How much should I expect to pay for Verzenio?

Prescription drug prices can be confusing. Two people may pay different prices for the same drug, depending on their insurance situation.

The list price1 of Verzenio is $11,732.002 per month, but the amount you pay will largely depend on your prescription drug insurance plan. The information below will give you a good idea of what to expect based upon your insurance situation and support that may be available to you.

For the most accurate information, talk to your insurance provider who knows the details of your plan.

Which Option Below Best Describes Your Insurance Situation?

9 out of 10 Verzenio prescriptions cost less than $50 per month, with the remaining prescriptions costing an average of $1,772 per month.3

What you pay for Verzenio will depend on your insurance plan. Each plan has different preferred drug lists and out-of-pocket amounts, and most include an annual deductible. If you haven’t met your deductible, you’ll see higher prices and could pay list price until you meet your deductible.

Paying for treatment shouldn’t be an additional concern for you or your loved ones, so we’ve created the Verzenio Savings Card, which may help you manage prescription costs. Eligible patients get the first three months of Verzenio free, then pay no more than $10 a month over a 12-month enrollment period for your prescription. Click here to learn more about the Verzenio Savings Card.

We’ve also created the Verzenio Continuous Care program to support you while taking Verzenio. Through 1:1 check-ins, your Verzenio Continuous Care team can help you navigate through the insurance process and identify savings opportunities. The Verzenio Continuous Care program is available to help you regardless of your insurance status. Click here to learn more.

For most patients with Part D coverage, out-of-pocket costs can vary throughout the year depending on which phase of the Part D benefit you are currently in. About 2 out of 3 Verzenio prescriptions cost less than $30 per month, with the remaining prescriptions costing an average of $685 a month.4

Some Medicare patients qualify for extra financial support through the Extra Help program. If you are eligible for Extra Help, you can expect to pay $3 - $9 for each prescription.

If you are unsure whether you qualify for Extra Help and would like more information, please visit https://www.ssa.gov/benefits/medicare/prescriptionhelp/.

We’ve created the Verzenio Continuous Care program to support you while taking Verzenio. Through 1:1 check-ins, your Verzenio Continuous Care team can help you navigate through the insurance process and identify savings opportunities. The Verzenio Continuous Care program is available to help you regardless of your insurance status. Click here to learn more.

For most people on Medicaid, prescription drugs like Verzenio range from $4-$9 per month.5 Some states offer even lower copays, or eliminate the copay requirement altogether.

To find out if you qualify for Medicaid, or for more information about copayments in your state, please visit: https://www.medicaid.gov/state-overviews/index.html.

We’ve created the Verzenio Continuous Care program to support you while taking Verzenio. Through 1:1 check-ins, your Verzenio Continuous Care team can help you navigate through the insurance process and identify savings opportunities. The Verzenio Continuous Care program is available to help you regardless of your insurance status. Click here to learn more.

If you do not have prescription medication insurance coverage6 or your insurance does not cover Verzenio, you can expect to pay the list price7 shown above, plus any additional pharmacy charges depending on where you purchase your medicine. See below for information regarding support services that may be available to you.

Want More Information?

We’ve created the Verzenio Continuous Care program to support you while taking Verzenio. Through 1:1 check-ins, your Verzenio Continuous Care team can help you navigate through the insurance process and identify savings opportunities. The Verzenio Continuous Care program is available to help you regardless of your insurance status.

Your Verzenio Continuous Care team will serve as your dedicated partner throughout your Verzenio treatment. Although we won't replace the advice of your healthcare provider, we'll do our best to help you. For more information, call 1-844-VERZENIO (1-844-837-9364) or click here.

Need Another Option?

Lilly donates medicines to the Lilly Cares Foundation, a separate nonprofit organization that helps qualified people in need receive Lilly medicines at no cost. Learn more at www.lillycares.com or by calling Lilly Cares at 1-800-545-6962.

1List price is also referred to as wholesale acquisition cost or WAC. WAC is the price at which Lilly sells its products to wholesalers. A monthly supply of Verzenio is defined as 28-day supply.

2Analy$ource. Accessed on February 19, 2019, reflects 28 units. Patients may have to pay a price higher than list price due to additional pharmacy charges.

3Source: Based on internal calculations by Eli Lilly and Company derived from IQVIA Longitudinal Access and Adjudication Data (LAAD); Admundsen Consulting analysis. Verzenio Patient Average Final OOP Cost per Script by Channel (January 2018 – December 2018). Accessed on January 29, 2019.

4Source: Based on internal calculations by Eli Lilly and Company derived from IQVIA Longitudinal Access and Adjudication Data (LAAD); Admundsen Consulting analysis. Verzenio Patient Average Final OOP Cost per Script by Channel (January 2018 – December 2018). Accessed on January 29, 2019.

5Centers for Medicare & Medicaid Services (CMS). Medicaid and CHIP Overview for Assisters. Maximum Allowable Copayments Determined by Eligible Population’s Household Income. Updated August 2018. **All out-of-pocket charges are based on the specific state’s defined payment amount for that service. Certain groups, including children, terminally ill individuals, and individuals residing in an institution are exempt from cost sharing. Refer to your state agency for details about Medicaid out-of-pocket costs. https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf. Accessed on November 9, 2018.

6Most consumers have some type of health insurance coverage that includes a prescription drug benefit. According to recent data, just under 9% of the total U.S. population is uninsured. https://www.kff.org/state-category/health-coverage-uninsured/health-insurance-status.

7 List price is also referred to as wholesale acquisition cost or WAC. WAC is the price at which Lilly sells its products to wholesalers. A monthly supply of Verzenio is defined as 28-day supply.

Indications and Important Safety Information
Indication

Verzenio is a prescription medicine used to treat a type of breast cancer. It is a medicine you can take if:

  • You have a type of breast cancer called HR+/HER2− (hormone receptor positive/human epidermal growth factor receptor 2 negative) and the cancer has spread to other parts of the body (metastasized)
  • Verzenio is given in combination with an aromatase inhibitor as initial endocrine-based therapy for the treatment of postmenopausal women, in combination with fulvestrant in women whose disease has progressed after hormonal therapy, or alone in women whose disease has progressed after hormone therapy and prior chemotherapy

It is not known if Verzenio is safe and effective in children.

Important Safety Information

VERZENIO MAY CAUSE SERIOUS SIDE EFFECTS, INCLUDING:

Diarrhea. Diarrhea is common with Verzenio and may sometimes be severe. Diarrhea may cause you to develop dehydration or infection. The most common time to develop diarrhea is during the first month of Verzenio treatment. Your doctor may stop your treatment, lower your dose, or tell you to wait to begin your treatment cycle if you have diarrhea.

  • At the first sign of loose stools, tell your doctor. You may be advised to start taking an antidiarrheal medicine (such as loperamide) and drink more fluids

Low white blood cell counts (neutropenia). Low white blood cell counts are common when taking Verzenio and may cause serious infections that can lead to death. Your doctor should check your white blood cell counts before and during treatment.

If you develop low white blood cell counts during treatment with Verzenio, your doctor may stop your treatment, decrease your dose, or may tell you to wait to begin your treatment cycle. Tell your doctor right away if you have signs and symptoms of low white blood cell counts or infections, such as fever and chills.

Liver problems. Your doctor should do blood tests before and during treatment to check your liver. Your doctor may stop your treatment, decrease your dose, or may tell you to wait to begin your treatment cycle if you develop liver problems. Tell your doctor right away if you have any of the following:

  • Feeling very tired
  • Pain on the upper right side of your stomach area (abdomen)
  • Loss of appetite
  • Bleeding or bruising more easily than normal

Blood clots in your veins or in the arteries of your lungs. Verzenio may cause serious blood clots that have led to death. Talk to your doctor if you have the following signs and symptoms of a blood clot:

  • Pain or swelling in your arms or legs
  • Shortness of breath
  • Chest pain
  • Fast breathing
  • Fast heart rate

Verzenio can harm your unborn baby. If you are able to become pregnant, you should use effective birth control during treatment with Verzenio and for at least 3 weeks after the last dose of Verzenio. Verzenio may affect the ability of males to father a child.


WHAT ARE THE POSSIBLE SIDE EFFECTS OF VERZENIO?

The most common side effects of Verzenio include: nausea, infections, decreased appetite, headache, abdominal pain, tiredness, vomiting, hair thinning or loss.

The most common changes to blood tests were low red blood cell count (anemia), low white blood cell counts (leukopenia) and low platelet count (thrombocytopenia).

You are encouraged to report negative side effects of prescription drugs to the Food and Drug Administration (FDA). Visit fda.gov/medwatch or call 1-800-FDA-1088.


WHAT SHOULD I TELL MY DOCTOR BEFORE TAKING VERZENIO?

Tell your doctor if you:

  • are pregnant or plan to become pregnant. If you become pregnant during your treatment, discuss this with your doctor.
  • are breastfeeding or plan to breastfeed. It is not known if Verzenio passes into your breast milk. Do not breastfeed during treatment with Verzenio and for at least 3 weeks after your last dose. You and your doctor should decide if you will take Verzenio or breastfeed. You should not do both.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Verzenio and certain other medicines can affect each other, causing serious side effects and may require you to change your dose. Especially tell your doctor if you take a medicine that contains ketoconazole. Avoid grapefruit products while taking Verzenio. Grapefruit may increase the amount of Verzenio in your blood.

Verzenio is available by prescription only.


Please see full Prescribing Information for Verzenio.


AL DTC ISI 27FEB2018