Zulresso Cost, Coupons, Copay, & Patient Assistance

How Much Is Zulresso Without Insurance?

The cost of Zulresso without insurance may be affected by any savings programs or discounts you use and the specific dosage prescribed by your provider.

How Much Does Zulresso Cost With Insurance?

There are different types of insurance options a person can use to cover the cost of their prescriptions. Commercial insurance plans are privately funded through individual policyholders or a group plan funded by an employer. Government plans, like Medicare and Medicaid, are government-sponsored insurance plans funded by the government. The type of plan you have can greatly impact the cost of Zulresso.

Commercial Insurance

Commercial insurance coverage varies with the cost of Zulresso. Each health plan carrier has a variety of health plans to choose from, and each of those has different coverages associated with them. Factors like your specific plan details, copays, premiums, and deductibles affect the cost of your medication. With commercial insurance, you cannot use copay cards, but there are financial assistance programs with Zulresso’s manufacturer that can help you reduce the out-of-pocket costs related to your treatment, up to $15,000 if eligible.¹

Medicare

At this time, it’s unclear if Medicare prescription drug plans cover Zulresso. Be aware that coverage may change, so it’s important to check your Medicare plan before beginning treatment.²

Medicaid

Medicaid does not cover Zulresso. At this time, Zulress medication is included on the Medicaid formulary, which is a list of the medications covered by this program.³ Each state’s coverage may vary, though, so patients should consult their state Medicaid office to confirm. Those on Medicaid can consider the Free Drug Program available on Zulresso’s website. Under this program, Zulresso can be provided at no cost if eligible.⁴

TRICARE

At this time, Zulresso is not covered by TRICARE plans. However, coverage may be updated in the future. The TRICARE website has a lookup tool, so check there to verify whether Zulresso may be covered by your plan.⁵

Zulresso Coupons, Savings Cards, & Discounts

Zulresso cost savings programs are available from organizations such as RxAssist and discounts from the manufacturer. Some organizations provide information about cost savings programs. Others assist with the application and enrollment process. Individuals need to apply for each program and meet certain criteria to qualify.

Zulresso Cost Savings & Patient Assistance Programs

Zulresso cost savings programs are available from online organizations such as NeedyMeds and savings from the manufacturer. Some organizations provide information about cost savings programs. Others assist with the application and enrollment process. Individuals need to apply for each program and meet certain criteria to qualify for savings. Patients can also save money on Zulresso costs by using a health savings account, available with some insurance plans.

Zulresso Drug Copay Assistance Program

This program is made to help reduce out-of-pocket copay costs related to Zulresso. If you have commercial insurance, you may be eligible for copay assistance. This program can cover drug-related copay costs up to $15,000, regardless of your income level. Call (844) 472-4379 for more information, or visit the financial support page on the Zulresso website linked in the resource list at the bottom of this article.¹

Here are examples of the eligibility criteria for the Zulresso Drug Copay Assistance Program:

• Have private, commercial health insurance
• Be prescribed Zulresso for FDA-approved use
• Reside in the United States or US territory
• Be treated by a healthcare professional in the United States or US territory
• Be 15 years of age or older

Zulresso Infusion Copay Assistance Program

The infusion copay assistance program is designed to help reduce out-of-pocket copay costs related to the administration of Zulresso, which is a medication that requires infusion in a healthcare setting for 2.5 days. If you have commercial insurance, you may be eligible for this program to reduce your out-of-pocket infusion-related copay costs up to $2,000, regardless of your income level. Call (844) 472-4379 for more information, or visit the financial support page on the Zulresso website linked in the resource list at the bottom of this article.¹

Here are examples of the eligibility criteria for the Zulresso Infusion Copay Assistance Program:

• Have private, commercial health insurance
• Be prescribed Zulresso for FDA-approved use
• Reside in the United States or US territory (residents of Massachusetts and Rhode Island are not eligible)
• Be treated by a healthcare professional in the United States or US territory
• Be 15 years of age or older

Zulresso Free Drug Program

This program provides Zulresso at no cost for eligible patients who meet income criteria who otherwise would not be able to access this medication. If you are underinsured or uninsured and meet financial eligibility criteria, you may qualify for this program.¹

Here are examples of the eligibility criteria for the Zulresso Free Drug Program:

• Be prescribed Zulresso for FDA-approved use
• Reside in the United States or US territory
• Be treated by a healthcare professional in the United States or US territory
• Be 15 years of age or older
• Have a household income less than or equal to 500% of the Federal Poverty Level (FPL)
• Be uninsured or be uninsured under any of the following circumstances: no healthcare insurance, Insured but the insurance does not cover Zulresso, Insured with coverage for Zulresso but ineligible for the Zulresso Copay Assistance Programs, and cannot afford the medication.

Other Ways to Lower the Cost of Zulresso

Zulresso discounts are available from some online resources and the manufacturer’s website. These and other options may help save money when getting your prescription filled for Zulresso.

RxAssist

RxAssist is an online patient assistance resource center. This website has information about patient assistance and savings programs for prescription medications such as Zulresso. RxAssist has a search feature where you can enter the name of a medication and find available savings programs and discounts. RxAssist provides links to the manufacturer copay assistance programs and may include more money-saving options when they become available. Information is frequently updated and patients are encouraged to check back often for the latest information.⁶

HSA Accounts

A health savings account (HSA) is a part of high-deductible health insurance plans. With an HSA, you can set aside pre-tax money from your paycheck to pay for certain health expenses. This means the money you contribute to this account is not subject to federal taxes, leaving the full amount available for use. Contact your company directly to learn if your Zulresso prescription is eligible.⁷

How to Get a Zulresso Prescription

To get a prescription for Zulresso, you will first need a psychiatric evaluation. Begin by consulting your primary provider, who may be a physician, nurse practitioner, or physician assistant. They may refer you to a psychiatrist to further evaluate your depression symptoms. A provider doing an evaluation will consider your medical history, any medications or substances you are using, and other factors. With this information, they will then determine whether Zulresso is a suitable treatment for you.

To get prescribed Zulresso online, you will also start by getting evaluated by an online psychiatric provider. We have thoroughly reviewed platforms like Talkiatry or Circle Medical that prescribe antidepressants like Zulresso, and found them each to be a good place to get started with an evaluation. If your provider feels Zulresso is a good fit for your depression symptoms, they may offer you an online prescription for the medication.

To use this medication, physicians will work with you to sign up and complete work for an FDA program called Risk Evaluation and Mitigation Strategy (REMS). The purpose of this program is to help providers monitor your safety when taking this medication.⁸ It should be noted that Zulresso is a medication you can only receive in a certified healthcare facility.