Clonidine (Catapres/Catapres-Tts/Kapvay) Medicare Coverage

Clonidine
Chemical name: Clonidine

Brand name: Kapvay, Catapres, Catapres-Tts

Typical dosage: 0.1mg

Typical type: Tablet1

Clonidine is used to treat hypertension  and, in some cases, attention deficit disorder and. Clonidine is available as a brand name or a generic and comes as a topical patch or an oral tablet.

Clonidine is a medication used to treat hypertension and, in some cases, attention-deficit/hyperactivity disorder (ADHD). The brand name equivalents of Clonidine include Kapvay, Catapres and Catapres-Tts.

The Clonidine tablet is typically taken 1-2 times daily and the patch is applied once every week. Clonidine works by reducing heart rate and relaxing blood vessels to lower blood pressure.

Common side effects include dry mouth, constipation, weakness, headache, upset stomach and fatigue.

Does Medicare cover Clonidine or Catapres?

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

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Average costs for Clonidine 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– $13 Free – $13

Additional information

The immediate release tablet and transdermal patch are typically used to help treat hypertension, while the extended release tablet is used for treatment of ADHD.

You won’t be able to feel the effect of Clonidine reducing your blood pressure. It is important to take Clonidine as your doctor has described in order to get the full benefit.

Clonidine may make you dizzy if your blood pressure becomes too low. Talk to your doctor if you experience any episodes of dizziness or fainting.

If you are using the skin patch, wash your hands before and after use. Put the patch on clean dry skin on the chest or upper arm. Move the site of administration with each new patch.

If the patch comes loose, you can use the patch cover that comes with your prescription. The patch cover does not contain any medication, so do not use it alone. Take off your old patch before putting on a new one.

 

 

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.