How Much Is A Suboxone Prescription With And Without Insurance?

Suboxone can be expensive without insurance, but most insurance providers do cover Suboxone treatment thanks to requirements under the Affordable Care Act. Without insurance, the cost of Suboxone can range from $150 to $500 for a 30-day supply. How Much Does Suboxone Cost Without Insurance? The cost of Suboxone, which contains buprenorphine, usually varies from $30 to $540, with the dosage and method of administering the medication being influential factors.

Using Suboxone for medication-assisted treatment is one of the most effective ways to recover from opioid addiction when coupled with behavioral therapy and other types of addiction treatment.

What Factors Determine The Price Of Suboxone?

Several factors influence how much you’ll pay for a Suboxone prescription. The medication comes in different forms, strengths, and dosing schedules, all of which can significantly impact the final cost of your treatment.

Factors that affect the pricing of Suboxone include:

• whether the prescription is for Suboxone strips or tablets
• the number of pills or strips in the prescription
• the strength of the medication (higher strengths closer to the 16 mg/4 mg dose will be more costly)
• how many doses a person needs in a day

Since people may need one to three doses daily to manage withdrawal symptoms, it’s important to discuss both the clinical effectiveness and financial impact of different dosing options with your healthcare provider.

Cost Of Suboxone With Insurance

Most insurance providers will cover most, if not all, of the cost of Suboxone prescriptions. The Affordable Care Act (ACA) requires most major insurance providers to cover addiction treatment services, including Suboxone treatment.

Not all insurance providers will have the same level of coverage for Suboxone treatment. Some prescriptions may be more costly than others depending on how much insurance covers.

Health Insurance Providers That Cover Suboxone

There are multiple private and government-funded health insurance providers that cover the cost of Suboxone treatment.

A few of these include:

• Aetna
• Anthem
• Blue Cross Blue Shield
• Kaiser Permanente
• Medicaid coverage for Suboxone
• Humana
• TriCare
• UnitedHealth Group

How Health Insurance Affects The Cost Of Suboxone

There are a few key factors that will influence the final cost of a Suboxone prescription for people with health insurance.

Meeting Your Deductible

The cost of your Suboxone prescription will depend on how high your deductible is with your specific health insurance provider. If you have a high deductible, you’ll need to cover the cost of Suboxone out-of-pocket for a while until the deductible is met.

Copay

Not all health insurance plans have a copay, but if your plan does have a copay, that’s going to factor into the cost. Some health insurance companies allow for Suboxone treatment at no copay, even if you usually have to pay one.

The cost for a Suboxone prescription with a copay can be up to about $470, depending on your insurance policy and the prescription.

Coinsurance

With coinsurance, you and your health insurance are agreeing to cover Suboxone prescriptions (and other medical expenses) in differing amounts that add up to 100%. For example, if you have coinsurance of 10% and your Suboxone prescription is $100, you’ll pay $10 out-of-pocket, and the insurance company will pay the remaining $90.

Cost Of Suboxone Without Insurance

Without insurance, Suboxone can get costly. The price will be different depending on whether Suboxone strips or pills are chosen.

If you or a loved one are battling substance use disorder, the Substance Abuse and Mental Health Services Administration (SAMHSA) can help you find an addiction treatment center near you.

Written by the Addiction Resource Editorial Staff