Kayexalate (Kionex/Kalexate) Medicare Coverage

Kayexalate is a medication used to treat high potassium levels. It removes potassium from cells in the body in order to reduce potassium levels back to a normal level.

The generic equivalents of Kayexalate include Kionex, Kalexate and Sodium Polystyrene Sulfonate. Kayexalate is taken up to 4 times daily orally.

Kayexalate is normally well tolerated but can cause some diarrhea and upset stomach.

How much does Sodium Polystyrene Sulfonate cost with Medicare Advantage?

Sodium Polystyrene Sulfonate 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 Advantage cover Sodium Polystyrene Sulfonate?

According to GoodRx, 98% of Medicare Advantage plans and Medicare Part D plans covered Sodium Polystyrene Sulfonate, the generic form of Kayexalate, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Sodium Polystyrene Sulfonate 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 Sodium Polystyrene Sulfonate. We represent carriers such as Humana, Aetna, UHC, Anthem BCBS, Wellcare, Cigna Healthcare, and 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

Kayexalate is typically given in a hospital setting or in the doctor’s office, but your doctor may teach you how to take it on your own at home.

If you use the oral powder form of the medication, mix the powder with water or syrup. Do not heat or microwave the mixture. Use the mixture within 24 hours.

Let your doctor know if you experience electrolyte imbalance problems such as mood changes, confusion, muscle problems or an abnormal heartbeat.

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.