Fair Square Medicare Wordmark

Does Medicare Cover Piqray?

breast cancer awareness ribbon stock image

By Daniel Petkevich

Dec 2, 2022

All Part D plans have you covered

For Medicare beneficiaries seeking treatment for breast cancer, knowing that you have coverage can offer peace of mind amidst very challenging times. If you are taking Piqray to treat your breast cancer, the good news is that all Part D prescription drug plans offer coverage. How much could it cost you? Let's find out.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

What is Piqray and what are its uses?

Piqray is a targeted therapy used to treat certain types of advanced or metastatic breast cancer. It works by blocking an enzyme called PI3K, which may help slow or stop the growth of some cancer cells. When taken in combination with other chemotherapy drugs, it can be an effective treatment option for breast cancer patients.

How does Medicare cover Piqray?

Most Part D plans offer coverage for Piqray. This means that if your doctor prescribes this medication, it should be covered by your Medicare plan. However, the amount of coverage will depend on the specific plan you have and its drug formulary. Before you start treatment, it's important to check with your insurance provider to make sure you're fully aware of what's covered and how much you'll need to pay out of pocket.

How much does Piqray cost on Medicare?

The cost of Piqray on Medicare depends on the Part D plan you have and which tier it has placed the drug in. Generally, generic drugs are less expensive than brand-name drugs and may be covered at a lower co-pay or co-insurance amount. Piqray will typically be found on Tier 5, which is usually the most expensive. How much you will pay will also depend on

your coverage phase

. It's also important to note that if you're enrolled in a Medicare Advantage Plan, your coverage and cost may differ. Speak to your doctor and insurance provider for more personalized information about how much you would pay.

Can I get help paying for Piqray?

There are several programs available that may be able to help you with the costs associated with taking Piqray. Your doctor may be aware of other resources, or your insurance provider may be able to direct you to programs that can help. Additionally, you may qualify for Extra Help from Medicare, which could lower the cost of your medications and healthcare services.

If you have questions about Medicare coverage of Piqray, who can you ask for help?

If you have questions about Medicare coverage of Piqray, one of the best resources is your doctor. Your doctor can provide personalized advice about your specific situation and help answer any questions or concerns you may have. Additionally, speaking to your insurance provider can also be helpful. They can provide more detailed information on what your plan covers and how much you might need to pay out-of-pocket for Piqray. You can also contact the Medicare helpline at 1-800-MEDICARE (1-800-633-4227) for more information. They have knowledgeable representatives who can help guide you through your coverage options.

Takeaway

Piqray is a prescription drug covered by most Part D plans. Depending on the specifics of your coverage, you may need to pay out-of-pocket for this medication. If you are having difficulty covering the costs associated with Piqray, several programs can help. Be sure to talk with your doctor before starting or stopping any medication (including Piqray). This content is for informational purposes only. Give us a call at Fair Square Medicare for all your Medicare questions.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

scleral lenses

Does Medicare Cover Scleral Lenses?

Dec 5, 2022

Screenshot 2025-03-19 at 5.02.46 PM

2024 Fair Square NPS Report

Mar 19, 2025

Physiotherapist showing workout record on exercise bike

Does Medicare Cover Exercise Physiology?

Jan 11, 2023

Cover image

Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires

Jul 15, 2025

older man suffering from stomach pain due to IBS stock photo

Does Medicare Cover Xiafaxan?

Jan 19, 2023

Diagnosis incontinence stock image

Does Medicare Cover Incontinence Supplies?

Dec 22, 2022

Senior couple going over their finances in front of a computer stock image

How Much Does Medicare Part B Cost in 2025?

Dec 27, 2022

Psoriasis on elbow stock photo

Does Medicare Cover Ilumya?

Dec 7, 2022

Cover image

Does Medicare Have Limitations on Hospital Stays?

Mar 15, 2024

Cover image

Fair Square Client Newsletter: AEP Edition

Oct 2, 2023

Nashville city skyline stock image

14 Best Ways for Seniors to Stay Active in Nashville

Mar 10, 2023

treehouse

Medigap vs. Medicare Advantage

May 25, 2020

senior couple working in a greenhouse stock image

Medicare Supplement Plans for Low-Income Seniors

Mar 23, 2023

Medicare cost stock image

How Much Does Medicare Cost?

Jul 25, 2022

pros and cons stock image

Are Medicare Advantage Plans Bad?

May 5, 2022

wart on the sole of a white man's foot stock photo

Does Medicare Cover Wart Removal?

Jan 17, 2023

cartoon hospital and male doctor stock image

Can I Have Two Primary Care Physicians?

Oct 3, 2022

Doctor showing patient bone anatomy of skeleton of nose and nasal cavity on skull. Preparing for rhinoplasty surgery, correcting deviated nasal septum, localization of rhinitis, sinusitis in nose stock photo

Does Medicare cover Deviated Septum Surgery?

Nov 18, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Jacksonville

13 Best Ways for Seniors to Stay Active in Philadelphia

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Seattle

14 Best Ways to Stay Active in Charlotte

20 Questions to Ask Your Medicare Agent

2024 Fair Square Client Retention and Satisfaction Report

2025 Medicare Price Changes

Building the Future of Senior Healthcare

Can I Laminate My Medicare Card?

Can I switch From Medicare Advantage to Medigap?

Costco Pharmacy Partners with Fair Square

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Fosamax?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Jakafi?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover PTNS?

Does Medicare Cover Qutenza?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Pay for Antivenom?

Does Medicare Pay for Varicose Vein Treatment?

Does Medicare Require a Referral for Audiology Exams?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Medicare Plan Cover B12 Shots?

Does Your Plan Include A Free Gym Membership?

Explaining the Different Enrollment Periods for Medicare

Health Savings Accounts (HSAs) and Medicare

How Can I Get a Replacement Medicare Card?

How Do Medigap Premiums Vary?

How Does Medicare Cover Colonoscopies?

How Does Medicare Pay for Emergency Room Visits?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How is Medicare Changing in 2025?

How Much Does Rexulti Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Apply for Medicare?

How to Deduct Medicare Expenses from Your Taxes

How Your Employer Insurance and Medicare Work Together

Is Botox Covered by Medicare?

Is Emsella Covered by Medicare?

Medicare Consulting Services

Medicare Explained

Plan G vs. Plan N

Seeing the Value in Fair Square

Should You Work With A Remote Medicare Agent?

The Easiest Call You'll Ever Make

The Fair Square Bulletin: October 2023

What Are Medicare Part B Excess Charges?

What Is a Medicare Supplement SELECT Plan?

What is Plan J?

What To Do If Your Medicare Advantage Plan Is Discontinued

What's the Difference Between HMO and PPO Plans?

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Fair Square Medicare

FSM symbol - 50