Medicare Advantage Drug Cost for Gilotrif



There are 65 Medicare Advantage Plans with additional prescription drug coverage for Gilotrif available to residents in Georgia. The average retail unit cost (e.g. per pill) for a 30-day supply at in-area retail pharmacies is $365.91 ($10,977.39). Gilotrif is typically listed as a Tier 5 drug on the formulary and does not require prior authorization.

Below is the average retail cost and your co-pay for Gilotrif in Georgia. You can also see if each plan requires prior authorization, step therapy or has drug quantity limits. Please check the formulary for different brand and generic drug names. Every Medicare Advantage Plan will vary in coverage, co-pays, costs and premiums. This chart can help you sort through different plan details to find a Medicare Advantage Plan in Cobb with the best coverage and the cheapest prices for your medications in Georgia.



Proprietary Name:Gilotrif
Generic Name:Afatinib
Drug Package:1 Bottle In 1 Carton > 30 Tablet, Film Coated In 1 Bottle
Drug Strength:20mg/1
Substance:Afatinib
Dosage Form:Tablet, Film Coated
Route:Oral
Labeler:Boehringer Ingelheim Pharmaceuticals, Inc.
Pen Name:Human Prescription Drug
NDC#00597014130
RX#1430449
Days Supply:30
Coverage Phase:Initial Coverage
Plan Year:2023
County:Cobb





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Medicare Advantage Coverage for Gilotrif in Georgia


Click the Plan Name for More Details
Click the header to sort
Plan
Name ⇅
Tier
Level
Your
Cost
Preferred
Cost
Non
Preferred
Cost
Mail
Limit
Amt/
Days
Prior
Auth
Y/N
Step
Therapy
Y/N
Avg
Unit
Cost
(x30)
AARP Medicare Advantage Walgreens

533%33%33%/YN$373.29
($11,198.75)
Aetna Medicare Advantra Preferred Plan

533%33%33%/YN$369.10
($11,072.92)
Aetna Medicare Freedom Plan

530%30%30%/YN$376.41
($11,292.20)
Anthem MediBlue + Kroger

533%33%NA/YN$355.26
($10,657.68)
Anthem MediBlue + Kroger Access

533%33%NA/YN$355.26
($10,657.68)
Anthem MediBlue Access

533%33%NA/YN$355.26
($10,657.68)
Anthem MediBlue Access Basic

533%33%NA/YN$355.26
($10,657.68)
Anthem MediBlue Essential

533%33%NA/YN$355.26
($10,657.68)
Anthem MediBlue Extra

525%25%NA/YN$355.26
($10,657.68)
Anthem MediBlue Plus

533%33%NA/YN$355.26
($10,657.68)
Cigna Preferred GA Medicare

528%28%28%/YN$374.35
($11,230.50)
Cigna Preferred Medicare

531%31%31%/YN$370.91
($11,127.22)
Cigna Preferred Plus Medicare

533%33%33%/YN$374.35
($11,230.50)
Cigna True Choice Medicare

533%33%33%/YN$370.91
($11,127.22)
Clover Health LiveHealthy

533%33%NA/YN$379.15
($11,374.46)
Clover Health LiveHealthy Value

525%25%NA/YN$379.15
($11,374.46)
Humana Care Extra

5NA33%33%/YN$373.99
($11,219.72)
Humana Gold Plus H4141-017

5NA33%33%/YN$373.99
($11,219.72)
HumanaChoice H5216-073

5NA27%27%/YN$373.99
($11,219.72)
HumanaChoice H5216-154

5NA26%26%/YN$373.99
($11,219.72)
HumanaChoice H5216-203

5NA33%33%/YN$373.99
($11,219.72)
HumanaChoice H5216-279

5NA33%33%/YN$373.99
($11,219.72)
HumanaChoice H5216-280

5NA25%25%/YN$373.99
($11,219.72)
HumanaChoice R3392-002

5NA27%27%/YN$373.99
($11,219.72)
Kaiser Permanente Senior Advantage Basic 1

5NA33%NA/NN$364.66
($10,939.91)
Kaiser Permanente Senior Advantage Enhanced 1

5NA33%NA/NN$364.66
($10,939.91)
Sonder Complete Health Medicare Advantage

5NA33%NA/YN$350.86
($10,525.65)
UnitedHealthcare Medicare Advantage Choice

5NA28%28%/YN$373.29
($11,198.75)
Wellcare Assist

525%25%25%/YN$355.26
($10,657.68)
Wellcare Giveback

525%25%25%/YN$355.26
($10,657.68)
Wellcare Low Premium Open

530%30%30%/YN$355.26
($10,657.68)
Wellcare No Premium

533%33%33%/YN$355.26
($10,657.68)
Wellcare No Premium Open

531%31%31%/YN$355.26
($10,657.68)
Wellcare Premium Enhanced Open

531%31%31%/YN$355.26
($10,657.68)


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SNP Prescription Drug Cost for Gilotrif

Click the Plan Name for More Details about that Plan
Click the header to sort
Plan
Name ⇅
Tier
Level
Cost
Preferred
Cost
Non
Preferred
Cost
Amt
Mail
Limit
Days/
Amt
Prior
Auth
Y/N
Step
Therapy
Y/N
Avg
Unit
Cost
(x30)
Aetna Medicare Dual Preferred Plan

5NA$0NA/YN$376.41
($11,292.20)
Anthem MediBlue + Kroger Dual Advantage

525%25%NA/YN$355.26
($10,657.68)
Anthem MediBlue Dual Access

526%26%NA/YN$355.26
($10,657.68)
Anthem MediBlue Dual Advantage

525%25%NA/YN$355.26
($10,657.68)
Anthem MediBlue ESRD Care

533%33%NA/YN$355.26
($10,657.68)
CareSource Dual Advantage

5NA25%NA/YN$333.67
($10,010.10)
Cigna TotalCare

5NA15%NA/YN$382.74
($11,482.20)
Cigna TotalCare Plus

5NA$0NA/YN$382.74
($11,482.20)
Humana Care Extra

5NA25%25%/YN$373.99
($11,219.72)
Humana Gold Plus SNP-DE H4141-003

5NA$0NA/YN$373.99
($11,219.72)
Humana Together in Health

5NA25%25%/YN$373.99
($11,219.72)
HumanaChoice - Diabetes and Heart (PPO C-SNP)

5NA30%30%/YN$373.99
($11,219.72)
HumanaChoice SNP-DE H5216-205

5NA$0NA/YN$373.99
($11,219.72)
HumanaChoice SNP-DE H5216-206

5NA15%NA/YN$373.99
($11,219.72)
PruittHealth Premier

1NA25%NA/YN$369.87
($11,096.13)
Senior Advantage Medicare Medicaid Plan 1

5NA25%NA/NN$364.66
($10,939.91)
Sonder Diabetes Wellness

5NA33%NA/YN$350.86
($10,525.65)
Sonder Dual Complete

5NA25%NA/YN$350.86
($10,525.65)
Sonder Heart Healthy

5NA33%NA/YN$350.86
($10,525.65)
UnitedHealthcare Assisted Living Plan

5NA33%33%/YN$373.29
($11,198.75)
UnitedHealthcare Dual Complete

5NA15%NA/YN$373.29
($11,198.75)
UnitedHealthcare Dual Complete

5NA15%NA/YN$373.29
($11,198.75)
UnitedHealthcare Dual Complete Choice LP

5NA$0NA/YN$373.29
($11,198.75)
UnitedHealthcare Dual Complete Choice Select LP

5NA15%NA/YN$373.29
($11,198.75)
UnitedHealthcare Medicare Gold

5NA33%33%/YN$373.29
($11,198.75)
UnitedHealthcare Medicare Silver

5NA25%NA/YN$373.29
($11,198.75)
UnitedHealthcare Nursing Home Plan 1

5NA25%NA/YN$373.29
($11,198.75)
UnitedHealthcare Nursing Home Plan 2

5NA25%NA/YN$373.29
($11,198.75)
Wellcare Dual Access

1NA$0NA/YN$355.26
($10,657.68)
Wellcare Dual Access Open

1NA$0NA/YN$355.26
($10,657.68)
Wellcare Dual Liberty

1NA$0NA/YN$355.26
($10,657.68)


Do any Medicare Advantage Plans Cover Gilotrif? Yes, 65 Medicare Advantage Plans cover this drug in Georgia.

How much does Gilotrif Cost? $365.91, the average retail cost in Georgia is $365.91 per unit or $10,977.39 for a 30-day supply at in-area pharmacies.

What Tier is Gilotrif? Tier 5, most Advantage Plans list Gilotrif on Tier 5 on their formulary. Usually, the higher the tier, the more you have to pay for the medication.

Do I need Prior Authorization for Gilotrif? Yes, the majority of Medicare Prescription Plans do require prior authorization from your doctor for Gilotrif.



Additional Notes by Medicare Help:

Most plans have 4 levels of coverage. The exception is the $0 Deductible Plans.
1.Pre-Deductable: Before you reach the plans deductible. Some plans offer select Pre-deductible drug Coverage
2.Initial Coverage: (ICL) After you reach the plans deductible but before the Initial Coverage limit.
3.Coverage Gap: (AKA Donut Hole) After you reach the plans ICL but before the Catastrophic of $7550 in 2022.
4.Catastrophic: Anything over $7550 you will receive a significant increase in coverage.

Formulary Definitions:

Tier Level: Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost. A drug in a lower tier will generally cost you less.
Cost Preferred: Your Cost for the Drug at the Providers In Network Preferred Pharmacy. As a Percent of the total drug cost or a flat rate.
Cost Non Preferred: Your Cost for the Prescription Drug at a Non-Preferred Pharmacy. As a Percent of the total drug cost or a flat rate.
Cost Mail: Your Cost for Prescription Drugs through a Mail Order Pharmacy. As a Percent of the total drug cost or a flat rate.
Quantity Limit Amount/Days: Certain drugs have a Quantity Limit. That means the plan will only cover the drug up to a designated quantity or amount. If your prescribing doctor feels it is necessary to exceed the set limit, he or she must get prior approval before the higher quantity will be covered.
Prior Authorization: Certain Drugs require you or your doctor to get prior authorization in order to be covered. Usually just an additional form. If you dont get approval, the plan may not cover the drug.
Step Therapy: Means you must first try one drug to treat your medical condition before the plan will cover another drug for the same condition. If you have already tried other drugs or your doctor thinks they are not right for you, you and your doctor can ask the plan to cover this drug.
Avg Unit Cost: Average unit cost (e.g. per pill) for specified days supply at in-area retail pharmacies. A pharmacy is considered in-area when it is geographically located in the service area.




What if a drug I need is not listed?

Please check the formulary for different brand and generic names. If you still cannot locate your drugs, your plan may not offer coverage. Talk to your doctor first about changing your prescription to a drug on your plans formulary. If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances.

Last updated on
Source:CMS Formulary Data Q4 2022
Source:NDC Directory by FDA.gov

**We make every attempt to keep our information accurate. But please check with the plan providers to verify all information.

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