You may be able to find Medicare plan options in your area that cover Amoxicillin/Clavulanate (generic Augmentin). Learn more about Augmentin and find Medicare Advantage plans in your area that cover other prescription drugs.
Chemical name: Amoxicillin/Clavulanate
Brand name: Augmentin
Typical dosage: 875mg/125mg
Typical type: Tablet1
Augmentin is an antibiotic medication used to treat different types of infections. It is available as a brand name drug or as a generic and is available as an oral tablet or liquid.
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.
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.
1 GoodRx. Augmentin. Retrieved October 2023, from www.goodrx.com/Augmentin/medicare-coverage.
A formulary for Medicare is the list of drugs a given Medicare Part D prescription drug plan or Medicare Advantage Prescription Drug (MA-PD) plan will cover. A Medicare plan formulary details information such as how drugs are covered, their relative costs, limitations and/or restrictions. Read more