Rybelsus coupons can help bring down the cost of this potentially helpful but often expensive medication. Rybelsus is an FDA-approved oral diabetes medication. The medication can cost hundreds of dollars per month without insurance, so it is important to have a plan before you begin treatment. Take time to understand what the medication may cost you and how to save money on copays, if needed.
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What Is Rybelsus?
Rybelsus, with the active ingredient semaglutide, is an oral medication approved as a treatment for improving control of blood glucose in adults with type 2 diabetes. It is intended to be used along with diet changes and exercise. Semaglutide is a GLP-1 agonist and the same active ingredient in the injectable medications Ozempic and Wegovy.
Rybelsus is thought to work in two ways. The first is to increase the activity of insulin in the body to keep blood sugar levels down. The second is to slow gastric emptying, leaving less glucose in the bloodstream after eating.1 These mechanisms may lead to better blood sugar control and weight loss.
It is important to remember that Rybelsus is only FDA-approved to treat type 2 diabetes, meaning that it has been studied for safety and effectiveness for this use only. Rybelsus is not approved by the FDA to be used for weight loss. This is considered an off-label use and should only be used at the direction of a doctor. Your prescriber should also explain why the benefits may outweigh the risks of using Rybelsus off-label.
Is There a Generic of Rybelsus?
Currently, no generic version of Rybelsus is available.
How Much Does Rybelsus Cost Without Insurance?
Without insurance, you can expect a one-month supply of Rybelsus to cost about $1,100. Depending on which pharmacy you use, the price may vary. Whether it is insurance, manufacturer coupons, or a prescription savings card, utilizing some type of cost-saving method will help.2
For those who have insurance, work with your insurance provider to get the lowest Rybelsus price possible. This may include having your doctor complete a prior authorization, utilizing a mail-order pharmacy, or having 3 months of medication filled at one time. A manufacturer coupon can be applied to the cost of Rybelsus in addition to insurance. The Rybelsus manufacturer coupon may take off up to $300 each month.
Here is an example of the retail cost information without insurance for a Rybelsus 7 mg tablet:2
Quantity | Cost per tablet | Price |
30 | $33.33 | $1000 |
90 | $33.33 | $3000 |
How Much Does Rybelsus Cost With Health Insurance?
Insurance rates vary from plan to plan, and the most reliable Rybelsus price quote will come from your health plan’s customer service department. Your Rybelsus cost through insurance is determined by many factors, including where you fill your medication, how much of your medication you receive, and your out-of-pocket responsibilities, including deductibles.
If your doctor prescribes Rybelsus, call the number on the back of your insurance card to get reliable information about prices. Finally, not all insurances cover Rybelsus, and you may be required to switch to a covered alternative treatment or have your doctor complete a prior authorization before your insurance will cover a medication.
Commercial Insurance
The cost of medication with commercial insurance varies greatly from plan to plan. Most patients have a deductible that must be met before copays are as low as advertised. With expensive medications like Rybelsus, deductibles can be high, ranging from hundreds to thousands of dollars. In addition, if Rybelsus is not on the formulary accepted by your insurance, it may not be covered at all. Reviewing your specific commercial plan can help you to understand the price you may be charged.
Medicare
Medicare Part D plans, (Medicare drug coverage) are similar to commercial plans in that coverage varies, and Rybelsus may not be covered by all plans. In addition, your Medicare Part D plan may not pay for prescriptions at all pharmacies. Despite this, the Rybelsus price, if covered, should be capped by Medicare at specific prices.
Be aware that Medicare Part D plans have different copay factors like deductibles and ‘the donut hole’ that can change the cost of medications throughout the year. It is best to contact your specific Medicare provider before picking up a Rybelsus prescription.
Medicaid
With newer, expensive medications like Rybelsus, your Medicaid insurance most likely requires prior authorization before they will cover the cost of the medication. It is important to understand the fine print of your Medicaid plan, as some state plans do not allow you to obtain the medication without insurance. Attempting to pay for medication outside of Medicaid insurance could be against the rules. Check with your individual provider before you go to the pharmacy to pick up your medication.
TRICARE
For patients with Tricare, it is important to check with your plan to understand what you may be required to pay. Currently, Tricare will cover the cost of Rybelsus only after a prior authorization is completed by your prescriber. Once approved, the cost can change depending on whether you are active duty or non-active duty, and at which pharmacy you fill your medication.3
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Rybelsus Coupons & Discount Cards
Rybelsus is an expensive medication. It is important to understand the coupons and discount options that may be available to reduce the price. With any discount card or coupon, it is important to provide the information on the card to the pharmacist before you pay for your medication.
Discount cards are used in place of insurance. Unfortunately, with newer brand-only medications, discount cards do not always provide significant discounts. Currently, Rybelsus discount cards bring down the cost by about 20%, which still leaves the cash cost of one month of Rybeslus around $800.2
Coupons provided by the manufacturer are another option. The company that makes Rybelsus advertises a coupon with which you can pay as little as $10 per month. This coupon can be obtained from the Novo Nordisk website. Expect to provide some details about yourself and your current insurance plans.
It is important to note that manufacturer coupons only work for those who have commercial insurance. If you do not have insurance or have government-funded insurance like Medicaid, Medicare, or Tricare, you cannot use a manufacturer coupon.3, 4
Rybelsus Patient Assistance Program
Patient assistance programs exist to assist patients who could otherwise not afford medications. The programs specifically help lower-income patients who either have Medicare or do not have insurance at all. Applications must be filled out and approved prior to receiving benefits. There are specific requirements, so it is important to read all the information thoroughly.
Rybelsus is one of the medications included in the Novo Nordisk Patient Assistance Program, and if you are approved, you can receive free medication. An assistance program like this will last for 12 months, so be sure to reapply if needed.5
Patient Access Network Foundation (PAN)
It is important to understand how the patient assistance program works and what requirements must be met to qualify. It may be helpful to work with a social worker or advocate from your prescriber’s office if you have specific questions when filling out the application.
Here are the eligibility criteria for the Patient Access Network Foundation (PAN):
- Be a US citizen or legal resident
- Have a total household income at or below 400% of the federal poverty limit
- Have either no insurance or Medicare
- Not be enrolled in any other government program like Medicaid, low-income, subsidy, or VA benefits
Other Ways to Find Rybelsus Coupons & Discount Cards
Since Rybelsus is a relatively new medication, there are limited resources for additional savings and access to the medication. It may be helpful to speak with your pharmacist to see if they have knowledge of further or better discount cards. In addition, your prescriber may have access to free samples to give you.
Is There a Cheaper Alternative to Rybelsus?
Rybelsus is known as a GLP-1 agonist. Currently, there are many other GLP-1 agonist medications available as a prescription, but Rybelsus is the only approved product to be used orally.6 These alternatives are likely not cheaper when paid for without insurance. However, based on your individual insurance coverage and the selected preferred products, there may be a less expensive option.
How Can I Get Rybelsus for $10?
To get Rybelsus for $10 per month, start by going to the Rybelsus company website. Here, you can determine if you are eligible based on your insurance coverage and fill out the necessary information to receive a manufacturer coupon card.
Once you receive the card, you should provide the processing information on the card to the pharmacy that will fill your Rybelsus prescription. They will ensure the card is applied to your prescription. If your copay is not $10, inquire at your pharmacy. There are limits to how much of a discount you receive, and it depends on each individual’s insurance.3
How to Get a Rybelsus Prescription
Rybelsus is a prescription-only product. To get a prescription for Rybelsus, consult your doctor. Remember, Rybelsus is currently approved by the FDA to treat those with Type 2 diabetes. A good place to start would be your primary care physician. If you don’t have a doctor, you can use your insurance website to find a covered doctor.
Other options include using a telehealth platform. It is important to have an authorized prescriber complete a full health history screen with you to ensure Rybelsus is safe for you. In addition, you should expect regular follow-ups with your prescriber to ensure that Rybelsus is not causing serious side effects.
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