The price you pay for Orilissa may depend on factors such as your dosage, whether you have health insurance, and the pharmacy you use. Financial assistance may be available to help you with the cost of Orilissa.

Several factors can affect the price you’ll pay for Orilissa. These include:

  • your treatment plan
  • your insurance coverage
  • the pharmacy you use
  • available financial assistance for Orilissa (see the “Financial and insurance assistance” section)

To find out your cost for Orilissa, talk with your doctor, pharmacist, or insurance provider. The next section, “Orilissa coupons and savings,” includes information about how much you can save by using an Optum Perks coupon.

To save money on your Orilissa prescription, explore these Optum Perks coupons.

Orilissa only comes as a brand-name drug. It’s not currently available in a generic version. A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less.

Why is there such a cost difference between brand-name drugs and generics?

Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.

If you take Orilissa long term, you may be able to lower your costs in the following ways:

  • Look into getting a 90-day supply: You may be able to get a 90-day supply of Orilissa if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of the drug. If you’re interested in a 90-day supply of Orilissa, talk with your doctor, pharmacist, or insurance provider.
  • Use a mail-order pharmacy: Using a mail-order pharmacy might help lower your cost for Orilissa. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.

If you need financial support to pay for Orilissa or help understanding your insurance coverage, assistance is available. For example:

  • A savings card is available for Orilissa. For more information and to find out whether you’re eligible for support, call 800-674-5477 or visit the manufacturer’s website.
  • Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:

Here are answers to some commonly asked questions about Orilissa’s cost.

Does Medicare cover Orilissa?

It’s possible. You can call your Medicare plan provider to learn whether your particular plan covers the cost of this drug. There are many types of Medicare plans, so your coverage and what you pay for prescriptions will be based on your particular plan’s benefits.

You may also need to obtain prior authorization before your plan will cover the cost of this medication.

Your doctor may also be able to provide information about your cost for Orilissa if you have Medicare.

What’s the cost of Orilissa with insurance vs. without it?

What you pay for Orilissa if you have insurance compared to what you’d pay without it depends on several factors.

Factors that could affect what you pay for this drug without insurance include:

  • the quantity you’re prescribed (such as a 90-day or 30-day supply)
  • whether you apply and qualify for any available savings programs
  • your dosage and treatment plan
  • the pharmacy you use

These same factors may affect your price for Orilissa if you have insurance. But the price you pay with insurance will also depend on:

  • your specific plan benefits
  • any prior authorization requirements you have for drug coverage

To learn more about what you’d pay for Orilissa with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).

You can also visit Optum Perks for price estimates for this drug when using coupons from their site. However, Optum Perks coupons cannot be used with insurance benefits or copays.

Note: Optum Perks is a sister site of Healthline.

Optum Perks is owned by RVO Health. By clicking on this link, we may receive a commission. Learn more.

You may want to consider the following information if you have insurance and take Orilissa.

If you have insurance, your insurance company may require prior authorization before it covers Orilissa. This means the company and your doctor will discuss the drug in regard to your treatment. The insurance company will then determine whether Orilissa is covered.

If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Orilissa requires prior authorization.

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.