Xofluza (baloxavir marboxil) is a brand-name drug that’s prescribed for treating and preventing influenza. The medication is available in these forms: tablet and liquid. The cost of Xofluza, with and without insurance, can depend on several factors.
As with all medications, the cost of Xofluza can vary. Factors that may affect the price you’ll pay include:
- your insurance coverage
- the pharmacy you use
- whether Xofluza has a savings program (see the “Financial and insurance assistance” section below)
To find out what the cost of Xofluza will be for you, talk with your doctor, pharmacist, or insurance provider. Or look below in the next section to learn how much you can save by using an Optum Perks coupon.
To save money on your Xofluza prescription, explore these Optum Perks coupons.
Save on your Xofluza prescription
Save on Xofluza without insurance.
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Location
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Dosage
1 xofluza (1 Box)
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Simply show the Optum Perks coupon at your preferred pharmacy or order online and instantly save up to 80% without using insurance. The coupon doesn’t expire, so be sure to save it for refills.
Retail price refers to the manufacturer’s published list price and is up to date as of 3/2023. Retail and discounted prices are U.S.-only and can vary based on region and pharmacy. We cannot guarantee that the discounted price listed here will exactly match the price at your pharmacy. Please contact your pharmacy for the exact price.
Optum Perks and Healthline are subsidiaries of RVO Health.
Pricing source:Perks.optum.com
Xofluza is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active ingredient in a brand-name medication.
Generics tend to cost less than brand-name drugs.
WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.
If you need financial support to pay for Xofluza, or if you need help understanding your insurance coverage, help is available. For example:
- A coupon is available for Xofluza. For more information and to find out whether you’re eligible, visit the program website.
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
To learn more about saving money on prescriptions with or without insurance, check out this article.
Here are answers to some frequently asked questions about drug cost and Xofluza.
How much is Xofluza with insurance vs. the price without insurance?
What you pay for Xofluza if you have insurance compared with what you’d pay without it depends on several factors.
Factors that could affect what you pay for this drug without insurance include:
- whether you apply and qualify for any available savings programs
- the pharmacy you use
- the form of the drug you’re prescribed (such as the tablet price versus the liquid price)
These same factors may affect your price for Xofluza if you have insurance. But the price you pay with insurance will also depend on:
- your specific plan benefits
- any prior authorization requirements you have for drug coverage
To learn more about what you’d pay for Xofluza with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).
You can also visit Optum Perks* for price estimates for this drug when using coupons from their site. However, Optum Perks coupons cannot be used with insurance benefits or copays.
* Optum Perks is a sister site of Medical News Today.
What is the cost of Xofluza vs. Tamiflu?
The price you’d pay for Xofluza versus that of Tamiflu depends on various factors.
For instance, the availability of a generic version may affect a drug’s price. Xofluza isn’t available in a generic version, but Tamiflu is. Typically brand-name drugs cost more than generic drugs.
There are additional factors that can affect your prescription cost, including:
- the length of your treatment
- whether there are payment assistance programs for your prescribed treatment
- whether you’re paying out of pocket or have insurance
To learn more about the cost of Xofluza compared with other treatments for your condition, talk with your doctor, pharmacist, or insurance provider.
Below is information you may want to consider if you have insurance and receive Xofluza.
If you have insurance, your insurance company may require prior authorization before it covers Xofluza. This means the company and your doctor will discuss Xofluza in regard to your treatment. The insurance company will then determine whether the medication is covered.
If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Xofluza requires prior authorization.
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.