Affordability Check
How to afford MIGERGOT
Generic name: Ergotamine Tartrate and Caffeine
Pick how you're covered. We'll show you the cheapest legitimate way to get MIGERGOT — 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 MIGERGOT and its cost
What is this medication? Migergot is a prescription combination medication that contains ergotamine tartrate and caffeine. It is primarily used to treat and prevent vascular headaches, such as migraines with or without an aura, as well as cluster headaches. This medication is typically administered as a rectal suppository, making it a useful option for patients who experience severe nausea or vomiting during their migraine attacks and cannot swallow or retain oral tablets. The medication works by narrowing the widened blood vessels around the brain that contribute to the sensation of headache pain. Ergotamine is the primary active ingredient that constricts these blood vessels, while caffeine is included to enhance the absorption of the ergotamine and increase its effectiveness. It is important to note that Migergot is intended for the immediate treatment of an active headache and is not meant to be used for the daily prevention of chronic migraines.
MIGERGOT is made by Cosette Pharmaceuticals. 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 MIGERGOT?
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 MIGERGOT?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Cosette Pharmaceuticals has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover MIGERGOT?
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 Migraine?
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 MIGERGOT
Full MIGERGOT drug page
FDA label, prior authorization rules, full indications list
More options for Migraine
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