Praluent® Medicare Coverage

Praluent is a prescription medication that contains the active ingredient Alirocumab. Praluent is injected subcutaneously into the fatty part of the skin once every two to three weeks.

Praluent is a PCSK9 inhibitor that increases the body’s ability to clear bad cholesterol from the blood.

The major side effects of Praluent include nose and throat irritation, redness, swelling, itching and pain at the injection site and flu-like symptoms.

How much does Praluent cost with Medicare?

Praluent coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Praluent?

According to GoodRx, 57% of Medicare Advantage plans and Medicare Part D plans covered Praluent in 2023.¹

• Medicare Advantage plans or Part D plans that cover Praluent include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.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 Praluent. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

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.

Additional information

Praluent is used in combination with diet and a maximally tolerated statin medication for the treatment of high cholesterol.

Praluent is tolerated well by many patients who take it. However, it can cause extreme allergic reaction in some patients.

If you are taking Praluent, monitor for signs of allergic reaction such as rash; itching, red, swollen or peeling skin with or without fever; tightness in the chest or throat; trouble breathing or swelling of the mouth, face, lips, tongue or throat.

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.