Armodafinil (Nuvigil) Medicare Coverage

Armodafinil
Chemical name: Armodafinil

Brand name: Nuvigil

Typical dosage: 250mg

Typical type: Tablet1

Armodafinil is a medication used to treat different sleep disorders. Armodafinil is available as a brand name or generic drug, and it comes as an oral tablet.

Armodafinil is a medication used to improve wakefulness in patients who have obstructive sleep apnea, narcolepsy or issues with sleep due to shift-work disorder. The brand name version of Armodafinil is called Nuvigil.

This medication is typically taken once daily in the morning for narcolepsy and sleep apnea, and it can be taken prior to working for someone who has shift-work disorder.

Armodafinil works in the brain to increase dopamine levels and increase alertness. Common side effects of armodafinil include headache, dizziness, upset stomach, insomnia and dry mouth.

Does Medicare cover Armodafinil or Nuvigil?

Yes! 79% of Medicare Advantage plans and Medicare Part D plans cover Armodafinil.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 Armodafinil.

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Average costs for Armodafinil with Medicare drug coverage1

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

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.
$15 – $526 $15 – $217

Additional information

You can take Armodafinil with or without food, but it may take longer to work if you take it with food.

If you are taking Armodafinil for shift-work sleep problems, take your dose 1 hour before the start of work.

Take your dose early in the morning if you are taking this medication for sleep apnea or narcolepsy.

Armodafinil can be habit forming with long term use. If you still feel tired after taking your dose, talk to your doctor. Stopping Armodafinil suddenly can cause withdrawal symptoms.

Let your doctor know if you have signs of suicidal thoughts, mood swings or other negative changes in mood.

Armodafinil can potentially raise your blood pressure. Talk to your doctor if you experience headache, dizziness, fainting or changes in eyesight, as these could be indicative of high blood pressure.

 

 

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.