Track Quetiapine price changes
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Why Quetiapine Costs $27.00 Per Claim
Quetiapine (Quetiapine Fumarate) is used to treat mental health. According to CMS Medicare Part D spending data, the program spent $234.0M on this drug, covering 1,240,000 beneficiaries across 8,640,000 claims.
A generic version of this drug is available, which means lower-cost alternatives exist. Patients should ask their pharmacist about generic Quetiapine Fumarate or talk to their doctor about therapeutic alternatives that may cost less.
Spending on Quetiapine decreased by 22.6% year-over-year, likely due to generic competition reducing prices.
Price Breakdown
Drug Details
Frequently Asked Questions
Quetiapine (Quetiapine Fumarate) costs an average of $27.00 per claim based on Medicare Part D data. The estimated annual cost per patient is $189.00. Actual out-of-pocket costs depend on your insurance plan and pharmacy.
Quetiapine averages $27.00 per Medicare Part D claim — roughly equivalent to a 30-day supply for most patients on standard dosing. Without insurance, expect higher cash-pay prices unless you use a discount program (GoodRx, SingleCare, manufacturer copay assistance). With Medicare or commercial insurance, your out-of-pocket cost depends on your plan's formulary tier and deductible status.
A typical 30-day supply of Quetiapine reflects in our Medicare Part D average of $27.00 per claim. Switching to generic Quetiapine Fumarate typically reduces cost by 80-95%. Cash-pay prices vary by pharmacy — comparison shopping (or using GoodRx coupons) often saves 20-50% off the listed price.
Most commercial insurance plans and Medicare Part D plans cover Quetiapine, but coverage varies by formulary tier. Insurers typically prefer generic Quetiapine Fumarate (Tier 1, lowest copay) over brand-name Quetiapine (Tier 2-3, higher copay). Some plans require prior authorization or step therapy. Check your plan's formulary or call the number on your insurance card to confirm.
Several options for cash-pay patients: (1) Manufacturer patient assistance programs — the manufacturer may offer copay cards or free-drug programs for income-qualified patients; (2) Discount programs like GoodRx, SingleCare, or RxSaver typically save 20-80% off the cash price; (3) Mark Cuban's Cost Plus Drugs offers transparent generic pricing if a generic is available; (4) 340B-eligible community health centers offer drugs at federally negotiated discounts. Switching to generic Quetiapine Fumarate is the single biggest cost reducer if your prescriber is open to it.
Brand-name Quetiapine costs more than generic Quetiapine Fumarate primarily for marketing reasons — patients can request the brand from their doctor even when a chemically identical generic exists. The active ingredient and clinical effect are the same.
Yes, a generic version of Quetiapine (Quetiapine Fumarate) is available. Generic medications typically cost 80-95% less than brand-name drugs. Ask your pharmacist about generic Quetiapine Fumarate.
Medicare Part D spent $234.0M on Quetiapine, covering 1,240,000 beneficiaries across 8,640,000 claims. This makes it one of the tracked drugs in the Medicare spending dashboard.
Ask your pharmacist about generic Quetiapine Fumarate, which is typically much cheaper. You can also compare prices at different pharmacies, use prescription discount programs (GoodRx, SingleCare, Cost Plus Drugs), or ask your doctor about therapeutic alternatives in the same drug class.
Reading Quetiapine's Medicare Pricing
Quetiapine averages $27.00 per Part D claim, near the commodity end of the price spectrum — the range where generics and long-established molecules for mental health sit. A low per-claim cost usually means robust generic competition or an old, cheaply-manufactured active ingredient (Quetiapine Fumarate). At this price the bigger driver of total Medicare spending is volume, not unit price.
Medicare spent $234.0M on Quetiapine across 8,640,000 claims and 1,240,000 beneficiaries — a mid-size line item. Drugs in this tier rarely make headlines but collectively make up the bulk of Part D spending. The interplay between the $27.00 average claim cost and the claim volume is what decides whether this drug's total trends up or down year to year.
Because a generic version of Quetiapine Fumarate is on the market, the realistic savings path for Quetiapine is straightforward: the generic is therapeutically equivalent and typically costs a fraction of the brand. The friction is usually prescribing habit rather than availability — patients can ask the prescriber to write for the generic, and most plans already steer to it with a lower copay tier. That single switch usually beats coupons, assistance programs, and pharmacy shopping combined.
Every figure here comes from the CMS Medicare Part D Drug Spending dashboard, which reports what the program paid — not the cash price at a retail pharmacy and not a patient's out-of-pocket cost. List prices also overstate the real economics: manufacturers pay confidential rebates to pharmacy benefit managers, so the net price plans actually pay is often well below the sticker. Treat $27.00 as a consistent Medicare-program benchmark for Quetiapine, useful for comparing drugs on the same basis, rather than the price any one patient will see at the counter.
Related
Cost data reflects Medicare Part D spending and may not represent retail pharmacy prices. Average cost per claim represents the total drug cost (not patient out-of-pocket) divided by total claims.