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Izervay, Medicare and Drug Cost

My 3rd Izervay injections are in a few days. I am on Medicare and have an advantage plan. Due to the high cost to me ($890 per visit - 2 eyes), I've been searching for a new plan, but my advisor says it is not looking good.

What I have discovered is that Izervay is not treated as a drug from the insurance standpoint. Although for 2025 there will be a $2000 cap on drug costs, this will not pertain to Izervay, which is covered under Medicare part B and not Part D. Does anyone know if Syfovre has a similar high cost? This is an enormous monthly dollar output for me and I was wondering if anyone has found a way to lower this cost.

  1. I just wanted to acknowledge that that must be so worrying for you. There are a number of people in our community on Syfovre. I hope someone will respond with suggestions for you. Wendy, Patient Leader.

    1. i am so sorry for your situation. Advantage plans sound great because they are less expensive. What they don’t say up front is about the expensive copays. You can chat with someone at Medicare to find out the copay for Syfovre. I am on Izervay every 2 months and doing as well as those on monthly. You might ask your doctor if that is an option for you. I suggest you ask about assistance programs at the clinic you use. There may be one to help you. Best of luck finding financial assistance. Warm regards, Sharon Moore patient leader

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