Citalopram (Celexa) Medicare Coverage

Citalopram
Chemical name: Citalopram

Brand name: Celexa

Typical dosage: 20mg

Typical type: Tablet1

Citalopram is used to treat depression. It is available as a brand name or as a generic and comes as an oral tablet or solution.

Citalopram is a medication typically used to treat depression and anxiety. Citalopram is usually taken once daily. The brand name equivalent of Citalopram is called Celexa.

Citalopram is an antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It decreases the symptoms of depression and anxiety by increasing the amount of serotonin in your brain.

The major side effects of Citalopram include dizziness, upset stomach, constipation, diarrhea, dry mouth, insomnia, sweating, flu-like symptoms, fatigue, runny nose and headache.

Does Medicare cover Citalopram or Celexa?

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

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Average costs for Citalopram 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.
Free – $9 Free – $9

Additional information

You may not immediately notice the effects of Citalopram. It can take up to a month before you notice a change in symptoms. Do not stop taking this medication without talking to your doctor because you may experience extreme side effects and withdrawal.

You may experience more side effects with this medication if you are 65 or older.

Citalopram can increase the risk of suicidal thoughts in young adults taking this medication. If you have had suicidal thoughts or actions in the past, you may be at a higher risk.

Call your doctor if you experience restlessness, grouchiness, panic attacks or changes in mood or actions that are new or negative. If you have suicidal thoughts, call your doctor or go to the hospital immediately.

 

 

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.