Escitalopram (Lexapro) Medicare Coverage

Escitalopram
Chemical name: Escitalopram

Brand name: Lexapro

Typical dosage: 10g

Typical type: Tablet1

Escitalopram is used to treat major depressive disorder and generalized anxiety disorder (GAD). It is available as a brand name drug and as a generic and comes as an oral tablet or solution.

Escitalopram is a medication typically used to treat depression. The brand name equivalent of Escitalopram is called Lexapro.

Escitalopram is taken once daily. This medication is a form of antidepressant called a selective serotonin reuptake inhibitor (SSRI) that increases the amount of serotonin available in your brain, which decreases depression symptoms.

The major side effects of Escitalopram include upset stomach, fatigue, dry mouth, loss of appetite, diarrhea, constipation, trouble sleeping, shakiness and signs of a common cold.

Does Medicare cover Escitalopram or Lexapro?

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

Find Medicare Advantage plans with drug coverage

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Average costs for Escitalopram 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 – $30 Free – $30

Additional information

Do not stop taking Escitalopram, even if you begin to feel better. Suddenly stopping Escitalopram can result in withdrawal and side effects.

Avoid taking alcohol with this medication. You can take Escitalopram with or without food. If you are 65 or older, you are more prone to experiencing side effects while taking this medication.

Escitalopram and other medications in the same class can raise the chance of suicidal thoughts or actions in young adults taking this medication. The risk can be higher in people who have had these thoughts or actions in the past.

Call your doctor right away if you experience extreme changes in mood or suicidal thoughts.

 

 

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.