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How Much Does Briviact Cost With Medicare?

Briviact (Brivaracetam) costs an average of $399 per Medicare Part D claim, with total Medicare spending of $345.0M in the latest year. A generic version is available, which may reduce out-of-pocket costs.

Key Facts: Briviact Cost

Medicare Part D avg
$399/claim
Likely Part D tier
Tier 3 (non-preferred brand)
Annual cost/patient
$3,520
Generic available
Yes — Brivaracetam
Manufacturer
UCB
Treats
Seizure/Epilepsy
YoY price change
+14.6%

Source: CMS Medicare Part D Spending Dashboard. Tier placement inferred from typical formulary norms — confirm with your specific Part D plan.

Briviact Medicare Coverage & Out-of-Pocket Cost

Briviact is covered under Medicare Part D, with the program paying an average of $399 per prescription fill. Briviact typically falls on Tier 3 (non-preferred brand) of standard Part D formularies. Typical copay: $40-$100 per fill, depending on plan formulary.

Your actual out-of-pocket cost depends on three factors: (1) formulary tier — your plan's specific placement; (2) deductible status — most plans require you to meet up to a $590 deductible (2025) before copays kick in; (3) coverage phase — initial coverage, then the donut hole was eliminated in 2025, replaced by a hard $2,000 annual out-of-pocket cap under the Inflation Reduction Act. Once you hit $2,000 in true out-of-pocket spending, the rest of your Part D drugs are free for the year.

Because generic Brivaracetam is available, the single biggest savings move is asking your pharmacist about generic substitution. Generics typically sit on Tier 1 with copays under $10, vs Tier 2-3 placement for brand-name Briviact. Most states allow automatic substitution unless your prescriber writes "dispense as written."

For cash-pay or commercial insurance scenarios, compare prices using GoodRx, SingleCare, or Cost Plus Drugs before filling — discount-program prices sometimes beat Part D copays for lower-cost generics.

Briviact is manufactured by UCB and prescribed primarily for Seizure/Epilepsy. In the most recent Medicare Part D data, 864,000 claims were filed for 98,000 unique beneficiaries, at an average cost of $399 per claim. Average annual cost per beneficiary is $3,520.

Year over year, Medicare spending on Briviact has increased by +14.6%. Because a generic version of Brivaracetam is available, patients can often substitute to reduce out-of-pocket costs. Its patent expires 2023-01-31.

Key Data

MetricValue
Avg Cost Per Claim$399
Total Medicare Spending$345.0M
Total Claims864,000
Beneficiaries98,000
Generic AvailableYes
Year-Over-Year Change+14.6%

Frequently Asked Questions

Medicare Part D pays an average of $399 per claim for Briviact. Briviact is typically placed on Tier 3 (non-preferred brand) of standard Part D formularies. Typical copay: $40-$100 per fill, depending on plan formulary. As of 2025, total annual out-of-pocket on Part D is capped at $2,000 under the Inflation Reduction Act.

Yes. Briviact appears in Medicare Part D claims data, with 98,000 beneficiaries filling 864,000 prescriptions in the latest year. Specific coverage depends on your plan's formulary — call the number on your insurance card or check the plan's Summary of Benefits to confirm prior authorization, step therapy, or quantity limit requirements.

Briviact (Brivaracetam) costs an average of $399 per Medicare Part D claim, with total Medicare spending of $345.0M in the latest year. A generic version is available, which may reduce out-of-pocket costs.

Yes. A generic version of Brivaracetam is available, which typically costs 80-95% less than brand-name Briviact. Ask your pharmacist about generic substitution — most state laws allow automatic substitution unless your prescriber writes "dispense as written."

Medicare beneficiaries cannot use manufacturer copay cards (anti-kickback statute), but several options exist: (1) Apply to charity copay foundations like the PAN Foundation, NeedyMeds, HealthWell Foundation, or Patient Advocate Foundation — many cover seizure/epilepsy drugs; (2) Ask your prescriber about therapeutic alternatives in the same drug class that may be on a lower tier; (3) For some drugs, paying cash via GoodRx or Cost Plus Drugs can beat your Medicare copay — always compare before filling; (4) If your income is below 150% of the federal poverty level, you may qualify for the Medicare Extra Help (Low-Income Subsidy) program, which reduces Part D costs to near-zero.

Briviact is manufactured by UCB. The FDA application number is BLA125057.

Briviact (Brivaracetam) is primarily prescribed for Seizure/Epilepsy.

Medicare Part D spending on Briviact has increased +14.6% year over year. Total program spending reached $345.0M in the latest reporting year.

Briviact (Brivaracetam) costs an average of $399 per Medicare Part D claim, with total Medicare spending of $345.0M in the latest year. A generic version is available, which may reduce out-of-pocket costs.

The data source behind this answer is CMS Medicare Part D Drug Spending data. Every figure on the page traces back to that source; the methodology page describes the inputs and the refresh cadence in full detail.

For readers turning this answer into action: cross-reference against the underlying CMS Medicare Part D Drug Spending data record before acting on time-sensitive decisions. The site renders the data as it was published; subsequent revisions can shift the picture, and the live federal data is always the authoritative current reference.

Source: CMS Medicare Part D Spending, 2026.