Trileptal (Oxcarbazepine) Medicare Coverage

Trileptal is a medication that contains the active ingredient Oxcarbazepine. It is used to treat focal, or partial, onset seizures associated with epilepsy.

Trileptal works in the brain to stabilize nerves and decrease excitation to help prevent seizures. It is typically taken twice daily.

Common side effects include headache, drowsiness, upset stomach, loss of appetite, belly pain, dizziness, shakiness, nervousness, insomnia, changes in taste, diarrhea, constipation and signs of a common cold.  

How much does Oxcarbazepine cost with Medicare?

Oxcarbazepine 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 Oxcarbazepine?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Oxcarbazepine, the generic form of Trileptal in 2023.¹

• Medicare Advantage plans or Part D plans that cover Oxcarbazepine 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 2024 Medicare Advantage plans include 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 Oxcarbazepine. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or 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

Avoid driving and doing other things that require your full attention until you know how Trileptal affects you.

Trileptal can sometimes increase the risk of suicidal thoughts or action in people who take it. You may experience depression, restlessness, panic attacks or other negative mood changes. Talk to your doctor if you experience any of these symptoms.

Let your doctor know if you experience any skin problems such as red, swollen, blistered or peeling skin, as Trileptal can lead to a serious skin condition called Stevens-Johnson Syndrome.

Also talk to your doctor if you experience swelling of the hands, face, lips, eyes, tongue or throat. This can indicate a serious swelling condition caused by Trileptal.

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.