Gemtesa’s manufacturer (Urovant Sciences) provides the Gemtesa Simple Savings Program. This is a financial assistance plan aimed at making Gemtesa (vibegron) — a treatment for overactive bladder in adults — more affordable for those who are eligible.
The Gemtesa Simple Savings Program offers copay cards, rebates, and sometimes even free medication, depending on individual eligibility and insurance status.
Key benefits include significantly reduced out-of-pocket costs for those with commercial insurance. If your plan covers Gemtesa, you may pay as little as $0 for each 90-day supply or $10 for each 30-day supply.
If your commercial insurance doesn’t cover Gemtesa, the minimum charge is $95 for each 30-day supply.
The program also offers mail-in rebates for those filling prescriptions via mail-order or when the savings card cannot be processed at a local pharmacy.
Additional support resources include refill reminders.
There are specific eligibility requirements for those paying through insurance (not with cash). For example, you must:
- have a valid Gemtesa prescription
- use commercial insurance
- obtain medications from participating retail pharmacies
- reside in the United States or Puerto Rico
You don’t qualify for the program if you pay cash out-of-pocket or are on a state pharmaceutical assistance plan. The program is also unavailable to participants on Medicare, Medicaid, or other government healthcare programs.
Note: Medicare Part D may cover Gemtesa. Consult your plan administrator to clarify coverage and learn about other savings options.
Coverage details and eligibility for the Gemtesa Simple Savings Program can be confirmed by visiting the program website or by calling this phone number: 833-876-8268.
You can enroll by filling out the online application and downloading the savings card, or by texting “GEMTESA” to 436872 to receive a digital card. Healthcare professionals can often assist you with this process.
To use the card, bring a printed or digital copy to the pharmacy when picking up your prescription. The pharmacist will process the card at checkout and inform you of any out-of-pocket costs.
If you’re not eligible for the Gemtesa Simple Savings Program, other resources are available that may be able to help you pay for your prescription.
For details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services, check out the following websites:
The Sumitomo Patient Assistance Program is also available for Gemtesa. For more information and to find out whether you’re eligible for support, call 833-876-8268 or visit the program website.
To save money on your Gemtesa prescription, you can also explore these Optum Perks coupons.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.