How is YUPELRI® covered under Original Medicare?

YUPELRI® is covered under Medicare Part B for eligible patients. For those with Original Medicare, up to 80% of the cost of YUPELRI® is typically covered, and the remaining 20% may be covered by supplemental insurance or other programs.

What is covered under Medicare Advantage for YUPELRI®?

Medicare Advantage plans provide coverage for YUPELRI® in the same way as Original Medicare, but the out-of-pocket costs may vary depending on the specific plan. Medicare Advantage members should check with their plan to confirm coverage details and any additional benefits.

How can patients with private or commercial insurance cover the cost of YUPELRI®?

Patients with commercial or employer-sponsored insurance may pay little to nothing for YUPELRI® due to the YUPELRI Savings Card, which helps reduce out-of-pocket expenses. Nearly 90% of patients with commercial insurance pay $0 for a 30-day supply of YUPELRI®.

What are the options for patients who are not insured and need YUPELRI®?

For uninsured patients, the YUPELRI® Patient Assistance Program may provide access to the medication at no cost, depending on eligibility. Patients can contact the program for more information and to determine their qualification.

How does the YUPELRI Savings Card work for patients with commercial insurance?

The YUPELRI Savings Card is available for patients with private or commercial insurance and helps to reduce out-of-pocket costs. Patients can use the card to save on their monthly prescriptions, with many patients paying $0 for a 30-day supply.

Can YUPELRI® be covered under Medicare Part B for patients using durable medical equipment (DME)?

Yes, Medicare Part B covers YUPELRI® as a DME when it is used with a nebulizer at home. This allows patients to receive the medication as part of their COPD treatment plan, ensuring better access to necessary therapies.

Insurance Coverage

YUPELRI is covered by Medicare and most commercial insurance plans

Yupelri coverage:

Original Medicare: Part B Benefit

YUPELRI is widely covered for Medicare Part B beneficiaries.

UP TO

100%

Out-of-pocket costs for YUPELRI are covered up to 100% for patients who have Medicare Part B^29*

80% OF THE COST OF YUPELRI is covered by Medicare Part B
THE REMAINING 20% may be covered by supplemental insurance

Medicare Part B covers most nebulizers as DME (durable medical equipment) for patient use at home.⁴

Administered through the Centers for Medicare and Medicaid Services (CMS). Dual-eligible individuals pay little to no out-of-pocket costs.²⁷

*This is not a guarantee of coverage. Site of Care will determine coverage. Check with your patient’s insurance provider for coverage rules and restrictions. In certain limited instances, YUPELRI may be covered through a patient’s Medicare Part D pharmacy benefit.

Medicare
Advantage: Part B Benefit

Also called Medicare Part C or Medicare replacement plan.

Administered through private insurance companies, Medicare
Advantage delivers the same original Medicare benefit.
Out-of-pocket costs vary depending on the patient's specific plan.

Not an actual patient.

Not insured: Patient Assistance Program

Once-daily YUPELRI can still be an option for patients who are uninsured or whose insurance does not cover treatment.

Through our Patient Assistance Program, eligible patients may be able to receive their medication free of charge.^*

QUESTIONS ABOUT
COVERAGE?

For more information, direct your eligible patients to contact us.

email customer.service@viatris.com

phone (800) 796-9526

*Patients must meet financial and other program-specific criteria to be eligible for assistance.

Not an actual patient.

Access & Coverage Guide

Explore tips on how to avoid approval delays during the fulfillment process.

Download Guide

EXPLORE ADDITIONAL CONTENT

The YUPELRI Hub

Find out how our dedicated prescription fulfillment service can assist your patients.

Learn More

YUPELRI Patient
Savings Card

The YUPELRI Savings Card may help lower out-of-pocket costs.

Learn More

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