How much is Entresto with Medicare in Arizona in 2027?
Entresto has no Medicare negotiated price in 2027, because CMS removed it from the program on January 1, 2027, so your Part D cost depends on how your plan prices brand Entresto or generic sacubitril/valsartan, after a deductible of no more than $700, with covered drug costs capped at $2,400 for the year.
Prices are national Medicare figures from CMS, and the deductible range is from the 2027 plan files for Maricopa County. Entresto is used to treat certain types of heart failure. What you pay at a pharmacy in Chandler, AZ or anywhere in Arizona depends on your 2027 plan's deductible, the tier Entresto sits on, and whether you have reached the yearly cap.
| Measure | Figure |
|---|---|
| Medicare negotiated price, 30-day supply, 2027 | None: removed from the program January 1, 2027 |
| Negotiated price, 30-day supply, 2026 (before) | $295 |
| List price CMS reported before negotiation, 30-day supply | $628 |
| Part D deductible, 2027 standard maximum | $700 ($615 in 2026) |
| Part D deductibles on Maricopa County 2027 drug plans (85 plans) | $0 to $700 |
| Part D out-of-pocket cap, 2027 | $2,400 ($2,100 in 2026) |
| Average gross Part D cost per claim, 2025 (national) | $1,077.74 |
| Average gross Part D cost per claim, Q1 2026 (national, preliminary) | $325.48 |
| People with Part D who used it in 2025 (national) | 826,563 |
How Part D pricing works for this drug in 2027
Your plan pays the pharmacy a negotiated price, and your share comes in three steps, in this order:
Step 1, the deductible: you pay the plan's full price until your deductible is met. No 2027 plan may set it above $700 (it was $615 in 2026). The 85 Maricopa County plans with drug coverage run from $0 to $700, and Arizona's 9 stand-alone drug plans from $300 to $700.
Step 2, your tier: after the deductible you pay the copay or coinsurance set by the tier Entresto sits on. Under the standard design CMS publishes, that is 25% of the drug's cost.
Step 3, the yearly cap: once your out-of-pocket spending on covered drugs reaches $2,400 in 2027 (up from $2,100 in 2026), you pay $0 for covered Part D drugs for the rest of the year.
Worked year: with no negotiated price in 2027, your cost depends on the price your plan sets for brand Entresto or the generic, so we run your plan's own 2027 figure rather than guess one.
What changes the answer
Entresto is changing fast. CMS made its removal determination in October 2025 after a generic was marketed, and the $295 negotiated price for a 30-day supply ends December 31, 2026. Brand-name claims have already dropped: 826,563 people with Part D used Entresto in 2025, against 103,676 in the first quarter of 2026. Ask whether generic sacubitril/valsartan is on your 2027 plan and on which tier.
For scale, 826,563 people with Part D filled Entresto in 2025, at an average gross cost of $1,077.74 per claim (national CMS data; a claim can be a 30-day or 90-day fill). Formularies are set plan by plan, so the tier and any prior authorization on your own 2027 plan decide your copay. People with limited income can apply for Extra Help through Social Security, which lowers drug copays.
What to do next
Bring your prescription list to a plan review. During Annual Enrollment, October 15 to December 7, 2026, we compare how Entresto is covered on the 2027 plans we offer in Maricopa and Pinal counties, including tier, deductible and pharmacy, and show you the yearly total rather than one copay.
Related questions
How much is Entresto with Medicare in Arizona in 2027?
Entresto has no Medicare negotiated price in 2027, because CMS removed it from the program on January 1, 2027, so your Part D cost depends on how your plan prices brand Entresto or generic sacubitril/valsartan, after a deductible of no more than $700, with covered drug costs capped at $2,400 for the year.
Is Entresto covered by Medicare in 2027?
Entresto is covered under Medicare Part D drug plans and Medicare Advantage plans with drug coverage when it is on the plan's 2027 formulary. Coverage, tier and any prior authorization vary by plan.
What is the most I can pay for Part D drugs in 2027?
$2,400 for covered Part D drugs, up from $2,100 in 2026. After that you pay $0 for covered drugs for the rest of the year.
Does the Part D deductible apply to Entresto in 2027?
It can. Until your plan's deductible is met you may pay the plan's full price for Entresto. No plan may set a 2027 deductible above $700, and Maricopa County drug plans range from $0 to $700, so where Entresto sits on each plan's 2027 drug list matters as much as the premium.
Can Extra Help lower what I pay for Entresto?
Yes, if you qualify. Extra Help is a federal program, applied for through Social Security, that lowers Part D premiums, deductibles and copays for people with limited income and resources. In Arizona, people with full AHCCCS coverage or a Medicare Savings Program usually get it automatically. We can help you check.
Can I spread my Entresto costs over 2027?
Yes. The Medicare Prescription Payment Plan lets you pay your out-of-pocket Part D drug costs in monthly amounts across the calendar year instead of all at once at the pharmacy. It does not lower the total you pay, but it helps when the deductible lands in January. Ask your plan to sign you up.
How do I check whether my 2027 plan covers Entresto?
We do it with you. During Annual Enrollment, October 15 to December 7, 2026, we look up Entresto on the 2027 drug list of each plan we offer in Maricopa and Pinal counties, note the tier and any prior authorization or quantity limits, and show you the yearly total.
Is there a Medicare negotiated price for Entresto in 2027?
No. CMS removed Entresto from the negotiation program effective January 1, 2027, after a generic version came to market, so its 2026 negotiated price ends December 31, 2026. Your 2027 cost depends on how your plan prices and tiers the brand and the generic.
Is there a generic for Entresto under Medicare in 2027?
Yes, a generic is marketed, which is why CMS removed Entresto from the negotiation program from January 1, 2027. We check your 2027 plan for generic sacubitril/valsartan and its tier.
Sources
- CMS Selected Drug List and Maximum Fair Price data file (September 21, 2026 release) Centers for Medicare & Medicaid Services
- CMS Announcement of Calendar Year 2027 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies Centers for Medicare & Medicaid Services
- CMS Medicare Advantage and Part D Landscape, Contract Year 2027 Centers for Medicare & Medicaid Services
- CMS Medicare Quarterly Part D Spending by Drug Centers for Medicare & Medicaid Services
- CMS fact sheet: negotiated prices for initial price applicability year 2026 Centers for Medicare & Medicaid Services
- CMS: Selected drugs and negotiated prices Centers for Medicare & Medicaid Services
Please note: We do not offer every plan available in your area. Currently we represent 34 organizations which offer 64 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.Rise Up Benefits Group is not connected with or endorsed by the United States government or the federal Medicare program. Medicare has neither endorsed nor reviewed this information.
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