Augmentin (Amoxicillin/Clavulanate) Medicare Coverage

Augmentin is an antibiotic medication that contains the active ingredients Amoxicillin and Clavulanate. It is used to manage infections, including nose and throat infections, bladder infections, respiratory infections and skin infections.

Augmentin prevents bacteria from creating a cell wall, which helps to stop the spread of infection. Augmentin dosing varies depending on what type of infection you are treating.

The most common side effects of Augmentin include upset stomach and diarrhea.

How much does Amoxicillin or Clavulanate cost with Medicare?

Amoxicillin or Clavulanate coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Amoxicillin or Clavulanate?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Amoxicillin and/or Clavulanate, the generic forms of Augmentin in 2023.¹

• Medicare Advantage plans or Part D plans that cover Amoxicillin and/or Clavulanate include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Amoxicillin and/or Clavulanate. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

Finish your entire course of Augmentin as your doctor instructs you to in order to completely heal your infection.

Augmentin can be taken with or without food, though taking it with food can help prevent an upset stomach. Try to not miss doses, and take this drug at roughly the same time of day.

Let your doctor know if you experience severe diarrhea while taking Augmentin, or if you experience signs of an allergic reaction like rash or swelling.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.