Avita (Tretinoin) Medicare Coverage

Avita®
Chemical name: Tretinoin

Brand name: Avita, Retin-A, Atralin

Typical dosage: 20g of 0.025%

Typical type: Topical cream1

Avita® is a medication used to treat acne. Avita is available in its generic form (Tretinoin) and comes as a topical cream or gel

Avita is a medication typically used to treat acne, specifically acne vulgaris. Avita is used once daily in the area with acne present.

Avita is a form of Vitamin A that helps the skin regenerate new cells. The generic form of Avita is called Tretinoin.

Avita is typically well tolerated, but it can cause some side effects like a feeling of warmth, stinging, change in color of the skin and other skin reactions like dry, red, swollen or blistered skin.

Does Medicare cover Avita or Tretinoin?

Yes! 96% of Medicare Advantage plans and Medicare Part D plans cover Tretinoin. Medicare Advantage plans and Part D plans don't typically cover the name brand version (Avita), however.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 Tretinoin.

Find Medicare Advantage plans with drug coverage

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Average costs for Tretinoin 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 – $215 $3 – $212

Additional information

Use Avita on the skin only. Avoid getting it in your mouth, nose and eyes. Wash your hands before and after use.

Wash the affected skin and pat dry. After washing, wait 20-30 minutes before using. Put a thin layer on the skin and rub in gently.

You may sunburn more easily while taking Avita or Tretinoin. Be sure to use proper sun protection such as hats and sunscreen.

If you have a very bad skin reaction including swelling, peeling, blistering or burning, tell your doctor. Using other skin products including makeup and lotions can increase the irritation that Avita can cause.

 

 

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.