Celebrex (Celecoxib) Medicare Coverage

Celebrex
Chemical name: Celecoxib

Brand name: Celebrex

Typical dosage: 200mg

Typical type: Capsule1

Celebrex is a medication used to treat pain, arthritis and other conditions with symptoms of pain. Celebrex is available as a brand name or generic drug and comes as an oral capsule.

Celebrex is a medication that contains the active ingredient Celecoxib. Celebrex is used to treat pain, ankylosing spondylitis, juvenile arthritis, osteoarthritis, pain due to menstruation and rheumatoid arthritis.

Celebrex is a non-steroidal anti-inflammatory (NSAID) medication that inhibits receptors in the body to reduce substances that cause symptoms of pain. It is taken 1-2 times daily.

Common side effects of Celebrex include headache, constipation, upset stomach, diarrhea, vomiting, heartburn, gas, dizziness and nose or throat irritation.

Does Medicare cover Celebrex or Celecoxib?

While some Medicare plans may not cover Celebrex, some Medicare Advantage plans and Medicare Part D plans may cover generic Celecoxib.

  • 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 Celecoxib.

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 Celecoxib 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

Celebrex can be taken with or without food but should always be taken with a full glass of water.

Celebrex can increase the risk of heart and blood vessel problems like heart attack or stroke. The risk may be greater if you have heart disease or risks for heart disease, but this risk applies to everyone who takes it.

This medication can also increase the risk of stomach or bowel problems such as ulcers or bleeding. The risk of stomach problems is higher in older people and in people who have had stomach problems like this before.

 

 

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.