Affordability Check
How to afford BYLVAY
Generic name: odevixibat
Pick how you're covered. We'll show you the cheapest legitimate way to get BYLVAY — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About BYLVAY and its cost
What is this medication? Bylvay is a prescription medicine used to treat itching, also known as pruritus, in patients aged 3 months and older with a rare liver condition called progressive familial intrahepatic cholestasis. It is also approved for treating itching in patients with Alagille syndrome who are 12 months of age or older. The medication belongs to a class of drugs known as ileal bile acid transporter inhibitors, and it works by specifically blocking the reabsorption of bile acids in the small intestine.
By reducing the amount of bile acids that return to the liver and circulate in the bloodstream, this treatment helps to lower the levels of these acids that accumulate in the skin and cause severe discomfort. Bylvay is typically taken once daily in the morning with a meal. It is available in different forms, including capsules that can be swallowed whole or opened to be sprinkled onto soft food for patients who have difficulty swallowing pills.
BYLVAY is made by Ipsen. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford BYLVAY?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for BYLVAY?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Ipsen has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover BYLVAY?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Congenital Liver Malformation?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about BYLVAY
Full BYLVAY drug page
FDA label, prior authorization rules, full indications list
More options for Congenital Liver Malformation
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3