance (PPO, HMO, for instance), you may be eligible for the LEQVIO Co-pay Program and may pay as little as $0.*
The LEQVIO list price for uninsured patients is $3,449.74 per dose.
*Limitations apply. The program may include the LEQVIO Co-pay Card, Payment Card (if applicable), and Rebate. Per-treatment maximums and an annual benefit cap apply. Offer not valid under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state program. Novartis reserves the right to rescind, revoke, or amend this Program without notice. See complete Terms and Conditions. LEQVIO Co-pay Card limitations apply. You can sign up for the LEQVIO Co-pay Program directly by visiting start.leqvio.com or calling us at 1-833-LEQVIO2 (1-833-537-8462).
†Data on file. LEQVIO Coverage and Affordability. Novartis Pharmaceuticals Corp; 2024.
Getting support along the way