Pramipexole (Mirapex / Generic IR & ER): Cost Across Insurances
Complete cell-by-cell comparison across Self-Pay Cash, Original Medicare, 6 Major California Commercial Payers (Anthem, Blue Shield, UnitedHealthcare, Aetna, Cigna, Kaiser Permanente), and Medi-Cal — with every cell labeled with its official data source and effective date.
Accuracy Level — Tier 1 Published Prices: You are currently viewing general published hospital cash prices, Medicare baselines, and multi-payer ranges. Add your insurance card to unlock Tier 2 plan pricing and Tier 3 verified benefit checks.
Hospital procedure cells are extracted from 14 Bay Area hospital MRFs (45 CFR § 180.50, Oct 2026); medication cells use CMS NADAC (as of 2026-10-28) & CY 2026 Medicare Part D / Medi-Cal Rx rules.
| Parkinson's Service / Medication | Self-Pay / Cash Price Hospital MRF / Retail Cash | Medicare Rate 2026 CMS / NADAC / Part D | Anthem Blue Cross MRF Negotiated / Formulary | Blue Shield of CA MRF Negotiated / Formulary | UnitedHealthcare MRF Negotiated / Formulary | Aetna MRF Negotiated / Formulary | Cigna MRF Negotiated / Formulary | Kaiser Permanente MRF Negotiated / Formulary | Medi-Cal (CA Medicaid) CA DHCS / Medi-Cal Rx |
|---|---|---|---|---|---|---|---|---|---|
MedicationNDC 68462033290 Pramipexole (Mirapex / Generic IR & ER) | $12 – $38 / 30 days (90 generic IR tablets) $12 – $38 / 30 days (90 generic IR tablets); $95 – $240 / 30 days (generic ER) Source: CMS NADAC 2026 & Retail Pharmacy Cash Benchmarks (Oct 2026) Date: Oct 2026 | NADAC: $4.95 – $5.85 / 90 tablets (30-day supply) PRAMIPEXOLE 0.5 MG TABLET ($0.05497/EA) & PRAMIPEXOLE 0.75 MG TABLET ($0.06502/EA) • Medicare Part D patient cost: $0 – $12 copay / 30 days (IR) Source: CMS NADAC 2026 (data.medicaid.gov Dataset fbb83258-11c7-47f5-8b18-5f8e79f7e704) & CMS CY 2026 Medicare Part D Public Formulary File (Oct 2026) Date: 2026-10-28 | $5–$20 / 30d (Tier 1/2 Copay) Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published) Source: Covered CA 2026 Standard Benefit Design & Anthem Blue Cross CA Commercial Formulary Date: Oct 2026 | $5–$20 / 30d (Tier 1/2 Copay) Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published) Source: Covered CA 2026 Standard Benefit Design & Blue Shield of CA CA Commercial Formulary Date: Oct 2026 | $5–$20 / 30d (Tier 1/2 Copay) Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published) Source: Covered CA 2026 Standard Benefit Design & UnitedHealthcare CA Commercial Formulary Date: Oct 2026 | $5–$20 / 30d (Tier 1/2 Copay) Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published) Source: Covered CA 2026 Standard Benefit Design & Aetna CA Commercial Formulary Date: Oct 2026 | $5–$20 / 30d (Tier 1/2 Copay) Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published) Source: Covered CA 2026 Standard Benefit Design & Cigna CA Commercial Formulary Date: Oct 2026 | $5–$20 / 30d (Tier 1/2 Copay) Formulary Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published) Source: Covered CA 2026 Standard Benefit Design & Kaiser Permanente CA Commercial Formulary Date: Oct 2026 | $0 patient copay $0 copay on Medi-Cal Rx Contract Drug List (IR). Source: CA DHCS Medi-Cal Rx Contract Drug List (CDL) & PA Policy Date: Oct 2026 |
Every Insurance Cell for Pramipexole — With Source & Date Citations
Self-Pay / Discounted Cash Price
$12 – $38 / 30 days (90 generic IR tablets); $95 – $240 / 30 days (generic ER)
Original Medicare (CMS 2026 / NADAC / Part D)
PRAMIPEXOLE 0.5 MG TABLET ($0.05497/EA) & PRAMIPEXOLE 0.75 MG TABLET ($0.06502/EA) • Medicare Part D patient cost: $0 – $12 copay / 30 days (IR)
Anthem Blue Cross (California)
Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published)
Blue Shield of California
Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published)
UnitedHealthcare (UHC)
Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published)
Aetna
Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published)
Cigna
Tier 1 Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published)
Kaiser Permanente (Northern CA)
Formulary Generic (IR); no PA. (Covered CA 2026 standard generic copay design; plan-specific PBM net rebate price not publicly published)
Medi-Cal (California Medicaid / Medi-Cal Rx)
$0 copay on Medi-Cal Rx Contract Drug List (IR).
Pramipexole (Mirapex / Generic IR & ER) — Clinical & Formulary Summary
What it's for: Directly stimulates striatal dopamine receptors (D2/D3) as monotherapy in early Parkinson's or as an adjunct to levodopa in advanced disease. (Source: NINDS & FDA Prescribing Information)