ST. LUKE’S CHARGE 10002800 CYCLOSPORINE 100 MG PO CAPS Insurance and Self Pay Discounts 250 J7502 60505-0134-0 $84.43

Overview: Cyclosporine 100 mg oral capsules are an immunosuppressive medication often prescribed to prevent organ transplant rejection and to treat certain autoimmune conditions. The listed fee includes the medication cost per 100 mg capsule and may reflect pharmacy dispensing fees. The price varies significantly depending on insurance coverage and self-pay discounts. Patients are advised to request an itemized estimate from the pharmacy or billing department to verify what is included, especially if receiving ongoing or high-dose therapy.

Cost Breakdown

• Standard Fee: $84.43 per 100 mg capsule
• Self-Pay Discount: $44.00 per capsule
• Insurance Payment Range: $22.24 (lowest negotiated rate) to $71.19 (highest negotiated rate) depending on the insurer
• Sample Insurer Rates:
  • Aetna PPO: $68.92
  • Anthem PPO: $71.19
  • Humana HMO: $22.93
  • UHC PPO: $69.89
  • WPS Aurora Featured Network: $41.80

Associated Costs to Consider

• Routine blood tests to monitor cyclosporine levels and kidney function
• Physician office visits for ongoing management
• Other medications (e.g., antihypertensives, infection prophylaxis)
• Possible hospital or clinic dispensing fees

Insurance & Payment Advice

• Verify your insurance formulary for coverage details and possible co-pay tiers.
• Ask your provider or pharmacy about generic alternatives or patient assistance programs for cost savings.
• Request a written, itemized estimate before starting therapy, especially for long-term use.
• Compare self-pay and insurance-negotiated rates; sometimes self-pay discounts are lower than insured rates.

Side-Effect and Monitoring Considerations

• Inform your provider about all medications and supplements you use to avoid interactions.
• Be aware of possible side effects including increased risk of infection, kidney problems, and high blood pressure.
• Adhere to all scheduled lab tests to ensure safe dosing and reduce adverse effects.

Frequently Asked Questions

• What is cyclosporine used for? Cyclosporine is commonly prescribed to prevent organ rejection after transplant and to manage certain autoimmune disorders such as rheumatoid arthritis and psoriasis.
• Does the fee cover the entire course of treatment? No, the fee is per 100 mg capsule. The total cost depends on your prescribed dose and duration of therapy.
• Can I get a generic version of cyclosporine? Yes, generic forms are available and may offer substantial cost savings. Ask your pharmacy about generic options.
• Will my insurance cover cyclosporine? Coverage varies widely. Check your plan’s formulary and out-of-pocket costs before filling your prescription.
• Are there assistance programs for cyclosporine? Yes, manufacturer and nonprofit assistance programs may help eligible patients afford their medication.
• Do I need regular monitoring while taking cyclosporine? Yes, routine blood tests are essential to check drug levels and monitor for side effects.
• What should I do if I miss a dose? Take the missed dose as soon as you remember, unless it is almost time for your next dose. Do not double up doses. Contact your provider for guidance.
• Can I take other medications with cyclosporine? Some drugs interact with cyclosporine. Always inform your healthcare provider about any new medications or supplements.
• What are common side effects of cyclosporine? Common side effects include increased risk of infection, high blood pressure, kidney issues, and gum overgrowth.
• How can I minimize out-of-pocket costs? Compare insurance rates with self-pay options, use generic alternatives, and inquire about assistance programs or bulk discounts.
• Where can I get more information about my prescription? Speak with your pharmacist or healthcare provider for personalized advice and detailed medication guides.

Aurora ST. LUKE’S
CHARGE
10002800
CYCLOSPORINE 100 MG PO CAPS
Rev 250
CPT J7502
NDC 60505-0134-0

Fee $84.43

Self-Pay $44.00

Insurance

Minimum $42.22
Maximum $71.19
Aetna W $33.70
Aetna PPO $68.92
Anthem Blue Priority $25.73
Anthem Blue Preferred $25.73
Anthem PPO $71.19
Aurora Caregiver $22.24
Centivo $25.36
Cigna GPPO $49.80
Cigna PPO $70.18
Common Ground ETF Network $25.79
Common Ground Exchange Envision $25.79
Common Ground Group Envision $25.79
Everpointe Elite $24.32
Health EOS Plus $50.71
Health EOS PPO $66.20
HealthPartners ETF $24.19
HealthPartners Robin Focused $29.83
HealthPartners Broad $62.29
HPS $27.98
HST $41.16
Humana HPN $22.93
Humana HMO $22.93
Humana PPO $69.91
Molina Exchange $36.04
Quartz One $39.04
Quartz Group $46.15
Trilogy $45.29
UHC Individual Exchange $23.00
UHC Charter $23.00
UHC Nexus $23.00
UHC HMO $24.01
UHC PPO $69.89
WPS Aurora Featured Network $41.80
WPS Arise $44.00
WPS Statewide $44.00