Exelon (Rivastigmine) Medicare Coverage

Exelon
Chemical name: Rivastigmine

Brand name: Exelon

Typical dosage: 9.5mg

Typical type: Transdermal patch1

Exelon is a medication used to treat dementia. Exelon is available as a brand name or a generic and comes as an oral capsule or a skin patch.

Exelon is a medication that contains the active ingredient Rivastigmine. Exelon is used to treat mild to moderate dementia associated with Alzheimer’s disease and Parkinson’s disease.

Exelon increases a substance called acetylcholine in the brain. A deficiency of acetylcholine is thought to contribute to symptoms of dementia.

This capsule form is usually taken twice daily, while the patch is applied once every day. Common side effects of Exelon include upset stomach, loss of appetite, dizziness, headache, tiredness, insomnia and anxiety.

Does Medicare cover Exelon or Rivastigmine?

While some Medicare plans may not cover Exelon, 98% of Medicare Advantage plans and Medicare Part D plans cover Rivastigmine.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 Rivastigmine.

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Average costs for Rivastigmine 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 – $385 $15 – $385

Additional information

If you are taking Exelon by mouth, take your dose with meals and try to take it at the same time every day.

If you are using the Exelon skin patch, wash your hands before and after use. Place a new patch on clean, dry and hairless skin. Each day take off your old patch and place a new one in a different spot of skin.

Do not use patches on skin that you have used creams, lotions or oils on that day. If the patch falls off, put a new one on. Only use 1 patch at a time, as using more than 1 at a single time can lead to side effects and even overdose.

Do not use patches that have been cut or torn. Avoid using heat on the patch.

Exelon can lead to diarrhea, loss of appetite, nausea, throwing up and weight loss. Long-term side effects like these can lead to dehydration. Call your doctor if these side effects become severe or do not go 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.