Lisinopril (Prinivil/Zestril) Medicare Coverage

Lisinopril
Chemical name: Lisinopril

Brand name: Prinivil, Zestril

Typical dosage: 20mg

Typical type: Tablet1

Lisinopril is a medication typically used to treat high blood pressure and after heart attacks. Lisinopril is available as a brand name drug or a generic and is an oral tablet.

Lisinopril is a medication often used to treat high blood pressure. Brand name equivalents of Lisinopril include Zestril and Prinivil.

Lisinopril stops the production of a chemical in your body that causes your blood vessels to constrict, which ultimately lowers your blood pressure.

The most common side effects of Lisinopril include dizziness, headache and a dry cough.

Does Medicare cover Lisinopril, Prinivil or Zestril?

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

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Average costs for Lisinopril 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 – $7 Free – $7

Additional information

You likely will not be able to feel the beneficial effects of Lisinopril, but don’t not stop taking Lisinopril without talking to your doctor.

Lisinopril is an important blood pressure medication that can help prevent you from having a heart attack or stroke, especially if you have suffered one of these before.

A dry cough can happen with medications like Lisinopril and usually occurs within a few months of treatment. If this cough becomes disruptive to your daily life, talk to your doctor about alternative medications. The dry cough usually resolves within 1-4 weeks after discontinuing Lisinopril.

Lisinopril lowers your blood pressure and may cause dizziness. Be sure to contact your doctor if your dizziness becomes severe or if you pass out. Also contact your doctor if you have a severe upset stomach.

Kidney and liver problems can happen with Lisinopril. Contact your doctor if you are unable to pass urine, you have dark urine, you are extremely tired, you have a loss of appetite or if you have yellow tinted skin or eyes.

Lisinopril can cause high potassium levels. Symptoms of high potassium include abnormal heartbeat, changes in your mental status, feeling weak, lightheaded, or dizzy, numbness, tingling or shortness of breath.

If you experience any of these symptoms or symptoms and they seem abnormal or intolerable, call your doctor.

 

 

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.