Trodelvy Cost 2025: Savings Tips & More

Pssst we all want to know how much this stuff is actually going to cost.

Okay, real talk you're probably here because you or someone close to you has been prescribed Trodelvy. And yeah, cancer meds like this one can feel scary expensive especially when your insurance company starts throwing around "prior authorizations" and "step therapy." Let's cut through the noise.

Most people with commercial insurance may pay as little as $0 per cycle out of pocket with the help of savings programs. If you're uninsured or underinsured? You might qualify for free medication through patient assistance programs.

We're going to run through what to expect from Trodelvy cost in 2025, how insurance (or lack thereof) affects your bottom line, and real ways to get help paying for it without the frustrating runaround.

What Is Trodelvy?

So, what exactly is Trodelvy, and why might your doctor be recommending it?

Trodelvy, also known by its fancy medical name sacituzumab govitecan-hziy, is what we call an antibody-drug conjugate. Think of it like a guided missile it's designed to target cancer cells specifically while sparing healthy ones as much as possible. Pretty clever, right?

This medication is currently approved for two main types of cancer:

• Metastatic triple-negative breast cancer (TNBC)
• Urothelial carcinoma (a type of bladder cancer)

It's typically prescribed when other treatments haven't worked as well as hoped, or when standard chemotherapy isn't the best option anymore.

Who Gets Prescribed Trodelvy?

Trodelvy isn't a first-line treatment for everyone. Your medical team will consider your specific situation, including what treatments you've already tried. Here's who typically gets prescribed this medication:

For breast cancer patients, Trodelvy is usually considered for:

• Triple-negative breast cancer (TNBC) after at least two prior treatments have been tried
• Hormone receptor-positive, HER2-negative breast cancer that has progressed despite endocrine therapy and other treatments

For bladder cancer:

• Urothelial carcinoma in later lines of care, especially when other treatments haven't been effective

Your oncologist will look at your medical history, current health status, and previous treatments to determine if Trodelvy is right for you.

The Big Question: How Much Does Trodelvy Really Cost?

Alright, let's talk numbers because we know that's what's keeping you up at night.

Here's the reality: Trodelvy has a list price of $20,106 per 2-infusion cycle as of January 1, 2025. That sounds absolutely terrifying, doesn't it? But here's the thing very few people actually pay that full list price.

Think of that list price like the sticker price on a car. Just like most people don't pay the full MSRP on a new vehicle, most patients won't be footing the entire bill for Trodelvy.

Coverage Type	Avg Copay/Out-of-Pocket	Notes
Commercial Insurance	$0$50 per cycle	Through copay cards/savings
Medicare (Part B)	0% 20% of WAC	After deductible met
Medicaid	As low as $0	Varies by state
Uninsured	Up to $20,106/list price	But rarely paid by patients

What does that $20,106 buy you? Two IV infusions typically about 10 mg/kg each on day 1 and day 8 of your treatment cycle.

How Insurance Coverage Affects Your Trodelvy Cost

Your insurance coverage can make a world of difference in your actual out-of-pocket expenses. Let's break down what you might expect with different types of coverage:

Commercial Insurance: Most people with private insurance through their employer or purchased individually can access copay assistance programs that bring their costs down to as little as $0 per cycle.

Medicare: If you're on Medicare Part B, you'll likely pay a percentage of the wholesale acquisition cost (WAC) after meeting your deductible. This can range from 0% to 20%, depending on your specific plan and whether you've met your deductible.

Medicaid: Coverage varies significantly by state, but many Medicaid recipients pay little to nothing for their Trodelvy treatment.

No Insurance: While the sticker price looks frightening, there are assistance programs specifically designed to help uninsured patients access this medication at no cost.

It's also worth noting that insurance companies might require prior authorization or step therapy before approving coverage. This means you might need to try other treatments first, or your doctor will need to provide additional documentation showing why Trodelvy is necessary.

Real Ways to Save on Trodelvy

Now, let's talk about the good stuff how to actually save money on your Trodelvy treatment. Because let's be honest, the last thing you want to worry about while dealing with cancer is whether you can afford your medication.

Trodelvy Access Support Program (TASP): This is your best bet if you have commercial insurance. The program can cover up to $25,000 per year in out-of-pocket costs, which for most people means $0 per cycle.

To qualify, you'll need to be a U.S. resident with commercial insurance, and you'll need to complete an enrollment form. Your doctor's office can usually help you get started with this process. The program also offers support with insurance coverage questions and prior authorization requirements.

For those without insurance or with limited coverage: Gilead, the company that makes Trodelvy, offers the Gilead Patient Assistance Program (G-PAP). This program provides free medication to eligible uninsured and underinsured patients.

Eligibility is based on income generally, your household income needs to be at or below 500% of the Federal Poverty Level. The application process requires some documentation, but if approved, you'll receive your medication at no cost.

There are also third-party foundations that might be able to help:

• PAN Foundation
• HealthWell Foundation
• Patient Access Network Foundation

These organizations often have specific funds for cancer medications, and they can provide grants or copay assistance to qualifying patients.

Pharmacy discount cards: For those paying cash, discount cards like those offered by GoodRx or SingleCare can sometimes provide significant savings potentially up to 80% off the retail price. However, these typically don't work if you have insurance coverage, so it's important to check before using them.

Balancing Benefits Against Side Effects

Of course, cost is just one factor in deciding whether Trodelvy is right for you. What about the actual benefits versus potential side effects?

Clinical studies have shown that Trodelvy can significantly improve progression-free survival and overall survival in patients with triple-negative breast cancer and hormone receptor-positive, HER2-negative breast cancer. For many patients, these benefits are absolutely worth the potential side effects.

The most common side effects include:

• Neutropenia (low white blood cell count)
• Diarrhea
• Nausea and vomiting
• Fatigue
• Hair loss

Your medical team will monitor you closely for these side effects and can provide medications to help manage them. Most patients find that these side effects are manageable, especially when weighed against the potential benefits of the treatment.

I know it's hard to think clearly when you're facing a cancer diagnosis, but try to remember that your medical team has prescribed this medication because they believe the potential benefits outweigh the risks for your specific situation.

Getting the Support You Deserve

One piece of advice I want you to remember: don't go through this alone. Seriously, ask your healthcare provider if there's an on-site financial counselor you can talk to. These professionals often know shortcut paths to funding that aren't listed anywhere online.

Your doctor's office might also have social workers or patient navigators who can help you understand your options and connect you with the right resources. Don't be shy about asking questions that's literally what these professionals are there for.

And here's the thing: the more you ask and push for assistance, the better your chances of getting the support you need. Some people feel embarrassed or guilty asking for financial help, but I want you to reframe that thinking. You're not asking for a favor you're accessing programs and services that were specifically created to help people exactly like you.

Making Informed Decisions

When it comes to making decisions about your cancer treatment, knowledge truly is power. Don't hesitate to have honest conversations with your doctor about:

• The potential benefits and risks of Trodelvy for your specific case
• Alternative treatment options that might be less expensive
• Whether there are clinical trials available that might provide access to newer treatments at reduced cost
• How to navigate insurance coverage and prior authorization requirements

Your doctor should welcome these questions they want you to be an informed participant in your care. If someone on your medical team makes you feel uncomfortable asking questions, that's a red flag, and you should consider seeking a second opinion.

Taking Action Today

So what's next? If you've been prescribed Trodelvy or are considering it as a treatment option, here are some immediate steps you can take:

First, call the Trodelvy Access Support program at 1-844-TRODELVY (1-844-876-3358). They can answer specific questions about your insurance coverage and help you apply for assistance programs.

Next, talk to your doctor or pharmacist about financial advocacy services. Many hospitals and cancer centers have dedicated staff who can help you navigate insurance issues and find additional sources of support.

Don't forget to explore third-party foundations and non-profit organizations in your area. Sometimes local organizations have funds specifically set aside for cancer patients in your community.

And remember, the process might feel overwhelming at first, but it gets easier as you take action. Each phone call you make, each form you complete, and each conversation you have is bringing you closer to the support you deserve.

You're Not Alone in This

I want you to know that you're not alone in facing questions about Trodelvy cost and cancer treatment expenses. Thousands of people are going through similar challenges right now, and there are people and programs specifically designed to help.

The truth about Trodelvy cost in 2025 is this: Yes, it's expensive on paper. But most people don't end up paying the full list price. Whether you have insurance, Medicare, Medicaid, or none at all there are programs that can help lower your out-of-pocket costs or even take them down to zero.

This isn't just about money, though. It's about making sure that cost never becomes a barrier between you and the treatment you need. It's about ensuring that everyone who could benefit from this medication has access to it, regardless of their financial situation.

So take a deep breath, bookmark this information, and start reaching out for the support that's available to you. You've got this, and there are people who want to help you through it.

The more you ask and push for assistance, the better your chances of getting the treatment you need without breaking the bank. Life's too short to spend time worrying about bills when you should be focusing on feeling better and spending time with the people you love.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.