Ah, good question. My insurance does cover it after going through their appeal process when it was initially denied. The bulk of the charge each time is for the drug plus a charge for the clinic that administers it. Now my doctor submits a request for prior approval required by my insurance company that is good for one year. The drug company also has an assistance program depending on your unique situation. https://www.leqvio.com/savings-and-support

For some reason the drug works better when it is combined with the other medications we take instead of by itself. All the more reason to find a doctor you trust and keep asking questions. We all respond differently.