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Affordability Check

How to afford Xofigo

Generic name: Radium Ra 223 dichloride

Pick how you're covered. We'll show you the cheapest legitimate way to get Xofigo — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.

How are you covered for prescriptions?

Pick the one that fits you. We'll show you the cheapest way to get this drug.

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 Xofigo and its cost

What is this medication? Xofigo, also known by its generic name radium Ra 223 dichloride, is a radioactive therapeutic agent used to treat men with a specific type of advanced prostate cancer. This condition is known as metastatic castration-resistant prostate cancer that has spread to the bones but has not spread to other internal organs like the liver or lungs. It is typically prescribed when the cancer no longer responds to medical or surgical treatments designed to lower testosterone levels.

The medication works by mimicking calcium and specifically targeting areas of the bone where the cancer has caused rapid mineral turnover. Once it is absorbed into these bone metastases, it releases high-energy alpha particles that travel only very short distances. This targeted radiation helps to kill the cancer cells within the bone while minimizing exposure and damage to the surrounding healthy tissues. By attacking the bone tumors, the treatment can help extend the lives of patients and manage symptoms associated with bone metastasis.

Xofigo is made by a pharmaceutical manufacturer. 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 Xofigo?

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 Xofigo?

No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But the manufacturer has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.

Does my Medicare Part D plan cover Xofigo?

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 Prostate 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 Xofigo