Latanoprost (Xalatan) Medicare Coverage

Latanoprost
Chemical name: Latanoprost

Brand name: Xalatan

Typical dosage: 2.5ml of 0.005%

Typical type: Liquid solution1

Latanoprost is a medication used to treat elevated intraocular pressure (IOP) within the eye, as well as open-angle glaucoma. Latanoprost comes as an eyedrop and is available as a brand or a generic.

Latanoprost is a medication used to treat elevated intraocular pressure (IOP) in patients with open-angle glaucoma and ocular hypertension. The brand name equivalent of Latanoprost is called Xalatan.

Latanoprost is used once daily in the evening. Latanoprost works on receptors in the eye to help reduce pressure.

The common side effects of Latanoprost include eye irritation, blurred eyesight, burning, stinging and noticeable eyelash growth.

Does Medicare cover Latanoprost or Xalatan?

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

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Average costs for Latanoprost 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 – $26 Free – $26

Additional information

Use Latanoprost in the eye only, and use it in the evening. Try not to miss doses.

Wash your hands before and after use. After use, keep your eyes closed and put pressure on the inside corner of eye for 1-2 minutes. If you are using another drug that goes in the eye, separate use by 5 minutes.

Be sure to take out contact lenses before using Latanoprost. You can place your contact lenses back in 15 minutes after the drug is given.

Store unopened Latanoprost bottles in the refrigerator. Once opened, it can be stored at room temperature for 6 weeks.

Talk to your doctor if you experience eye pain, changes in eye sight or extreme eye irritation.

 

 

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. Latanoprost. Retrieved May 2019, from www.goodrx.com/latanoprost.

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.