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Elagolix 200 mg/1 Medicare Part D Coverage

Brand name: Orilissa
Dosage form
TABLET, FILM COATED
Route
ORAL
6%
of Medicare Part D plans
cover Elagolix
343 of 5,530 plans
4.7
Avg. formulary tier
$86.00
Median 30-day copay
$84.00–$88.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Elagolix. Lower tiers = lower copays.

Tier 1 - Preferred Generic 7%
25 plans • avg $0.00/mo
Tier 3 - Preferred Brand 1%
2 plans • avg $43.00/mo
Tier 4 - Non-Preferred Drug 1%
3 plans • avg $0.00/mo
Tier 5 - Specialty 91%
313 plans • avg $0.00/mo

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Elagolix Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Arizona 100% California 100% Colorado 100% Delaware 100% District of Columbia 100% Florida 100% avg $86.00 Georgia 100% Hawaii 100% Idaho 100% Indiana 100% Kentucky 100% Louisiana 100% Maryland 100% Michigan 100% Minnesota 100% Mississippi 100% Missouri 100% Montana 100% Nevada 100% New York 100% North Carolina 100% Ohio 100% Oregon 100% Pennsylvania 100% South Carolina 100% Tennessee 100% Texas 100% Utah 100% Virginia 100% Washington 100% West Virginia 100% Wisconsin 100%

Related Versions of Elagolix

Orilissa 150 mg/1 Brand

Frequently Asked Questions about Elagolix

6% of Medicare Part D plans cover Elagolix. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.

The median 30-day copay for Elagolix on Medicare Part D is $86.00 at a preferred pharmacy. Costs range from $84.00 to $88.00 depending on the plan.

Elagolix is placed on Tier 5 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Elagolix. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →