Gemfibrozil (Lopid) Medicare Coverage

Gemfibrozil
Chemical name: Gemfibrozil

Brand name: Lopid

Typical dosage: 600mg

Typical type: Tablet1

Gemfibrozil is a medication used to treat high cholesterol. Gemfibrozil is available as a brand name or generic drug and comes as an oral tablet.

Gemfibrozil is a medication used to treat high lipids and high triglycerides, commonly referred to as high cholesterol. It works by stopping your liver from releasing bad cholesterol while it increases good cholesterol.

Gemfibrozil is typically taken twice daily. The brand name version of Gemfibrozil is called Lopid.

Gemfibrozil is typically well tolerated, but it can cause stomach pain, heartburn and diarrhea.

Does Medicare cover Gemfibrozil or Lopid?

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

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Average costs for Gemfibrozil 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 – $22 Free – $22

Additional information

Controlling your cholesterol is very important to reduce the risk of heart attack and stroke.

Gemfibrozil works to lower cholesterol, but you may not feel the effects. Do not stop taking Gemfibrozil without talking to your doctor.

Take the first dose of Gemfibrozil 30 minutes before breakfast and the second dose 30 minutes before dinner. Avoid taking colestipol or cholestyramine within 2 hours of taking gemfibrozil.

If you experience muscle pain, talk to your doctor. Gemfibrozil can cause muscle aches and weakness that can indicate a muscle problem that may or may not impact the kidneys.

Gemfibrozil can cause gallstones. Signs of gallstones include sudden pain in the upper right stomach or between the shoulder blades, yellow skin or eyes or fever with chills.

 

 

 

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.