Ibrance® Medicare Coverage

Ibrance is a prescription medication that contains the active ingredient Palbociclib. It is used to treat breast cancer as an initial, endocrine-based therapy as well as disease progression following endocrine therapy in HER-2 negative patients.

It is typically taken once daily for 21 days of a 28-day cycle. Ibrance targets proteins in cancer cells to stop the cancer cells from growing.

The major side effects of Ibrance include nausea and vomiting, hair loss and hair thinning, loss of appetite, diarrhea, mouth irritation or mouth sores, feeling tired or weak, dry skin and taste changes.

Does Medicare cover Ibrance?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Ibrance.¹

• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Ibrance.

Or call 1-800-557-6059 1-800-557-6059 TTY Users: 711 24/7 to speak with a licensed insurance agent.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Average costs for Ibrance with Medicare drug coverage¹

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Additional information

Ibrance will likely be given with other medications to help control the side effects.

If you are taking Ibrance, you may have a higher chance of getting an infection. Wash your hands often and stay away from people who are sick.

Tell your doctor if you experience symptoms such as fever, chills, sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores or a wound that will not heal.

This drug can be harmful to an unborn baby if taken while pregnant. Use birth control to prevent pregnancy while taking this drug and for at least 3 weeks after your last dose.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.