Midodrine (Proamatine) Medicare Coverage

Midodrine is a medication used to treat low blood pressure that causes intolerable symptoms. Midodrine increases pressure within the arteries and veins in order to raise the blood pressure to normal.

The brand name equivalent of Midodrine is called Proamatine. It is typically taken 3 times daily during daytime hours.

Common side effects of Midodrine include tingling of the scalp, itching, goosebumps, chills and frequent urination.

How much does Midodrine cost with Medicare?

Midodrine 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 Midodrine?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Midodrine in 2023.¹

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

Low blood pressure can cause many different symptoms including dizziness, confusion, fatigue, shortness of breath and trouble concentrating.

Do not lie down after taking Midodrine. Take your dose at least 4 hours before laying down or at least 4 hours before bedtime. Laying down after taking Midodrine can cause very high blood pressure that can put you at risk for heart problems.

If you have normal or high blood pressure, do not take Midodrine.

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.