Fenofibrate (Lofibra/Fenoglide/Tricor/Lipofen) Medicare Coverage

Fenofibrate
Chemical name: Fenofibrate

Brand name: Lofibra, Fenoglide, Lipofen, Tricor

Typical dosage: 160mg

Typical type: Tablet1

Fenofibrate is a medication used to treat high cholesterol and high triglycerides. Fenofibrate is available as a brand name or generic drug and comes as an oral capsule or an oral tablet.

Fenofibrate is a medication used to treat high cholesterol and high triglycerides. The brand name equivalents of Fenofibrate include Lofibra, Lipofen, Tricor, Fenoglide and others.

Fenofibrate is taken once daily and works by blocking receptors in the body that create cholesterol.

Fenofibrate is very well tolerated by most people who take it, however some common side effects include upset stomach, headache and back pain.

Does Medicare cover Fenofibrate?

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

  • 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 Fenofibrate.

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 Fenofibrate 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

Over time, high cholesterol can lead to serious cardiac issues including chest pain (angina), heart attack and even stroke. These severe problems can sometimes lead to death.

You will likely have to take Fenofibrate for 2-3 months in order to see the benefits on a lab test. It is important to take Fenofibrate regularly. You may not be able to feel the cardiac benefits of Fenofibrate.

Talk to your pharmacist about whether you should take your dose of Fenofibrate with a meal. All Fenofibrate dosages should be taken with a full glass of water. 

Muscle problems have happened while taking Fenofibrate. These include mild to severe muscle cramps, muscle pain, weakness, fatigue or fever. Talk to your doctor if you experience any of these issues.

 

 

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.