Chantix® Medicare Coverage

Chantix®
Chemical name: Varenicline

Typical dosage: 1mg

Typical type: Tablet1

Chantix® is a prescription medication used to help people stop smoking. It is a nicotine-free oral tablet that is available as a brand-only medication.

Chantix prevents nicotine – the addictive chemical contained in cigarettes – from being processed in the brain. By blocking the processing of nicotine in the brain, Chantix reduces the rewarding aspects of cigarette smoking, which reduces the urge to smoke.

When quitting smoking, symptoms of nicotine withdrawal such as restlessness, agitation and depressed mood can be experienced.

This medication must be taken at least 7 days before the desired quit date and is taken with meals and a full glass of water. Talk to your provider to decide on a desired quit date, because this can affect the dosing schedule of this medication.

Chantix is typically taken for 12 weeks, but can be taken for up to 24 weeks if necessary.

Common side effects of this medication are nausea, sleep disturbances, constipation and vomiting.

Does Medicare cover Chantix?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Chantix.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 Chantix.

Find Medicare Advantage plans with drug coverage

Compare Plans

Or call 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 Chantix 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.
$42 – $538 $25 – $538

Additional information

Quitting smoking can lower the chances of lung and heart disease as well as certain cancers.

Chantix has been proven to be significantly better at helping people quit smoking than standard nicotine replacement methods such as a nicotine patch. The dose of Chantix will be gradually increased to minimize treatment-related nausea and insomnia.

Some patients may experience serious side effects including seizures, enhanced effects of alcohol, skin reactions, new or worsening mental health problems or cardiovascular events. Some people taking Chantix have reported experiencing vivid, unusual dreams during treatment.

This medication should be used with caution in patients with seizures, history of mental health problems, alcohol use, heart or blood vessel problems and those who are pregnant or breast feeding.

 

 

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.