Diazepam (Valium) Medicare Coverage

Diazepam
Chemical name: Diazepam

Brand name: Valium

Typical dosage: 5mg

Typical type: Tablet1

Diazepam is a medication used to treat many different conditions including anxiety and muscle spasms. Diazepam is available as a brand name or generic drug, and it comes as an oral liquid and oral tablet.

Diazepam is a medication used to treat a variety of conditions including anxiety, muscle spasms, alcohol withdrawal symptoms and seizures. The brand name equivalent of Diazepam is called Valium.

Diazepam is usually taken as needed for symptoms or can be taken multiple times daily on a schedule.

Diazepam is a benzodiazepine medication that works in the brain to help you relax and relieve symptoms related to the above conditions. Common side effects include fatigue, sleepiness and muscle weakness.

Does Medicare cover Diazepam or Valium?

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

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Average costs for Diazepam 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– $12 Free – $12

Additional information

Your doctor will tell you the best way to take Diazepam based on what condition you are treating.

Diazepam can cause upset stomach in some people who take it. Taking it with food usually helps this symptom.

Diazepam and other benzodiazepines should not be used with opioid pain medications like Norco or Percocet. Side effects can include breathing problems and even death.

If you are taking diazepam with an opioid pain medication, get help immediately if you feel extremely dizzy or sleepy, if you have trouble breathing 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. Diazepam. Retrieved Sep. 2019, from www.goodrx.com/diazepam.

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.