Syfovre (pegcetacoplan) is a prescription drug that’s used to treat an eye condition called geographic atrophy. Syfovre’s cost may depend on factors such as your dosage, whether you have health insurance, and the pharmacy you use.
The price you pay for Syfovre can vary. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use. It will also depend on how much you have to pay for an office visit with your doctor to receive Syfovre.
To find out how much you’ll pay for Syfovre, talk with your doctor, pharmacist, or insurance provider.
Syfovre only comes as a brand-name drug. It’s not currently available in a generic version. A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less.
Why is there such a cost difference between brand-name drugs and generics?Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.
If you need help covering the cost of Syfovre or understanding your insurance, check out these resources:
On these pages, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.
If you have questions about how to pay for your prescription, talk with your doctor or pharmacist.
Below are answers to some frequently asked questions about Syfovre and cost.
Is Syfovre covered by Medicare?
It’s possible. To find out whether your Medicare plan covers the cost of Syfovre, call your plan provider. There are many different types of Medicare plans, and your cost and coverage depend on your particular plan’s benefits.
Your final cost may also depend on the price of receiving Syfovre at a doctor’s office or clinic.
Keep in mind that your plan may have prior authorization requirements before it will cover Syfovre. (See the “Prior authorization” section below for more information.)
You can also ask your doctor about the cost of Syfovre if you have Medicare.
How does the cost of Syfovre compare with the cost of Izervay?
The cost of Syfovre compared with the cost of Izervay can depend on several factors.
One factor between Izervay and Syfovre is the injection schedule. Doctors inject Izervay once per month, while Syfovre injections are given once every 25 to 60 days. The more frequent dosing schedule of Izervay may affect your overall cost for the treatment.
Other factors that may affect how much you pay include:
- whether there are any savings programs available for the drug you’re prescribed
- whether you have insurance or are paying out of pocket
- how long your treatment lasts
If you have questions about the cost of Syfovre compared with the cost of similar medications, talk with your doctor, pharmacist, or insurance provider. They can share more details on treatment costs based on your specific situation.
If you have insurance, you may need to get prior authorization before your insurance provider will cover Syfovre. This means your insurer and your doctor will discuss Syfovre in regard to your treatment. Then the insurance company will determine whether the drug is covered. If Syfovre requires prior authorization and you don’t receive it before you start treatment, you could pay the full cost of the drug.
Be sure to ask your insurance company whether Syfovre requires prior authorization.
Disclaimer: Healthline 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.