Latuda (Lurasidone) Cost With & Without Insurance — Talkspace

Latuda (lurasidone) is a commonly prescribed FDA-approved antipsychotic medication used to treat conditions such as schizophrenia and bipolar depression. However, the cost of Latuda without insurance can be a concern, creating a barrier for many people who need the medication.

Latuda is covered by insurance most of the time, but you may need prior authorization or be asked to try less expensive medications before your insurance will pay. For those without coverage, it can be an expensive brand-name drug, with an out-of-pocket cost that can reach more than $1,700/month, depending on the dosage and where you fill it. The cost of Latuda with insurance can be as little as $9, but it largely depends on your plan, copay, the pharmacy you go to, your dosage, and other factors.

Read on to learn more about the cost of Latuda without insurance vs. coverage and explore your options to make this medication more affordable.

Is Latuda covered by insurance?

Latuda is generally covered by insurance, but how much you should expect to pay depends on your policy. Most employer-sponsored, Medicaid, and Medicare Part D insurance plans include Latuda in their formulary, although exact drug coverage may vary.

• Employer-sponsored insurance: Many private insurance plans classify Latuda as a Tier 2 or Tier 3 drug, meaning it is subject to copayments or coinsurance. The exact amount you will pay will depend on the terms of your policy.
• Health insurance: Medicaid generally covers Latuda, but each state’s specific Medicaid formulary may affect associated costs or approval requirements.
• State health insurance: Medicare Part D plans often cover Latuda, although your out-of-pocket cost will depend on your plan and whether you have met your deductible or the coverage gap phase.

Always check coverage with your insurance provider and determine if prior authorization is required, which is common with some high-cost medications.

Latuda cost without insurance

The cost of Latuda without insurance can be high. The price typically ranges from $1,400 to $1,600 per month for a 30-day supply. If you don’t have insurance, shopping and comparing prices between different pharmacies can make a noticeable difference in cost. If you’re wondering how to get mental health medications without insurance, keep in mind that the exact cost will vary depending on several factors that influence the out-of-pocket price of Latuda.

• Dose strength: Higher doses of Latuda may be more expensive because they contain more active ingredient.
• Pharmacy prices: Retail pharmacy prices vary significantly. Large chain pharmacies often have different pricing structures compared to independent pharmacies or online retailers, so it pays to shop for the best price.
• Geographic location: Drug costs can vary depending on state regulations and pharmacy pricing policies, which means where you live may influence the price of Latuda.
• Manufacturer Discounts: Some pharmaceutical companies offer discount programs or patient assistance initiatives to help reduce costs for the uninsured.

“Factors that affect the cost of Latuda are whether or not you buy the brand or generic brand, your insurance coverage, or the pharmacy you use. The generic name is as safe and effective as the brand name and costs less than the brand name. The cost of drugs without insurance is more than with insurance. However, using a mail-order pharmacy and getting a 90-day supply can reduce the cost of the medication.”

– TalkSpace Therapist, Dr. Olga Molina, DSW, LCSW

Latuda cost with insurance

The cost of Latuda with insurance will ultimately depend on your specific plan. Copays for Latuda can range from $10 to $100 per month, but coinsurance plans may require you to pay a percentage of the drug’s retail cost, leading to higher out-of-pocket costs.

Some factors that determine your cost with insurance include:

• Insurance level placement: Latuda is often classified as a Tier 2 or Tier 3 drug, which affects copayments and whether prior authorization is needed.
• Deductibles: If you have not met your annual deductible, you may be responsible for the full cost of the drug until you do.
• Coverage limits: Certain insurance plans place coverage limits or restrictions on high-cost prescription drugs like Latuda.

To get a clearer picture of your out-of-pocket expenses, check your insurance plan formulary and speak directly with your provider.

How to get latuda without insurance

If you don’t have insurance, there are still ways to make Latuda more affordable. Here are some steps to explore:

1. Apply for manufacturer assistance programs: The manufacturer of Latuda offers patient assistance programs for those who meet income and eligibility requirements. These programs can dramatically reduce or even eliminate the cost of Latuda.
2. Look for prescription discount cards: Look for websites and apps that help you find discounts at local pharmacies, sometimes reducing costs by hundreds of dollars.
3. Request generic alternatives: Latuda has a generic version, Lurasidone, which can be significantly cheaper.
4. Compare pharmacy prices: Use online tools to compare prices at pharmacies. You may be surprised at the cost differences from drugstore to drugstore.

Affordable Online Mental Health Treatment

Managing the cost of Latuda with or without insurance is only part of the equation. Getting proper mental health care is just as important for managing the symptoms of mental health conditions like bipolar or schizophrenia.

TalkSpace offers affordable mental health treatment, with access to licensed online psychiatrists who can assess your needs, offer a care plan, and prescribe certain medications like Latuda when appropriate.

TalkSpace is covered by most major insurance plans, making it easy to prioritize your mental health without worrying about the cost. Whether you are wondering about Latuda side effects or looking for cost-effective alternatives to Latuda, TalkSpace is there to support you.
Take the first step to getting help by connecting with a psychiatric provider for a Latuda prescription online.