Pramipexole (Mirapex) Medicare Coverage

Pramipexole is a medication used to treat Parkinson’s disease and restless leg syndrome. This medication works by increasing dopamine levels in the body. The brand name equivalent of Pramipexole is called Mirapex.

Pramipexole comes as an oral tablet in immediate-release or extended-release formulations. Pramipexole is typically taken 1-3 times per day depending on what formulation you are taking and what condition you are treating.

Common side effects include headache, upset stomach, constipation, insomnia, dizziness, fatigue, diarrhea, weight loss and stuffy nose.

How much does Pramipexole cost with Medicare?

Metoclopramide 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 Reglan or Pramipexole?

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

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

Pramipexole can be taken with or without food. If you are taking this medication for restless leg syndrome, take your dose 2-3 hours before bedtime for the most benefit. Avoid drinking alcohol with Pramipexole.

Pramipexole can cause you to fall asleep during important activities. This can occur even if you do not feel tired.

Avoid driving or doing other activities that require you to be alert after taking this medication. Let your doctor know if you experience severe drowsiness.

Changes in posture have happened while taking pramipexole. This includes neck bending forward, bending forward at the waist, or tilting sideways when you sit, stand or walk. Changes in posture can happen months after you start the medication or after an increased dose.

Stopping Pramipexole suddenly without talking to your doctor can increase your risk of side effects and withdrawal symptoms.

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.