Dexedrine (Dextroamphetamine) Medicare Coverage

Dexedrine
Chemical name: Dextroamphetamine

Brand name: Dexedrine

Typical dosage: 5mg

Typical type: Tablet1

Dexedrine is a medication used to treat ADHD and narcolepsy. Dexedrine is available as a brand name or generic drug and comes as an oral capsule.

Dexedrine is a medication that contains the active ingredient Dextroamphetamine. It is used to treat attention deficit/hyperactivity disorder (ADHD) and narcolepsy.

Dexedrine releases catecholamines like dopamine and adrenaline in the brain to help stimulate the person taking it. It is typically taken once daily. It is a C-II controlled medication due to its high potential for abuse and misuse.

Common side effects of Dexedrine include dizziness, dry mouth, loss of appetite, trouble sleeping, diarrhea, constipation, headache, weight loss, upset stomach, bad taste in the mouth, nervousness and hair loss.

Does Medicare cover Dexedrine or Dextroamphetamine?

While some Medicare plans may not cover Dexedrine, some Medicare Advantage plans and Medicare Part D plans may cover generic Dextroamphetamine.

  • 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 Dextroamphetamine.

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 Dextroamphetamine 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

Do not use Dexedrine longer than your doctor instructs you to. Tell your doctor if you have a history of abuse or have been addicted to any drugs or alcohol. Misuse of Dexedrine can result in heart-related side effects or even death.

Take Dexedrine early in the morning to avoid problems with sleep. It can be taken with or without food, but some health care professionals may advise to avoid taking it with fruit juice.

 

 

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.