IMBRUVICA® (ibrutinib) CLL/SLL CostIMBRUVICA® (ibrutinib) CLL/SLL Cost

IMBRUVICA® (ibrutinib)
CLL/SLL Cost

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Coverage and Cost

When you have support, such as help understanding your insurance coverage and potential ways to pay for IMBRUVICA®, you may feel more confident during treatment. The IMBRUVICA® By Your Side patient support program is here to help answer some of your questions about the financial aspects of taking IMBRUVICA®.

Learn more about your insurance coverage and potential financial support options. 

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Call the IMBRUVICA® By Your Side patient support program

1-888-YourSide (1-888-968-7743)

Monday-Friday, 8:00am-8:00pm ET

IMBRUVICA® Copay Card

If you have commercial insurance, you could get IMBRUVICA® for as little as

$0

per prescription*

*Eligible patients may pay as little as $0 per prescription of IMBRUVICA®. Rules and maximum limits apply. Patients currently using the IMBRUVICA® Copay Card are not eligible for retroactive billing or reimbursement of previous copays. The IMBRUVICA® Copay Card is available to patients with commercial prescription coverage for IMBRUVICA® who meet eligibility criteria. The IMBRUVICA® Copay Card cannot be used by patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs, including Medicare Part D, Medicare Advantage Plan, Medicaid, Medigap, VA, DOD, and TRICARE, or where prohibited by law or the patient’s health insurance provider. The IMBRUVICA® Copay program may be updated or discontinued at any time without notice.

Enroll for the IMBRUVICA® Copay Card

Wholesale Acquisition Cost (WAC)

The Wholesale Acquisition Cost (WAC), also known as the list price, of a 30-day supply of IMBRUVICA® is $15,883.36 as of April 2023. A majority of patients do not pay full list price once insurance coverage is applied.

The list price for a 30-day supply of IMBRUVICA® (ibrutinib) 420-mg tablets, which is the recommended dose for CLL.

Understanding Insurance for CLL Patients

If you have:You could pay:
Commercial Insurance (usually provided by an employer)As little as $0 per month* with the IMBRUVICA® Copay Card. Learn More and Enroll Here
Medicare (Part D and LIS)

Most patients with Medicare pay between $0 and $49 per month for IMBRUVICA® in CLL. This number represents Medicare Part D, including those with LIS. Actual out-of-pocket costs may vary based on dosing, indication, site of care, insurance coverage, and your eligibility for support programs (some of which require you to apply for the support, like independent charitable foundations).

​The information below is based on the benefit structure for Medicare Part D and LIS. Please see Medicare.gov for more information.

Medicare Part D

Most Medicare patients have standard Part D prescription coverage, which has different costs depending on deductibles and coverage gaps. With standard Part D prescription coverage, you could pay $851 - $3,395 per month, depending on coverage phase. Monthly out-of-pocket costs for IMBRUVICA® may vary depending on coverage phase and other medications you may be taking.

Medicare Low Income Subsidy

Eligible patients may be able to access brand name drugs for less than $10 per month. You may be eligible for the Extra Help program provided by the Social Security Administration.

We can help you understand what these costs mean to you by calling 1-888-968-7743.

Medicaid$20.00 or less per month, depending on state plan.
Other Insurance (VA, DOD, TRICARE, others)Because coverage varies by plan, call 1-888-968-7743 to find out how much IMBRUVICA® will cost for you.
Uninsured or if you cannot afford your medicationPharmacyclics and Janssen are committed to helping the uninsured gain access to our medicine. Call 1-888-968-7743 or visit www.pparx.org for assistance.

Important Details About Understanding Your Individual Costs:

Your type of health or prescription insurance plan will determine exactly how much you will pay. The benefit structure is based on the publicly available information for Medicare Part D, LIS, and Medicaid and cost is accurate as of April 2023 for a 30-day supply of IMBRUVICA® (420-mg dose).

*Eligible patients may pay as little as $0 per prescription of IMBRUVICA®. Rules and maximum limits apply. Patients currently using the IMBRUVICA® Copay Card are not eligible for retroactive billing or reimbursement of previous copays. The IMBRUVICA® Copay Card is available to patients with commercial prescription coverage for IMBRUVICA® who meet eligibility criteria. The IMBRUVICA® Copay Card cannot be used by patients receiving prescription reimbursement under any federal, state, or government-funded insurance programs, including Medicare Part D, Medicare Advantage Plan, Medicaid, Medigap, VA, DOD, and TRICARE, or where prohibited by law or the patient’s health insurance provider. The IMBRUVICA® Copay program may be updated or discontinued at any time without notice.

Approximately 80% of US patients in this category pay an amount in this range. Actual out-of-pocket costs may vary based on dosing, indication, site of care, insurance coverage, and your eligibility for support programs (some of which require you to apply for the support, like independent charitable foundations). Contact your insurance provider for more details on your individual plan. Out-of-pocket cost estimates are based on approved pharmacy claims, normalized to a 30-days’ supply, after application of insurance benefits. Costs do not include medical claims and starter kits. Note: This is based on information licensed from IQVIA™: IQVIA™ Out of Pocket Cost (OPC Tool) for the period January 2022 – December 2022, reflecting estimates of real-world activity. All rights reserved.

Other Resources

Johnson & Johnson Patient Assistance Foundation, Inc.

The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, nonprofit organization. JJPAF gives eligible patients free prescription medicines donated by Johnson & Johnson companies. To see if you might qualify for assistance, please contact a JJPAF program specialist at 800-652-6227 (Monday – Friday, 8:00 AM to 8:00 PM ET) or visit the foundation website at JJPAF.org.

The IMBRUVICA® By Your Side patient support program is with you along the way.

Get Started Today

Pharmacyclics, an AbbVie Company, may collect your personal data through your online and offline interactions with us, including your contact, demographic, geolocation, and health-related data. We may also collect your online usage data automatically through cookies and similar technologies. We use this data for several purposes, such as to provide you with and improve our programs, services, and products, customize your experiences, and for research and analytics. We retain your personal data for as long as necessary to fulfill these purposes or to comply with our record retention obligations. We do not sell your personal data but may use and disclose your personal data with marketing and advertising partners to deliver you ads based on your interests inferred from your activity across other unaffiliated sites and services (“online targeted advertising”) and for website analytics. To opt out of the use or disclosure of your personal data for online targeted advertising or for website analytics, go to Your Privacy Choices on our website. For more information on the personal data categories we collect, the purposes for their collection, our disclosures to third parties, your data subject rights, and our data retention criteria, visit our Privacy Notice.

Through my submission of the program enrollment form, I consent to the collection, use, and disclosure of my personal health data, as described in the Privacy Notice above and in AbbVie’s Privacy Notice in the How We May Disclose Personal Data section. My consent is required to process sensitive personal data under certain privacy laws, and I have the right to withdraw my consent by visiting Your Privacy Choices on AbbVie’s website.

IMBRUVICA® (ibrutinib) is covered by U.S. Patents, which are listed in FDA's Orange Book (available at
https://www.accessdata.fda.gov/scripts/cder/ob/default.cfm).