Entresto: Your Savings Guide
Learn about costs, savings options, and how to access this essential medication
What is Entresto?
Entresto (sacubitril-valsartan) is a combination medication used to treat chronic heart failure with reduced ejection fraction. Sacubitril works by enhancing the body’s natural peptides that relax blood vessels, while valsartan blocks angiotensin II, reducing strain on the heart. This dual mechanism lowers blood pressure, reduces fluid retention, and improves heart function over time.
How Much Does Entresto Cost?
Entresto, like many brand-name medications, can be expensive, often costing hundreds of dollars each month. Prices are influenced by research, development, and market exclusivity—making it challenging for many to afford. The good news is there are savings programs available to help lower your out-of-pocket costs, including savings cards, patient assistance programs, and grants.
* Source: GoodRx.com; Actual price depends on factors like your insurance coverage, location, and pharmacy.
Ways to Save on Entresto
Before exploring these savings options, consider checking your insurance coverage. If Entresto is not covered, you may have the option to appeal. Insurance appeals involve requesting your insurer to reconsider coverage based on your medical need. If the appeal is unsuccessful, the following programs and options can help reduce your out-of-pocket costs.
Additional Ways to Save
If the programs above don’t work for you, speak with your healthcare provider or pharmacist to explore other ways to reduce your costs for Entresto including:
Ask About 90-Day Fills: Speak with your healthcare provider about obtaining a 90-day supply instead of monthly refills. Many pharmacies offer discounts on bulk purchases, which can reduce the overall cost per month.
Consider Alternative Medications: There may be similar medications to Entresto that are less expensive. Your doctor can help you determine if an alternative treatment could work for you.
Explore State and Local Assistance Programs: Some states have pharmacy assistance programs for residents with limited income. These programs vary by location but may provide additional savings opportunities.
What to Do Based on Your Situation
How to Save on Entresto with Commercial Insurance
If you have private or commercial insurance, check if Entresto is covered under your plan. If it is, you may qualify for the Manufacturer Savings Card, which can lower your copay to as little as $10 per month. If Entresto isn't covered, you may consider filing an insurance appeal.
Medicare Savings Options for Entresto
If you have Medicare Part D, you may qualify for the Medicare Extra Help Program, which can lower prescription costs to as little as $11.20 per fill. If your plan doesn’t fully cover Entresto and your household income is at or below 400% of the Federal Poverty Level, the NPAF Program may provide it for free. Additionally, grant programs like HealthWell and PAN Foundation can help cover unaffordable out-of-pocket costs.
What to Do If You’re Uninsured or Entresto Isn’t Covered
If you’re uninsured or your insurance doesn’t cover Entresto, you may still qualify for savings programs. The NPAF Program offers Entresto for free to eligible individuals with limited income. Additionally, grant programs like HealthWell and PAN Foundation provide financial aid to help cover medication costs.
