Ibrance Medicare Coverage

Ibrance is a prescription medication that contains the active ingredient Palbociclib. It is used to treat breast cancer as an initial, endocrine-based therapy as well as disease progression following endocrine therapy in HER-2 negative patients.

It is typically taken once daily for 21 days of a 28-day cycle. Ibrance targets proteins in cancer cells to stop the cancer cells from growing.

The major side effects of Ibrance include nausea and vomiting, hair loss and hair thinning, loss of appetite, diarrhea, mouth irritation or mouth sores, feeling tired or weak, dry skin and taste changes.

How much does Ibrance cost with Medicare?

Ibrance coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Ibrance?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Ibrance in 2023.¹

• Medicare Advantage plans or Part D plans that cover Ibrance include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Ibrance. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

Ibrance will likely be given with other medications to help control the side effects.

If you are taking Ibrance, you may have a higher chance of getting an infection. Wash your hands often and stay away from people who are sick.

Tell your doctor if you experience symptoms such as fever, chills, sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores or a wound that will not heal.

This drug can be harmful to an unborn baby if taken while pregnant. Use birth control to prevent pregnancy while taking this drug and for at least 3 weeks after your last dose.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.