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Usually — Part D covers Repatha when statins alone aren’t enough, with criteria.

Drug Coverage · Heart & Blood

Repatha (evolocumab) is used for high cholesterol / cardiovascular risk (a PCSK9 inhibitor).

Does Medicare cover Repatha?

Usually — Part D covers Repatha when statins alone aren’t enough, with criteria. Covered for high cholesterol or cardiovascular risk, typically after statins haven’t worked or aren’t tolerated. Plans apply clinical criteria.

Which part of Medicare covers it?

Part D. These are self-administered prescriptions, so they fall under your Part D drug plan (or the drug coverage built into a Medicare Advantage plan), not Part B.

Typical formulary tier

Brand or specialty tier — varies by plan. Your exact tier — and copay — depend on the plan you choose, which is why matching the formulary to your medications matters.

Prior authorization & plan rules

Prior authorization is common — plans usually require documented statin use or intolerance (step therapy) first.

If it isn’t covered (or costs too much)

If denied, your doctor can appeal with clinical documentation; manufacturer and foundation assistance can help with cost.

Related medications

Related Medicare guides

Get a Real Answer for Your Plan — Free

Coverage and cost depend on your specific plan and diagnosis. Call us free at 435-219-5120 (TTY: 711) with your medication list, and we’ll tell you exactly what Repatha costs on your plan — and whether a different plan would cover it better. No cost, no pressure.

Frequently Asked Questions

Does Medicare cover Repatha?
Usually — Part D covers Repatha when statins alone aren’t enough, with criteria. Covered for high cholesterol or cardiovascular risk, typically after statins haven’t worked or aren’t tolerated. Plans apply clinical criteria.
Which part of Medicare covers Repatha?
Part D. These are self-administered prescriptions, so they fall under your Part D drug plan (or the drug coverage built into a Medicare Advantage plan), not Part B.
What if my plan doesn’t cover Repatha?
If denied, your doctor can appeal with clinical documentation; manufacturer and foundation assistance can help with cost.

Sources

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Rocco DeLuca can walk you through your options — free, no pressure.

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