Purified Cortrophin Gel
Generic: Repository Corticotropin
- Manufacturer
- ANI
- NDC
- 62559-860
- RxCUI
- 309541
- Route
- INTRAMUSCULAR
- ICD-10 indication
- G40.409
Affordability Check
How much will you actually pay for Purified Cortrophin Gel?
In 30 seconds, see every legitimate way to afford Purified Cortrophin Gel — Medicare copay, manufacturer copay card, Patient Assistance Program, grants, or cash.
About Purified Cortrophin Gel
What is this medication? Purified Cortrophin Gel is an injectable prescription medicine containing repository corticotropin injection, which is a purified form of adrenocorticotropic hormone. It works by stimulating the adrenal glands to produce and release natural cortisol and other hormones into the bloodstream to help reduce inflammation. This medication is specifically indicated for the treatment of acute exacerbations of multiple sclerosis in adults. Beyond this primary use, doctors may prescribe this medication for a wide array of inflammatory and autoimmune conditions. It is used as a short-term treatment for various rheumatic disorders, such as rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. Additionally, it is used to manage certain skin conditions like systemic lupus erythematosus, severe allergic reactions, and inflammatory diseases of the eyes or respiratory tract. It can also be used to help reduce protein in the urine for patients with nephrotic syndrome.
Copay & patient assistance
- Patient Copay Amount: As little as $0 per prescription fill
- Maximum Annual Benefit Limit: $25,000 per calendar year
- Core Eligibility Restrictions: Must have commercial insurance; valid for approved indications only; patients with government insurance plans (e.g., Medicare, Medicaid) are not eligible; patients are responsible for any remaining out-of-pocket costs once the annual maximum is reached
- RxBIN, PCN, and Group numbers: Not Publicly Available
External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.
Compare pricing elsewhere
RxCopays doesn't sell drugs or take referral fees. Here are the transparent-pricing directories we recommend checking alongside your insurance formulary.
Cost Plus Drug Company
Mark Cuban's transparent-pricing pharmacy — manufacturer cost + 15% markup + $5 dispensing fee. No insurance needed. Search alphabetically for Repository Corticotropin.
Browse Cost Plus medications →
GoodRx
Compare local pharmacy prices with GoodRx coupons. Use the price with your insurance or without — whichever is cheaper.
Lookup Purified Cortrophin Gel →
NeedyMeds
Independent nonprofit directory of patient assistance programs, copay cards, and charity co-pay foundations.
Search for Repository Corticotropin →
RxAssist
PAP directory maintained by Volunteers in Health Care at Brown University. Free, no ads.
Search PAPs →
We deep-link because transparency helps patients. None of these partners pay RxCopays.
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 Purified Cortrophin Gel appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-08-31).
Covered by plans
7%
387 of 5,499 plans
Most common tier
Tier 5
On 73% of covering formularies
Prior authorization required
100%
of covering formularies
| Tier | Formularies on this tier | Share |
|---|---|---|
| Tier 1 (preferred generic) | 17 | 22% |
| Tier 2 (generic) | 1 | 1% |
| Tier 4 (non-preferred brand) | 3 | 4% |
| Tier 5 (specialty) | 58 | 73% |
Step therapy: 0% of formularies
Quantity limits: 68% of formularies
Coverage breadth: 79 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
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
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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.