Skip to Content

Ultomiris Prices, Coupons and Patient Assistance Programs

Ultomiris (ravulizumab) is a member of the selective immunosuppressants drug class and is commonly used for Hemolytic Uremic Syndrome, and Paroxysmal Nocturnal Hemoglobinuria.

Ultomiris Prices

The cost for Ultomiris intravenous solution (100 mg/mL) is around $6,695 for a supply of 3 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

This Ultomiris price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Intravenous Solution

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Ultomiris Coupons and Rebates

Ultomiris offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

There are currently no Manufacturer Promotions that we know about for this drug.

Patient Assistance Programs for Ultomiris

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: OneSource Patient Support Program from Alexion

Elligibility requirements:
  1. Determined case by case
  2. Determined case by case
  3. FDA-approved diagnosis
  4. Must be treated by US licensed healthcare provider
  5. Insurance benefits, claims assistance, or other reimbursement help is offered. Health care providers must enroll in the REMS program prior to submitting the Patient Assistance Program Application This program also provides copay assistance.
Applicable drugs:
  • Ultomiris (ravulizumab-cwvz) Injection; IV

More information please phone: 888-765-4747 Visit Website