Affordability Check
How to afford Orladeyo
Generic name: Berotralstat hydrochloride
Pick how you're covered. We'll show you the cheapest legitimate way to get Orladeyo — 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 Orladeyo and its cost
What is this medication? Orladeyo is a prescription medicine used to prevent attacks of hereditary angioedema (HAE) in adults and children 12 years of age and older. HAE is a rare genetic disorder characterized by sudden and severe swelling in different parts of the body, such as the hands, feet, face, and throat. This medication is taken orally as a once-daily capsule to help reduce the frequency of these painful and potentially dangerous swelling episodes over time.
The active ingredient in Orladeyo is berotralstat, which belongs to a class of drugs known as plasma kallikrein inhibitors. It works by blocking the activity of an enzyme called plasma kallikrein, which helps control the levels of a protein that triggers swelling. It is important to note that Orladeyo is intended for long-term prevention and should not be used to treat an acute HAE attack that is already occurring.
Orladeyo is made by BioCryst. 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 Orladeyo?
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 Orladeyo?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But BioCryst has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover Orladeyo?
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 Hereditary Angioedema?
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 Orladeyo
Full Orladeyo drug page
FDA label, prior authorization rules, full indications list
More options for Hereditary Angioedema
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