Belsomra® Medicare Coverage

Belsomra is a schedule IV prescription medication that contains the active ingredient Suvorexant. It is taken once daily within 30 minutes of bedtime.

Belsomra blocks wake-promoting protein-like molecules in the brain to suppress the body’s urge to wake from sleep.

The major side effects of Belsomra include dizziness, headache and feeling sleepy throughout the day.

Does Medicare cover Belsomra?

Yes! 39% of Medicare Advantage plans and Medicare Part D plans cover Belsomra.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 Belsomra.

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 Belsomra 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

Belsomra is a schedule IV medication due to its low potential for abuse. This drug can be habit forming with long-term use.

While many patients can safely use Belsomra, use only recommended during pregnancy if the benefits outweigh the risks of taking the medication. Caution should be exercised when breastfeeding while using Belsomra.

You should not take Belsomra if you have a history of narcolepsy or liver impairment. Use caution when using Belsomra if you have a history of depression, drug abuse or respiratory diseases such as COPD or sleep apnea.

Call your doctor if you experience signs of depression, thoughts of suicide, thoughts that are not normal, confusion, hallucinations, memory problems or memory loss while taking Belsomra.

Avoid driving and doing other tasks or actions that call for you to be alert for at least 8 hours after you take Belsomra.

Avoid alcohol while taking this drug. Do not take this drug if you drank alcohol that evening or before bed.

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.