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Nucala

Generic: mepolizumab

Verified·Oct 26, 2026
Manufacturer
GlaxoSmithKline
NDC
0173-0881
RxCUI
1720601
Route
SUBCUTANEOUS
ICD-10 indication
J45.50

Affordability Check

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About Nucala

What is this medication? Nucala is a prescription biologic medication, known generically as mepolizumab, that is primarily used as an add-on maintenance treatment for people with severe eosinophilic asthma. It works by targeting and reducing the levels of eosinophils, which are a type of white blood cell that can cause inflammation in the lungs and airways when present in high amounts. By lowering these levels, the medication helps to prevent severe asthma attacks and improve overall breathing for patients who do not get enough relief from their regular asthma medicines alone.

In addition to treating asthma, Nucala is used to manage several other conditions characterized by high eosinophil levels. These include chronic rhinosinusitis with nasal polyps in adults, as well as rarer conditions such as eosinophilic granulomatosis with polyangiitis and hypereosinophilic syndrome. The medication is administered as an injection under the skin every four weeks, either by a healthcare professional or through a self-injection device at home after proper training. It is not intended for use in treating sudden breathing problems or acute asthma attacks.

Copay & patient assistance

  • Patient Copay Amount: As little as $0
  • Maximum Annual Benefit Limit: Not Publicly Available
  • Core Eligibility Restrictions: Patients must have commercial medical or prescription insurance; must be a resident of the U.S., District of Columbia, Puerto Rico, or the U.S. Virgin Islands; must not be enrolled in any federal or state government-funded program (including Medicare Part B, Medicare Part D, Medicaid, Medigap, VA, DoD, or TriCare); residents of Massachusetts and Rhode Island are ineligible for administrative fee reimbursement.
  • RxBIN, PCN, and Group numbers: Not Publicly Available

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Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Medicare Part D coverage

How Nucala appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-08-31).

Covered by plans

48%

2,656 of 5,499 plans

Most common tier

Tier 5

On 72% of covering formularies

Prior authorization required

100%

of covering formularies

TierFormularies on this tierShare
Tier 1 (preferred generic)38
22%
Tier 2 (generic)2
1%
Tier 4 (non-preferred brand)7
4%
Tier 5 (specialty)123
72%

Step therapy: 0% of formularies

Quantity limits: 92% of formularies

Coverage breadth: 170 of 65 formularies

How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).

Prior authorization & coverage

PayerPAStep therapyCopay tier

—

Medicare Part D

Yes——

Related drugs

How this page is sourced

  • Drug identity verified against openFDA NDC Directory.
  • Label text (when shown) originates from NLM DailyMed.
  • Copay and assistance URLs verified periodically; if you hit a broken link, tell us.

Rare-disease navigation (specialists, trials, patient communities)

Nucala treats a rare condition. For in-depth disease pages on our sister site:

UniteRare.org is our sister site for rare-disease navigation — same editorial team, same accuracy standards.