Cost of Cabenuva in 2025: Discounts and Additional Savings
Cabenuva, a once-monthly or bi-monthly injectable medication used to treat HIV, can be an essential part of managing the disease. However, understanding the cost of Cabenuva can be complex, as it varies based on several factors.
Firstly, it's important to note that the average monthly cost of Cabenuva without insurance can range from $4,500 to $5,000 per dose. This price reflects the full medication cost in the U.S. without insurance coverage. With insurance, the out-of-pocket cost varies widely, depending on your specific insurance plan, copayments, deductibles, and whether the drug is covered in your plan’s formulary.
To find out the specific cost of Cabenuva for you, there are several steps you can take:
- Check your insurance formulary or drug list: Your insurer’s formulary document will show if Cabenuva is covered and at what tier or copay level.
- Contact your insurance company directly: Call the member services number and ask about Cabenuva coverage and your expected copay or coinsurance.
- Ask your healthcare provider or specialty pharmacy: Providers prescribing Cabenuva or specialty pharmacies that dispense it can often estimate what you will pay based on your insurance status.
- Explore manufacturer assistance programs: The manufacturer of Cabenuva offers patient assistance or copay support programs that may reduce your cost if you qualify.
Since Cabenuva is a specialty, injectable medication, costs and insurance coverage details are often handled case-by-case. Obtaining personalized insurance benefit verification is the best way to determine your exact monthly cost.
It's also worth noting that generics, which contain the same active ingredients as brand-name drugs, can often cost less. However, Cabenuva is only available as a brand-name drug and does not have a generic version.
For more information about saving money on prescriptions, you can check out specific articles or websites like Medicine Assistance Tool and NeedyMeds, which provide details about drug assistance programs, ways to make the most of insurance coverage, and links to savings cards and other services.
For details about Medicare coverage for drugs, see articles about Medicare prescription drug plans, drug coupons and Medicare, and the Medicare drug list.
To learn more about the costs of Cabenuva injections and treatment visits, talk with your doctor and health insurance provider.
Remember, the cost of Cabenuva, like the cost of many medications, is influenced by the research needed to test the safety and effectiveness of brand-name drugs. If you don't have health insurance, talking with your doctor may help you find options that could work for you.
[1] Formulary document example: https://www.anthem.com/forms/formulary/pdfs/2022/PBM/Anthem-PBM-2022-Formulary.pdf [2] Formulary document example: https://www.hcsc.net/content/dam/hcsc/en/documents/plans/health-plan-information/medical-plans/evidence-based-formulary/2022-hmo-evidence-based-formulary.pdf [3] Formulary document example: https://www.cigna.com/legal/compliance/medical-policy/formulary/formulary-2022/cigna-2022-formulary.pdf [4] Formulary document example: https://www.uhc.com/content/dam/uhc/en/forms/forms/formulary/2022-uhc-commercial-formulary.pdf [5] Formulary document example: https://www.aetna.com/health-care-professionals/content/dam/aetna/en/documents/clinical-policy-and-medical-management/formulary/2022/aetna-medical-policy-formulary-2022.pdf
- Although Cabenuva, the brand-name drug used to treat HIV, doesn't have a generic version, one can explore health-and-wellness resources like Medicine Assistance Tool and NeedyMeds for information on drug assistance programs and ways to maximize insurance coverage.
- Medicare beneficiaries should consult Medicare prescription drug plans articles, drug coupons, and the Medicare drug list to understand the specifics of their Medicare coverage for Cabenuva.
