Pramipexole (Mirapex) Medicare Coverage

Mirapex
Chemical name: Pramipexole

Brand name: Mirapex

Typical dosage: 0.5mg

Typical type: Tablet1

Pramipexole is a medication used to treat Parkinson’s disease and restless leg syndrome. Pramipexole is available as a brand or generic drug and comes as an oral tablet.

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.

Does Medicare cover Pramipexole or Mirapex?

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

  • 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 Pramipexole.

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 Pramipexole 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

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.