The cost of Zoladex can vary based on several factors, including your insurance coverage. Coupons and drug savings programs can also lower the price you’ll pay for Zoladex.

As with all medications, the cost of Zoladex can vary. Factors that may affect the price you’ll pay for Zoladex include:

  • your treatment plan
  • your insurance coverage
  • the pharmacy you use
  • the cost of the visit to your healthcare professional to receive your Zoladex implant
  • whether Zoladex has a savings program (see the “Financial and insurance assistance” section)

To find out what the cost of Zoladex will be for you, talk with your doctor, pharmacist, or insurance provider.

Zoladex is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active ingredient in a brand-name medication.

Generics tend to cost less than brand-name drugs.

WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?

Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.

If you need financial support to pay for Zoladex, or if you need help understanding your insurance coverage, help is available. For example:

  • A copay assistance program is available for Zoladex. For more information and to find out whether you’re eligible for support, call 855-686-8725 or visit the program website.
  • Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:

Learn more about saving money on prescriptions with or without insurance.

Here are answers to some frequently asked questions about drug cost and Zoladex.

How much does Zoladex cost with insurance vs. without it?

What you pay for Zoladex if you have insurance compared with what you’d pay without it depends on several factors.

Factors that could affect what you pay for this drug without insurance include:

  • whether you apply and qualify for any available savings programs
  • your dosage and treatment plan
  • the pharmacy you use

These same factors may affect your price for Zoladex if you have insurance. But the price you pay with insurance will also depend on:

  • your specific plan benefits
  • any prior authorization requirements you have for drug coverage

To learn more about what you’d pay for Zoladex with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).

Is Zoladex covered by Medicare?

It may be. You can call your Medicare plan provider to learn whether your particular plan covers the cost of this drug. There are many types of Medicare plans, so your coverage and what you pay for prescriptions will be based on your particular plan’s benefits.

The total price you pay for Zoladex may also depend on the cost to receive the implant at your doctor’s office or clinic. You may also need to obtain prior authorization before your plan will cover the cost of this medication.

Your doctor may also be able to provide information about your cost for Zoladex if you have Medicare.

You may want to consider the following information if you have insurance and receive Zoladex.

Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Zoladex. This means the company and your doctor will discuss Zoladex in regard to your treatment. The insurance company will then determine whether the medication is covered.

If a drug requires prior authorization, but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Zoladex requires prior authorization.

Type of insurance coverage: Zoladex is given by your doctor or another healthcare professional. If you have insurance, the price of your Zoladex doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Zoladex implants, such as at your doctor’s office, a clinic, or a hospital.

If you have questions about this process, contact your doctor or your insurance provider.

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.