Ibuprofen (Motrin/Advil) Medicare Coverage

Ibuprofen
Chemical name: Ibuprofen

Brand name: Motrin IB, Advil

Typical dosage: 800g

Typical type: Tablet1

Ibuprofen is a medication used to treat mild to moderate pain, fever, inflammation and arthritis symptoms. Ibuprofen is available as an over-the-counter (OTC) brand or generic. It comes as oral tablets, oral capsules, oral liquid or can be given by your doctor as an injection.

Ibuprofen is the generic name for the commonly known brand name drugs Advil and Motrin.

Ibuprofen is commonly used for the treatment of mild to moderate pain, inflammation and swelling, fever and arthritis. You can get ibuprofen as a prescription from your doctor or over the counter at your pharmacy.

Ibuprofen is a non-steroidal anti-inflammatory (NSAID) medication that decreases substances in the body that cause pain, inflammation and fever.

The most common side effects of Ibuprofen include upset stomach, heartburn, constipation, diarrhea, gas and dizziness.

Does Medicare cover Ibuprofen or Motrin/Advil?

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

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Average costs for Ibuprofen 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.
$1 – $22 Free – $22

Additional information

Ibuprofen can cause stomach ache and can also lead to stomach problems including ulcers. Ibuprofen can be taken with or without food, but it is recommended to take Ibuprofen with food or a snack to reduce the risk of stomach problems occurring.

Ibuprofen and other NSAID drugs can increase your risk of having a cardiovascular event such as a heart attack or stroke. You should not use Ibuprofen if you have had a coronary artery bypass graft surgery or if you are on blood thinning medication.

Liver problems can occur with this medication. Signs of liver problems include dark urine, fatigue, loss of appetite and stomach pain.

Follow your doctor’s instructions on how to take your ibuprofen. If you buy this medication over the counter, do not take more than 3200 mg in one day.

 

 

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. Ibuprofen. Retrieved May 2019, from www.goodrx.com/ibuprofen.

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.