How Much Is Subutex? | Is Subutex Covered By Medicaid/Medicare, Private Insurance

Medically Reviewed by Johnelle Smith, M.D on July 14, 2021

Subutex (buprenorphine) is a medication for opioid use disorder that can range in price depending on factors such as insurance coverage, dosage amount, and pharmacy location.

How Much Is Subutex With And Without Insurance?

Subutex, a drug containing buprenorphine, is a medication used to treat opioid dependence.

The cost of Subutex will depend on how you plan to pay for it. Some health insurance plans may fully or partially cover the cost of Subutex tablets.

Without prescription drug coverage, Subutex can come with out-of-pocket costs. Financial assistance for Subutex treatment, including drug discount cards, may be available.

Learn more about the benefits of Subutex in medication-assisted treatment

Cost Of Subutex

Subutex pills may cost up to $310 without insurance, according to average retail price estimates. This average retail price is for generic Subutex tablets.

With insurance, the cost of Subutex may be fully or partially covered. You may be responsible for copays or out-of-pocket costs, depending on the stipulations of your insurance policy.

To be eligible for Subutex drug coverage, you may be responsible for paying monthly premiums and meeting plan deductibles prior to purchasing Subutex for medication-assisted treatment.

What Factors Can Affect The Cost Of Subutex?

The cost of Subutex for opioid dependence can vary according to a wide range of factors.

The cost of Subutex may depend on:

  • how you plan to pay for Subutex (e.g. self-pay, private insurance)
  • type of insurance plan
  • state of residence
  • pharmacy location
  • treatment setting
  • dosage amount
  • supply

Health insurance is one of the primary factors that can affect how much Subutex costs, in addition to the dosage and amount of pills/tablets in the prescription.

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Is Subutex Covered By Medicaid?

Buprenorphine (Subutex) for medication-assisted treatment is eligible for Medicaid coverage in the United States. Not all Medicaid plans may offer Subutex coverage.

According to the Kaiser Family Foundation, copay for buprenorphine is required in 21 states, as of 2018. Other limits on service may also apply.

Is Subutex Covered By Medicare?

Some Medicare plans, including Medicare Part D and some Medicare Advantage plans, may offer drug coverage for Subutex. This will depend on the type of Medicare policy.

Proof of medical necessity, copays, and other eligibility requirements may apply in order to have drug costs covered.

Is Subutex Covered By Private Insurance?

Generally, yes. The majority of insurance providers in the United States offer insurance plans that include some level of coverage for opioid addiction medications like Subutex.

Cost Of Brand Name Vs. Generic Subutex

Subutex is a brand name for buprenorphine, the generic equivalent of Subutex. Generic buprenorphine tablets can be cheaper in cost and therefore more cost-effective for MAT.

The cost of generic Subutex vs. brand name Subutex may depend on the type of insurance plan you have and whether Subutex is listed as a covered medication.

Can You Pay For Subutex Out Of Pocket?

You can pay for Subutex out-of-pocket, but this may be costly. Without insurance, a monthly supply of Subutex could cost hundreds of dollars out-of-pocket.

Financial Assistance For Getting Subutex

Financial assistance programs, discount cards, and other forms of financial assistance are available to help reduce the cost of Subutex.

Cost is one of the primary barriers to medication-assisted treatment for people with opioid use disorder, also known as opioid addiction.

If you’re looking for a low-cost or free rehab center for opioid addiction, one of our specialists may be able to help you find treatment options within your budget near you.

Find Low-Cost Subutex Treatment Today

Subutex can be a life-changing medication for people with opioid use disorder. If you’re looking for free or low-cost Subutex treatment, we may be able to help.

Call our helpline today to find a treatment provider or rehab facility near you that offers free or low-cost Subutex for opioid addiction.

This page does not provide medical advice. See more

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Medically Reviewed by
Johnelle Smith, M.D on July 14, 2021
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