How much do antifibrotic medications cost without insurance?

Typical medication costs

Antifibrotic drugs (pirfenidone and nintedanib) are expensive when purchased at full pharmacy price—typically several thousand dollars per month. Most patients don't pay list price because of insurance, manufacturer assistance programs, or negotiated pharmacy rates. If uninsured, ask your pharmacy for cash prices at different chains, as costs vary.

Manufacturer assistance programs

Both major antifibrotic manufacturers offer copay assistance and free medication programs for uninsured or underinsured patients who meet income criteria. Contact the drug manufacturer directly or ask your prescribing doctor's office to help you apply. These programs can provide medication at no cost, but applications take time.

Other financial resources

Non-profit organizations focused on pulmonary fibrosis sometimes maintain lists of assistance programs. Your pulmonologist's social worker can help identify programs you qualify for. Some states have pharmaceutical assistance programs. Community health centers may offer reduced-cost care. Get specifics from your prescriber rather than assuming you can't afford treatment.