Affordability Check
How to afford ORSERDU
Generic name: Elacestrant
Pick how you're covered. We'll show you the cheapest legitimate way to get ORSERDU — 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 ORSERDU and its cost
What is this medication? Orserdu, also known by the generic name elacestrant, is a prescription medication used to treat certain adults with advanced or metastatic breast cancer. It is specifically indicated for patients whose cancer is estrogen receptor positive and human epidermal growth factor receptor 2 negative. This medication belongs to a class of drugs known as selective estrogen receptor degraders, which work by binding to and breaking down estrogen receptors to help slow or stop the growth of cancer cells.
This treatment is specifically designed for postmenopausal women or adult men whose breast cancer has a specific mutation in the ESR1 gene. To determine if this medication is appropriate, healthcare providers must first use an approved test to confirm the presence of this mutation. It is typically prescribed after the cancer has progressed following at least one previous round of endocrine therapy. Patients generally take Orserdu as a tablet once daily with food as directed by their medical professional.
ORSERDU is made by Stemline. 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 ORSERDU?
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 ORSERDU?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Stemline has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover ORSERDU?
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 Cancer?
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 ORSERDU
Full ORSERDU drug page
FDA label, prior authorization rules, full indications list
More options for Cancer
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