Sumatriptan (Imitrex) Medicare Coverage

Sumatriptan
Chemical name: Sumatriptan

Brand name: Imitrex

Typical dosage: 100mg

Typical type: Tablet

Sumatriptan is a medication used to treat cluster headaches and migraines. It is available as a brand name or generic and comes as a nasal inhalation, an injection or an oral tablet.

Sumatriptan is a medication used to treat cluster headaches and moderate to severe migraines, with or without aura. The brand name equivalent of Sumatriptan is called Imitrex.

Sumatriptan works by reducing inflammation of the nerves and constricting your blood vessels to relieve headache and migraine. It is typically taken once at the onset of the headache or migraine.

Common side effects of Sumatriptan include dizziness, fatigue, feeling warm, upset stomach and vomiting. Side effects of the nasal spray version include changes in taste, burning and nose or throat irritation.

Does Medicare cover Sumatriptan or Imitrex?

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

  • 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 Sumatriptan.

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.

Additional information

Sumatriptan should only be taken at the onset of a headache or migraine. It is not a medication that is taken every day.

If your headache comes back or does not resolve after the first dose, you can use another dose if your doctor allows it. Make sure you know how far apart to space each dose.

If you are using the Sumatriptan injection, it can be given under the skin as early as possible after the headache or migraine has started. Wash your hands before and after giving the injection, and always use a clean needle.

Use the Sumatriptan nasal spray in the nose only, not by mouth. Blow your nose before use and sit down while taking it.

Since Sumatriptan is only taken at headache onset, major side effects are rare. However, these can include eye problems, heart problems, worsening headache, seizures, high blood pressure, burning and numbness.

Talk to your doctor right away if you experience any side effects that seem abnormal.

 

 

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.