Medicare may cover Revlimid (lenalidomide) if you have a plan with prescription drug coverage, such as a Part D plan or a Medicare Advantage (Part C) plan.
Revlimid is a brand-name drug that doctors may prescribe to treat conditions including multiple myeloma and mantle cell lymphoma in certain adults.
Revlimid is a type of drug called a thalidomide analogue. The drug is approved by the
- myelodysplastic syndromes
- multiple myeloma
- marginal zone lymphoma
- follicular lymphoma
- mantle cell lymphoma
To receive coverage for Revlimid, you must have a Medicare prescription drug plan.
If you have Original Medicare (parts A and B), you can enroll in a stand-alone Part D plan to cover your medications.
If you have a Medicare Advantage plan, it might cover prescription drugs. Not all Medicare Advantage plans include drug benefits.
Private insurance companies offer Medicare drug plans, and their lists of covered drugs differ. Your plan will cover Revlimid if it’s listed in their formulary. Most Medicare drug plans cover Revlimid.
Review your plan’s documentation or contact a representative to learn whether it covers Revlimid. If it does not, it may cover an alternative medication.
The Centers for Medicare & Medicaid Services (CMS) offers a coverage finder tool to allow users to find plans in their area that include coverage for Revlimid.
The amount you pay for Revlimid will depend on a few factors, including your location, your plan, and the drug’s tier.
Medicare prescription drug plans group covered drugs into cost tiers. Revlimid is typically a higher-tier drug, although it has generic version. According to Revlimid’s manufacturer, the list price for the drug is $18,723 per 28-day cycle.
The amount you pay for Revlimid will also depend on what stage of coverage you are in.
In 2025, most Part D plans have three stages of coverage. Beneficiaries will have different out-of-pocket expenses depending on the stage:
- Deductible stage: If your plan has a deductible, you’ll pay the full cost of the medication until you reach your deductible amount. In 2025, the maximum deductible amount for a Part D plan is $590.
- Initial coverage stage: After meeting your deductible, you’ll pay a 25% coinsurance on the cost of covered medications until your out-of-pocket costs reach $2,000.
- Catastrophic stage: Once you’ve spent $2,000 in a calendar year, you’ll pay no more for covered medications.
Your costs will be lower if you qualify for cost assistance through the Extra Help program.