Is Izervay covered by your insurance plan? How to check?

To check if Izervay (avacincaptad pegol) is covered by your insurance, contact your insurance provider and ask about your prescription benefits. A representative can confirm if the medication is on your plan’s formulary and provide details on copay amounts.

• Find your insurance provider’s contact number on the back of your insurance card.
• Many insurers also offer online tools to check medication coverage on their website.

Does Izervay Offer a Copay Card?

Yes. Izervay has a commercial copay program that may allow eligible patients to pay as little as $0 for treatment. To qualify, you must:

• Be at least 18 years old
• Have a prescription for Izervay
• Be commercially insured

Program Limitations:

• Maximum benefit: $20,000 per calendar year
• Administration cost share reimbursement limit: $1,500
• Not available for: Self-pay patients or those on federal/state healthcare programs (e.g., Medicaid, Medicare, TRICARE)
• May not cover additional treatment-related fees (e.g., provider administration costs)

For more information, you can fill out the enrollment form or call 1-888-256-9929 8 AM to 8 PM ET Monday - Friday.

How Much Does Izervay Cost Without Insurance?

Without insurance, each dose of Izervay costs approximately $2,220. This is based on the Drugs.com pricing guide, and prices can go up or down over time. Prices can vary depending on where you are receiving the medication.

Patients who are underinsured or uninsured may be able to receive Izervay at no cost through the Izervay My Way program. Ask your healthcare provider if you are eligible to enroll in the program. Once enrolled, an Access Coordinator can help you get started.

Related questions

• How do Izervay and Syfovre compare?
• Is Syfovre covered by Medicare?
• Does Mounjaro cause blurry vision?

What Does Prior Authorization for Izervay Mean?

Some health insurance plans require a prior authorization for Izervay. This means they need more information from your prescriber to determine if they will cover the medication. After reviewing additional documentation submitted by your healthcare provider, your insurance plan will determine if they will cover the medication and for how long.

If a prior authorization gets approved by your plan to cover Izervay, this does not mean they will renew the coverage after the amount of time that it has been approved for is over.

Is There a Generic Version of Izervay?

No. Izervay is currently available as a brand-name only medication, and there are not any generic versions available.

What is Izervay Used For?

Izervay is a complement inhibitor that may be used to treat geographic atrophy due to age-related macular degeneration (AMD). It is injected into the eye once a month. It was approved by the FDA in 2023.

This is not all the information you need to know about Izervay (avacincaptad pegol) for safe and effective use and does not take the place of your doctor’s directions. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider.