Camzyos (mavacamten) is a prescription oral capsule used to treat obstructive hypertrophic cardiomyopathy in adults. The cost of Camzyos may depend on factors such as your dosage, whether you have health insurance, and the pharmacy you use.
The price you pay for Camzyos can vary. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use.
To find out how much you’ll pay for Camzyos, talk with your doctor, pharmacist, or insurance provider.
Note: If you have insurance, you may need to get prior authorization before your insurance provider will cover Camzyos. This means your insurer and your doctor will discuss Camzyos in regard to your treatment. Then the insurance company will determine whether the drug is covered. If Camzyos 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 Camzyos requires prior authorization.
Camzyos 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 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 Camzyos or understanding your insurance, check out these resources:
On these sites, 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 Camzyos and cost.
Does Medicare cover Camzyos?
It might. If you have Medicare prescription drug coverage through a Medicare Part D or Part C (Medicare Advantage) plan, it may cover Camzyos. You can reach out to your plan provider, doctor, or pharmacist to find out whether your Medicare plan covers Camzyos and what you can expect to pay.
How much does Camzyos cost without insurance?
What you can expect to pay for Camzyos without health insurance depends on certain factors.
- your treatment plan
- whether you qualify for any savings programs
- the pharmacy you use (Camzyos is only available through certified pharmacies)
In general, prescription drugs cost more without insurance than with insurance.
If you don’t have insurance, talk with your doctor about your treatment plan and cost factors. They may have suggestions on ways to save on the cost of Camzyos. For example, they may suggest you sign up for the MyCamzyos Patient Support Program to see whether you’re eligible for cost savings.
You can also check out the information under the “Can I get help paying for Camzyos?” section above for more resources.
If you still have questions about the cost of Camzyos, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Camzyos.
Examples of questions you may want to ask your doctor or insurance provider include:
- Would a 5-milligram (mg) dose of Camzyos cost less than a 15-mg dosage?
- Are there lower cost options that can treat my condition if I can’t afford Camzyos?
- Does Camzyos cost less with private insurance versus Medicare?
To learn more about Camzyos, see this article:
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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.