Biaxin

Indicated For

MAC prophylaxis in HIV, bacterial infections

About This Medication

# Biaxin (Clarithromycin) Patient Assistance: Finding Affordable Treatment Options ## About This Guide If you've been prescribed Biaxin (clarithromycin) but are struggling with the cost, you have options. This guide explains how to access prescription assistance programs that can help reduce or eliminate your out-of-pocket expenses for this antibiotic medication. ## What is Biaxin? Biaxin is the brand name for clarithromycin, a prescription antibiotic that belongs to a class of drugs called macrolide antibiotics. It works by stopping the growth of bacteria that cause infections. Clarithromycin is commonly prescribed to treat bacterial infections of the ears, sinuses, skin, and throat, as well as pneumonia and bronchitis.[3] The medication is typically taken by mouth every 12 hours for 7 to 14 days, depending on your condition.[5] ## Who Qualifies for Assistance? Multiple organizations offer financial assistance for Biaxin prescriptions. Eligibility varies by program, but generally, you may qualify if you: - Have unaffordable copays or deductibles - Have been denied Medicaid or Medicare Low-Income Subsidy - Meet income requirements set by assistance organizations - Have been prescribed Biaxin for an FDA-approved indication ## Available Assistance Programs If you've exhausted Medicaid and Medicare options, several nonprofit organizations can help: ### Patient Access Network Foundation (PAN) PAN provides assistance for Biaxin if the medication is listed on their covered medications list. You can check their website to confirm eligibility and coverage status.[2] ### HealthWell Foundation Copay Program The HealthWell Foundation Copay Program helps patients struggling with unaffordable copays and deductibles for Biaxin.[2] ### Patient Advocate Foundation Co-Pay Relief Program If you qualify and can demonstrate financial need, this foundation provides direct payment covering copays, coinsurance, and deductibles for Biaxin treatment.[2] ## Medicare and Insurance Options If you have Medicare Part D coverage, several cost-reduction strategies are available: **Medicare Extra Help/Low-Income Subsidy Program**: This federally funded program helps reduce out-of-pocket costs for Medicare Part D enrollees with limited income and assets. Benefits include no monthly premiums, no deductible, and low copays for prescription medications.[4] **State Pharmaceutical Assistance Programs**: Many states offer their own cost-saving programs for older adults. You can use Medicare's search tool to find if your state has a State Pharmaceutical Assistance Program.[4] **Medicare Prescription Payment Plan**: Starting January 1, 2025, Medicare Part D enrollees can spread prescription costs over the year instead of paying upfront. While this doesn't provide savings, it helps manage costs early in the year.[4] **Formulary Coverage**: Medicare prescription drug plans typically list clarithromycin on Tier 2 of their formulary, meaning moderate copays compared to higher tiers.[1] **Out-of-Pocket Limits**: As of 2025, the Part D out-of-pocket limit is $2,000. Once you reach this amount, your Part D plan pays 100% of covered medications for the rest of the year.[4] ## Income Eligibility Income thresholds vary by program. Most nonprofit assistance programs base eligibility on federal poverty level (FPL) percentages, though specific thresholds are not publicly standardized across all programs. To determine your eligibility: 1. Contact each program directly with your household income and size 2. Use your state's Medicaid website to check income limits 3. Visit Medicare.gov to check Extra Help income limits for your state ## How to Apply ### Step 1: Gather Required Information Before applying, have ready: - Your household income and size - Current insurance information (if applicable) - Your prescription from your doctor - Proof of financial need (pay stubs, tax returns, or benefit statements) ### Step 2: Check Program Eligibility Visit each program's website or call to confirm Biaxin is covered and you meet basic eligibility criteria. ### Step 3: Complete the Application Applications can typically be completed online or by phone. The government website for state programs is user-friendly and allows you to select your state to navigate to the appropriate contact point.[2] ### Step 4: Submit Documentation Provide required financial documentation to support your application. ### Step 5: Await Approval Processing times vary by program. Once approved, the program will coordinate with your pharmacy for medication delivery. ## What Happens If You're Denied? If you're denied assistance: 1. **Contact the pharmaceutical company**: If you've been prescribed Biaxin for an FDA-approved indication and all other assistance fails, call the manufacturer to ask about additional assistance programs.[2] 2. **Try alternative programs**: If one program denies you, apply to others. Different organizations have different eligibility criteria. 3. **Use discount cards**: Prescription discount cards like GoodRx, SingleCare, and others can reduce costs without insurance. SingleCare offers up to 80% discounts on clarithromycin, with prices as low as $23.55 compared to retail prices around $149.10 for 28 tablets.[8] 4. **Explore generic options**: Clarithromycin is the generic version of Biaxin and is typically more affordable than the brand name.[8] ## Alternative Cost-Saving Options If assistance programs don't work for you: - **Prescription discount cards**: Save up to 80-92% with no insurance needed[8] - **Online prescription services**: Some platforms offer affordable clarithromycin prescriptions with same-day local pickup[3] - **State Medicaid**: State Medicaid programs may cover the full cost of your medication[2] ## Important Disclaimer This guide provides general information about assistance programs for Biaxin. Program details, eligibility requirements, and benefits change frequently. Always verify current information directly with each program before applying. This guide is not a substitute for professional medical or financial advice. Consult your healthcare provider or a patient advocate for personalized assistance.

Program information last verified: March 30, 2026