Casodex (Bicalutamide) Medicare Coverage

Casodex is a medication that contains the active ingredient Bicalutamide. Casodex is used in combination with other medications to treat metastatic prostate cancer.

Casodex prevents testosterone from promoting cell growth in prostate cancer cells. It is taken once daily.

Common side effects of Casodex include hot flashes, upset stomach, diarrhea, constipation, dizziness, fatigue, sweating, back pain, headaches and anxiety.

How much does Bicalutamide cost with Medicare?

Bicalutamide 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 Bicalutamide?

According to GoodRx, 99% of Medicare Advantage plans and Medicare Part D plans cover Bicalutamide, the generic form of Casodex, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Bicalutamide 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 Bicalutamide. 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

Casodex can increase your risk of high blood sugar or developing diabetes. Casodex can worsen diabetes symptoms if you already have diabetes. Monitor your blood sugar closely.

Signs of high blood sugar include increased thirst and hunger, flushing, rapid breathing or breath that smells like fruit.

You can get sunburned more easily while taking Casodex. Take precautions by avoiding direct sunlight, avoiding tanning beds, using sunscreen and wearing sun-protective clothing.

Watch for signs of infection while taking Casodex. Talk to your doctor if you think you have an infection. Signs of infection include fever, chills, sore throat, cough and ear or sinus pain.

Taking Casodex can increase your risk for certain liver and lung problems.

Signs of liver problems include fatigue, upset stomach, light-colored stools or yellow skin and eyes. Signs of lung problems include shortness of breath or a cough that is new or worse. Talk to your doctor if you experience any of these symptoms.

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.