Exforge (Amlodipine/Valsartan) Medicare Coverage

Exforge
Chemical name: Amlodipine/Valsartan

Brand name: Exforge

Typical dosage: 5mg/160mg

Typical type: Tablet1

Exforge is a medication used to treat high blood pressure. Exforge is available as a brand or as a generic drug and comes as an oral tablet.

Exforge is a medication used to treat people with high blood pressure. It contains a combination of two medications including amlodipine and valsartan. Exforge works to help your blood vessels relax, which lowers your blood pressure.

Exforge is taken once daily, but your dose depends on how your blood pressure responds to the medication.

Exforge is typically well tolerated but can cause dizziness, nose and throat irritation and signs of a common cold.

Does Medicare cover Exforge or Amlodipine/Valsartan?

While some Medicare plans may not cover Exforge, 88% of Medicare Advantage plans and Medicare Part D plans cover Amlodipine/Valsartan.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 Amlodipine/Valsartan.

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Average costs for Amlodipine/Valsartan 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 – $94 Free – $94

Additional information

The medications contained in Exforge help reduce your blood pressure, which ultimately reduces your risk of heart attack, stroke and other forms of heart disease.

Continue to take Exforge as directed, even if you feel fine. If you stop taking Exforge too early, you may not get the full heart benefit of the medication. This medication works best with a heart healthy lifestyle including a healthy diet, low sodium intake and exercise.

Talk to your doctor if you experience signs of high potassium while taking Exforge such as abnormal heartbeat, confusion, weakness, dizziness, fainting, numbness or shortness of breath.

Kidney and liver problems can also occur while taking Exforge. Tell your doctor if you experience changes in urination, blood in your urine, yellow skin or eyes or noticeable weight gain.

Use of Exforge during pregnancy can cause birth defects or loss of the pregnancy. If you are pregnant or plan on getting pregnant, talk to your doctor to determine if Exforge is right for you.

 

 

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.