Oxybutynin (Ditropan) Medicare Coverage

Oxybutynin is a medication used to manage symptoms of overactive bladder. It relaxes the muscles in the bladder in order to reduce the urge to use the bathroom. It also increases the capacity of your bladder and reduces contractions.

Oxybutynin is available in a variety of different forms including a topical gel, a patch, a syrup or an oral tablet in immediate- and extended-release forms. The brand name equivalent of Oxybutynin is called Ditropan.

Side effects of Oxybutynin include drowsiness, dizziness, blurry eyes, headache, upset stomach, constipation, diarrhea, dry mouth, insomnia or excitability.

The skin patch and gel may cause skin irritation, redness or itching where the product is used.

Does Medicare cover Oxybutynin or Ditropan?

Some Medicare Advantage plans and Medicare Part D plans in your area may cover Oxybutynin.

• 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 Oxybutynin.

Or call 1-800-557-6059 1-800-557-6059 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 Oxybutynin 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.

Additional information

Symptoms of an overactive bladder include a sudden urge to urinate that is difficult to control, involuntarily urinating right after feeling the urge to go to the bathroom, urinating frequently (eight or more times in 24 hours) or waking up 2 or more times throughout the night to urinate.

If you are 65 years or older, you may experience more side effects while taking Oxybutynin. Behavioral therapy such as urge suppression or bladder retraining is often prescribed for older adults.

If you use Oxybutynin, be aware of the sedation side effect and avoid doing activities that require your full attention.

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.