Xiidra Cost Without Insurance: How to Save on Dry Eye Treatment

Xiidra Cost Without Insurance: How to Save on Dry Eye Treatment

Xiidra (lifitegrast ophthalmic solution) is a prescription eye drop used to treat chronic dry eye disease by reducing inflammation and improving tear production. While it provides relief for many patients, the high cost can be a major barrier for those without insurance coverage. This article will explore the cost of Xiidra, why it is expensive, and how patients can save money on their prescriptions.

How Much Does Xiidra Cost Without Insurance?

For patients without insurance, the cost of Xiidra can range from $500 to $700 per month for a 30-day supply. Prices vary depending on the pharmacy and location, making it difficult for many people to afford long-term treatment.

Some factors that contribute to Xiidra’s high cost include:

  • It is a brand-name medication with no generic alternative currently available.
  • The complex formulation of Xiidra makes it more expensive to manufacture than standard artificial tears.
  • Limited competition in the prescription dry eye treatment market keeps prices high.

Does Insurance Cover Xiidra?

Insurance coverage for Xiidra depends on your provider and plan. While some insurance companies cover it, many have extra requirements that can make access more challenging.

  • Prior Authorization: Many plans require your doctor to prove that Xiidra is medically necessary before they approve coverage. This process can take time and may lead to denials or extra paperwork.
  • High Copays: Even with insurance, Xiidra can still be expensive. Some patients pay $50 to $200 per month, while those with high-deductible plans may pay even more.
  • Step Therapy Requirements: Some insurance plans make patients try and fail other treatments, like artificial tears or Restasis, before covering Xiidra. This can delay getting the right treatment.

To avoid surprises, patients should check with their insurance provider to understand their coverage, copays, and any restrictions. If coverage is limited, looking into savings programs, manufacturer discounts, or alternative treatments may help lower costs.

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Ways to Save on Xiidra Without Insurance

1. Manufacturer Savings Programs

Novartis, the manufacturer of Xiidra, offers a savings program for eligible patients. The Xiidra Savings Card may lower the cost for those who qualify, but eligibility is often limited to insured patients and may not apply to those without coverage.

2. Prescription Discount Cards

Pharmacy discount programs like GoodRx, SingleCare, and WellRx can help reduce the out-of-pocket cost of Xiidra. These discounts are available at many retail pharmacies and may provide some relief for uninsured patients.

3. Patient Assistance Programs

Some non-profit organizations and pharmaceutical assistance programs may help eligible patients access Xiidra at a reduced cost or even for free. Programs like the Pan Foundation and Rx Outreach are worth exploring for those who meet income criteria.

4. Buying from an Online Pharmacy

For those paying out-of-pocket, some patients explore licensed international or online pharmacies to find lower-cost options. Patients should be cautious and ensure they are purchasing from a reputable source to avoid counterfeit medications.

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Alternatives to Xiidra

For patients struggling with the high cost of Xiidra, there are alternative treatments that may provide relief:

  • Restasis (cyclosporine ophthalmic emulsion): Another prescription eye drop that helps increase tear production. While still expensive, Restasis may be covered by more insurance plans.
  • Over-the-counter artificial tears: Products like Systane, Refresh, or TheraTears can help lubricate the eyes but do not treat inflammation.
  • Punctal plugs: A non-medication option where small plugs are inserted into the tear ducts to help retain moisture in the eyes.
  • Prescription steroid eye drops: These may be used for short-term relief but are not a long-term solution for chronic dry eye.

Final Thoughts

Xiidra is a highly effective dry eye treatment, but its high cost can be a challenge for patients without insurance. Exploring savings options, discount programs, and alternative treatments can help make managing dry eye disease more affordable. For those struggling to afford Xiidra, speaking with a doctor about lower-cost alternatives or assistance programs can be the first step toward finding a solution