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.

How much does Belsomra cost with Medicare?

Belsomra 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 Belsomra?

According to GoodRx, 65% of Medicare Advantage plans and Medicare Part D plans covered Belsomra in 2023.¹

• Medicare Advantage plans or Part D plans that cover Belsomra 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 2023 Medicare Advantage plans included 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 Belsomra. 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

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.