Clonazepam (Klonopin) Medicare Coverage

Clonazepam
Chemical name: Clonazepam

Brand name: Klonopin

Typical dosage: 1mg

Typical type: Tablet1

Clonazepam is a medication used to treat panic disorder, panic attacks and seizures. Clonazepam is available as a brand name and a generic. It is available as an oral tablet.

Clonazepam is a medication used to treat panic and seizure disorders. Clonazepam is a schedule-4 medication. The brand name equivalent of Clonazepam is called Klonopin.

Your dose of Clonazepam will depend on what condition you are treating. Clonazepam is a benzodiazepine medication.

Major side effects of Clonazepam include tiredness, constipation, excess saliva, dizziness, fatigue and signs of a common cold.

Does Medicare cover Clonazepam or Klonopin?

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

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 Clonazepam 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.
$2 – $24 Free – $24

Additional information

Take Clonazepam with a full glass of water.

Clonazepam is a scheduled medication because it has potential for abuse. If you use Clonazepam over a long period of time, it can be habit forming, or you can develop tolerance.

If you become tolerant to Clonazepam, your dose may need to be increased as it may not work as well. Talk to your doctor before increasing your dose.

Clonazepam can make you very tired or dizzy, so use caution when doing activities that require your full attention.

You should not drink alcohol while taking Clonazepam. Use of medications like Clonazepam with opioid medications like Norco or Percocet can lead to very bad side effects.

Call your doctor or get immediate medical assistance if you have symptoms of troubled breathing, if you feel very sleeping or dizzy or if you pass out.  

 

 

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.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 GoodRx. Clonazepam. Retrieved May 2019, from www.goodrx.com/clonazepam.

2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.