Amoxicillin-Clavulanate (Augmentin) Medicare Coverage

Amoxicillin-clavulanate is an antibiotic medication commonly used for the treatment of bacterial infections such as ear, nose, and throat infections, bladder infections, respiratory infections and skin infections.

Amoxicillin-clavulanate dosing varies depending on what type of infection you are treating. Its brand name equivalent is Augmentin.

Amoxicillin-clavulanate blocks bacteria from growing to allow the infection to heal. The most common side effects of amoxicillin-clavulanate include upset stomach and diarrhea.

Does Medicare cover Amoxicillin-clavulanate or Augmentin?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Amoxicillin-clavulanate.¹

• 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.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 Amoxicillin-clavulanate.

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 Amoxicillin-clavulanate with Medicare drug coverage¹

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Additional information

It is very important to take your full course of antibiotics, even if you start to feel better. Stopping your antibiotics early can cause your infection to return and possibly get worse.

Amoxicillin-clavulanate can be taken with or without food, but taking it with food may help reduce your risk of developing an upset stomach.

Talk to your doctor if you have any severe side effects. Especially if you experience severe diarrhea, as it may be indicative of a more serious condition.

People often have allergic reactions to antibiotics. Tell your doctor if you experience signs of an allergic reaction, including rash, tightness in the chest or throat or swelling of the mouth, face, lips, tongue or throat.

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.