Worried About Mavenclad Costs? Here’s How MS Patients Are Paying $0 for Their Medication

You’ve just been prescribed Mavenclad (cladribine) for your relapsing multiple sclerosis. Your neurologist explained how this disease-modifying therapy could reduce your relapses and slow disability progression. You felt hopeful—until you heard about the cost.

If you’re feeling overwhelmed, you’re not alone. The sticker price of specialty MS medications can be staggering, and many patients assume they simply can’t afford treatment. But here’s what the billing department doesn’t always tell you: most patients don’t pay anywhere near the list price.

In fact, many MS patients on Mavenclad pay $0 out-of-pocket through copay assistance programs. And QuickRx Specialty Pharmacy helps patients access these programs every single day—completely free of charge.

“I see patients panic when they hear about medication costs. But once we walk them through the assistance options, that weight lifts off their shoulders. There’s almost always a path to affordable treatment.”
— Julia Kravtsova, PharmD, Head Patient Navigator at QuickRx

Ready to find out what you could pay? Call (917) 830-2525 or visit our Mavenclad copay assistance page to get started.

Why Does Mavenclad Cost So Much?

Mavenclad is a specialty medication, which means it falls into a category of high-cost, complex drugs that require special handling, monitoring, and support. Several factors contribute to the price:

• Research and development costs — MS treatments require years of clinical trials
• Specialty manufacturing — These medications require precise formulation
• Limited patient population — MS affects fewer people than common conditions
• Monitoring requirements — Regular blood tests and safety protocols add to overall costs

But here’s what matters: the list price isn’t what most patients actually pay. Pharmaceutical manufacturers, foundations, and specialty pharmacies like QuickRx have created programs specifically to bridge this gap.

According to the National Multiple Sclerosis Society, most patients with insurance coverage can access their MS medications through various assistance programs. The challenge is knowing which programs exist and how to apply—which is exactly where QuickRx comes in.

Your Mavenclad Copay Assistance Options

There are several pathways to making Mavenclad affordable, depending on your insurance situation. Let’s break down each one:

1. Manufacturer Copay Cards

For patients with commercial insurance (employer-sponsored or marketplace plans), manufacturer copay cards can dramatically reduce out-of-pocket costs. Eligible patients may pay as little as $0 per prescription.

2. Patient Assistance Programs (PAPs)

For patients who are uninsured or underinsured, patient assistance programs may provide Mavenclad at no cost based on household income and medical necessity.

3. Independent Foundation Grants

For Medicare patients (who cannot use manufacturer copay cards due to federal law), independent charitable foundations offer grants to cover medication costs.

4. State Pharmaceutical Assistance Programs

Some states offer additional prescription assistance programs for residents with chronic conditions like MS.

“Every patient’s situation is different, which is why we take a personalized approach. We look at your insurance, your income, your prescriptions—everything—to find the combination of programs that gives you the lowest possible cost.”
— Julia Kravtsova, PharmD

If You Have Commercial Insurance

Good news: if you have insurance through your employer, the Health Insurance Marketplace, or a private plan, you likely qualify for a Mavenclad copay card.

How manufacturer copay cards work:

• The manufacturer covers a portion (or all) of your copay
• You present the card at the pharmacy along with your insurance
• Your out-of-pocket cost is reduced—often to $0
• The card is typically valid for one year and can be renewed

Eligibility requirements typically include:

• Valid commercial insurance that covers Mavenclad
• Not enrolled in Medicare, Medicaid, or other government insurance
• U.S. residency
• Valid prescription from a healthcare provider

QuickRx handles the entire enrollment process for you. We verify your eligibility, complete the application, and apply the savings directly at the pharmacy. You don’t have to navigate confusing websites or make multiple phone calls.

Get started: Apply for Mavenclad copay assistance

If You Have Medicare

Medicare patients face unique challenges when it comes to medication costs. Federal law prohibits manufacturer copay cards for Medicare beneficiaries—but that doesn’t mean you’re out of options.

Foundation grants for Medicare patients:

Independent charitable foundations provide grants specifically for Medicare patients who need help covering their medications. These nonprofit organizations are separate from pharmaceutical manufacturers and operate under strict guidelines.

How foundation grants work:

• Foundations offer grants based on diagnosis and financial need
• Grants cover Part D deductibles, coinsurance, and copays
• Awards are typically renewable every 3-12 months
• QuickRx monitors grant availability and helps you apply

Medicare Extra Help (Low-Income Subsidy):

If you meet income requirements, you may qualify for the Medicare Extra Help program, which reduces or eliminates Part D premiums, deductibles, and copays.

“Medicare patients often feel like they’ve hit a wall when they learn copay cards don’t apply to them. But foundation grants can be just as effective—sometimes covering 100% of out-of-pocket costs. We help Medicare patients access these programs every day.”
— Julia Kravtsova, PharmD

QuickRx tracks foundation grant availability, screens your eligibility, handles all paperwork, and follows up to ensure timely approval. We also manage renewals so your coverage doesn’t lapse.

If You’re Uninsured or Underinsured

No insurance? Insurance that doesn’t cover Mavenclad? You still have options.

Patient Assistance Programs (PAPs) are designed specifically for patients who lack adequate coverage. These programs may provide Mavenclad at no cost based on:

• Household income (typically below 400% of the Federal Poverty Level)
• Medical necessity (confirmed MS diagnosis)
• Lack of adequate insurance coverage
• U.S. residency

What QuickRx does for uninsured patients:

• Screens your eligibility for all available programs
• Gathers required documentation (income verification, prescription, diagnosis)
• Completes and submits applications on your behalf
• Follows up with programs to ensure approval
• Coordinates medication delivery once approved

Don’t assume you can’t afford treatment. Contact QuickRx at (917) 830-2525 to discuss your options.

How QuickRx Makes Mavenclad Affordable

Navigating copay assistance programs on your own can feel like a full-time job. Between eligibility requirements, application forms, income documentation, and program deadlines, it’s easy to get overwhelmed—especially when you’re also managing a chronic condition.

That’s why QuickRx does it all for you. And we never charge for this service.

What happens when you contact QuickRx:

Step 1: We verify your benefits
Our team contacts your insurance to understand your coverage and identify your out-of-pocket costs.

Step 2: We identify all available programs
Based on your insurance type and situation, we determine which copay assistance programs you qualify for.

Step 3: We handle the paperwork
We complete applications, gather documentation, and submit everything on your behalf.

Step 4: We follow up
We track application status and follow up with programs to ensure timely approval.

Step 5: We coordinate your medication
Once approved, we work with your neurologist to obtain your prescription and arrange free home delivery.

Step 6: We monitor your coverage
We track your benefits throughout the year and handle renewals so you don’t lose coverage.

“We form real relationships with our patients. You’re not just a prescription number to us—you’re someone who deserves access to the medication that can change your life. We handle everything so you can focus on your health.”
— Julia Kravtsova, PharmD

QuickRx is:

• ✓ URAC Accredited
• ✓ ACHC Accredited
• ✓ LegitScript Certified
• ✓ Licensed in all 50 states
• ✓ Dedicated MS specialty pharmacy team

Understanding Mavenclad for Relapsing MS

Before we dive into the FAQs, let’s quickly cover what Mavenclad is and why your neurologist may have prescribed it.

What is Mavenclad?

Mavenclad (cladribine) is an FDA-approved oral medication for adults with relapsing forms of multiple sclerosis, including relapsing-remitting MS (RRMS) and active secondary progressive MS (SPMS).

How is it different from other MS treatments?

Unlike many MS medications that require daily pills, weekly injections, or monthly infusions, Mavenclad is taken for just 20 days total over two years. After completing the two treatment courses, many patients don’t need additional MS therapy for several years.

How does it work?

Mavenclad works by selectively targeting certain immune cells (B and T lymphocytes) believed to play a role in MS. By temporarily reducing these cells, Mavenclad helps “reset” the immune system to reduce attacks on the nervous system.

For more information about Mavenclad, visit MedlinePlus or speak with your neurologist.

Frequently Asked Questions About Mavenclad Costs

1. How much does Mavenclad cost without insurance?

The list price for Mavenclad is significant, as it’s a specialty medication for MS. However, very few patients pay the list price. Through copay assistance programs, patient assistance programs, and foundation grants, most patients pay far less—and many pay $0 out-of-pocket. Your actual cost depends on your insurance coverage and which assistance programs you qualify for. QuickRx can provide a personalized cost estimate after reviewing your benefits.

2. Is there a Mavenclad copay card?

Yes. Patients with commercial insurance may qualify for a manufacturer copay card that can reduce out-of-pocket costs significantly. Eligible patients may pay as little as $0 per prescription. QuickRx handles copay card enrollment as part of our free services.

3. Can Medicare patients get help with Mavenclad costs?

Yes! While Medicare patients cannot use manufacturer copay cards due to federal regulations, independent foundation grants are available specifically for Medicare beneficiaries. These grants can cover Part D deductibles, copays, and coinsurance. QuickRx helps Medicare patients identify and apply for these programs.

4. What if I don’t have insurance?

Uninsured patients may qualify for patient assistance programs that provide Mavenclad at no cost based on household income and medical necessity. QuickRx screens your eligibility and handles the application process.

5. Does QuickRx charge for copay assistance help?

No. QuickRx provides completely free enrollment support for Mavenclad copay assistance programs. We never charge application fees or service charges. Our mission is to help MS patients access affordable treatment.

6. How long does it take to get approved for copay assistance?

Most commercially insured patients receive copay card approval within 24-48 hours. Foundation grants and patient assistance programs may take 1-2 weeks depending on the program and documentation requirements. QuickRx expedites the process by handling all paperwork and follow-up.

7. What if my copay assistance expires?

QuickRx monitors your coverage throughout the year and handles renewals proactively. We’ll contact you before your assistance expires to ensure continuous coverage.

8. Can I use copay assistance if I have a high-deductible health plan?

Yes! Patients with high-deductible health plans (HDHPs) can typically use manufacturer copay cards. However, be aware that copay card payments may not count toward your deductible depending on your plan. QuickRx can help you understand how assistance works with your specific coverage.

9. Is generic Mavenclad available?

Generic cladribine was approved by the FDA in November 2025. However, generic availability doesn’t automatically mean lower out-of-pocket costs. With copay assistance programs, brand Mavenclad may actually cost you less than the generic version. QuickRx can compare your options and help you find the most affordable path.

10. How do I get started with Mavenclad copay assistance?

Contact QuickRx by calling (917) 830-2525 or completing our online form. A patient navigator will review your insurance, identify all programs you qualify for, and handle the entire enrollment process.

References

1. National Institute of Neurological Disorders and Stroke. Multiple Sclerosis Information. Accessed December 2025.
2. National Multiple Sclerosis Society. MS Patient Resources. Accessed December 2025.
3. MedlinePlus. Cladribine Drug Information. Accessed December 2025.
4. Medicare.gov. Get Help with Drug Costs. Accessed December 2025.
5. Mayo Clinic. Multiple Sclerosis Overview. Accessed December 2025.