Intuniv (Guanfacine) Medicare Coverage

Intuniv
Chemical name: Guanfacine

Brand name: Intuniv

Typical dosage: 2mg

Typical type: Tablet1

Intuniv is a medication used to treat ADHD. Intuniv is available as a brand name or as a generic and comes as an oral tablet.

Intuniv is a medication that contains the active ingredient Guanfacine. It is used to treat attention deficit/hyperactivity disorder (ADHD or ADD).

Intuniv comes as an extended-release tablet and is usually taken once daily. Intuniv improves symptoms related to ADHD but is not a stimulant medication.

Common side effects of Intuiv include dizziness, sleepiness, dry mouth, headache, constipation, upset stomach, insomnia, irritability, vomiting and loss of appetite.  

Does Medicare cover Intuiv or Guanfacine?

Yes! 74% of Medicare Advantage plans and Medicare Part D plans cover Guanfacine, the generic form of Intuiv. Most Medicare Advantage plans and Medicare Part D plans don't cover the brand name drug Intuiv.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 Guanfacine.

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Average costs for Guanfacine (generic Intuiv) 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 – $238 $8 – $103

Additional information

Swallow Intuniv whole with some water or another drink. Intuniv cannot be chewed, broken or crushed like other ADHD medications.

Try to avoid taking Intuniv with high-fat meals. Even if you feel well, keep taking Intuniv for control of ADHD symptoms.

Tell your doctor if you experience very bad dizziness, fainting or an abnormal heartbeat while taking Intuniv.

High blood pressure, withdrawal symptoms and extremely fast heartbeat can happen if you stop Intuniv suddenly. Talk to your doctor before stopping this medication.

 

 

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. Intuniv. Retrieved Sep. 2019, from www.goodrx.com/intuniv.

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.