Detrol (Tolterodine) Medicare Coverage

Detrol
Chemical name: Tolterodine

Brand name: Detrol

Typical dosage: 2mg

Typical type: Tablet1

Detrol is a medication used to treat overactive bladder. Detrol is available as brand or generic and comes as an oral capsule or an oral tablet.

Detrol is a medication that contains the active ingredient Tolterodine. Detrol works in the bladder to decrease pressure and help reduce symptoms of overactive bladder.

Detrol is available as a long acting oral capsule or a short acting tablet. This medication is taken 1-2 times daily.

Common side effects of Detrol include dizziness, sleepiness, headache, stomach pain, constipation, dry mouth and dry eyes.

Does Medicare cover Detrol or Tolterodine?

While some Medicare plans may not cover Detrol, 91% of Medicare Advantage plans and Medicare Part D plans cover Tolterodine.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 Tolterodine.

Find Medicare Advantage plans with drug coverage

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Average costs for Tolterodine 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.
$15 – $158 $15 – $138

Additional information

Detrol can be taken with or without food, but the long-acting formulation should be taken with a full glass of water. Try to take this medication at the same time every day.

Detrol can make you dizzy or tired. Be careful while driving and performing other tasks.

This medication can cause swelling called angioedema in some people who take it. Signs include swelling of the hands, face, lips, eyes, tongue or throat.

If you have these symptoms or trouble breathing, trouble swallowing or unusual hoarseness, get medical help right away.

 

 

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.