Cabergoline (Dostinex) Medicare Coverage

Cabergoline
Chemical name: Cabergoline

Brand name: Dostinex

Typical dosage: 0.5mg

Typical type: Tablet1

Cabergoline is a medication used to treat conditions affected by high prolactin levels. Cabergoline is available as a brand name drug or as a generic and comes as an oral tablet.

Cabergoline is a medication that is used to treat high prolactin levels, which can contribute to conditions referred to as hyperprolactinemic disorders. Some tumors can also be contributing causes to high prolactin levels.

Cabergoline works by increasing dopamine, which decreases the secretion of prolactin. It is typically taken 1-2 times weekly. The brand name equivalent of Cabergoline is called Dostinex.

Common side effects of Cabergoline include constipation, dizziness, headache, upset stomach and fatigue.

Does Medicare cover Cabergoline or Dostinex?

Some Medicare Advantage plans and Medicare Part D plans may cover Cabergoline.

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.1

  • 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 Cabergoline.

Find Medicare Advantage plans with drug coverage

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

 

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.

Average costs for Cabergoline with Medicare drug coverage

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.

Additional information

High prolactin levels are normal during pregnancy and after childbirth. Too much prolactin outside of these scenarios can cause symptoms such as abnormal lactation, irregular periods, breast pain, menopausal symptoms and – in some cases – infertility. Hyperprolactinemia can also affect men.

Since Cabergoline is taken 1-2 times weekly, it may be helpful to set reminders on your phone or to use a pill box in order to not miss doses. Do not take 2 doses at the same time, even if you missed a previous dose.

Let your doctor know if you experience any signs of kidney problems while taking Cabergoline. This may include changes in urination, blood in your urine or changes in weight.

While taking Cabergoline, look for signs of weakness on one side of the body, trouble speaking, difficulty thinking clearly, changes in balance, one side of the face dropping or blurry eyesight. These can be signs of stroke and are considered an emergency medical problem.

 

 

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.