Rexulti (Brexpiprazole) Medicare Coverage

Rexulti is a medication that contains the active ingredient Brexpiprazole. Rexulti is used to treat major depressive disorder and schizophrenia.

Rexulti enhances the function of receptors that produce dopamine and serotonin. Increasing dopamine and serotonin helps relieve depression and schizophrenia symptoms. It is typically taken once daily.

Side effects of Rexulti include dizziness, fatigue, restlessness, headache, weight gain and shakiness.

Does Medicare cover Rexulti or Brexpiprazole?

Some Medicare Advantage plans and Medicare Part D plans may cover Rexulti.

• 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 Rexulti.

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 Rexulti 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

Older adults should not take Rexulti to treat mental problems related to dementia.

Rexulti can increase your risk of suicide. Tell your doctor or get medical attention immediately if your depression gets worse, if you experience nervousness, restlessness, grouchiness, panic attacks or other changes in mood.

Let your doctor know if you experience strong urges that are hard to control, signs of a stroke, muscle problems, fever, muscle cramps or stiffness. These symptoms can indicate more serious conditions that require immediate medical 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.