Metoprolol Succinate (Metoprolol ER/Toprol XL) Medicare Coverage

Metoprolol Succinate (Metoprolol ER)
Chemical name: Metoprolol Succinate

Brand name: Toprol XL

Typical dosage: 25mg

Typical type: Tablet1

Metoprolol succinate is a medication typically used to treat high blood pressure and other cardiac disorders. It is available as a brand name (Toprol XL) or as a generic and is an oral tablet.

Metoprolol succinate is a medication with heart protective properties. It is used to treat high blood pressure, heart failure and other cardiac disorders. It is often used to help prevent heart attacks after a patient has already suffered one heart attack.

Metoprolol succinate is also called Metoprolol ER. The brand name equivalent of metoprolol succinate is Toprol XL.

Metoprolol is usually taken 1 to 2 times daily, but the dose depends on the cardiac condition you are treating.

Metoprolol works by blocking beta receptors in the heart, which helps relax your blood vessels and lower your blood pressure. Major side effects of metoprolol succinate include fatigue, dizziness, diarrhea and upset stomach or vomiting.

Does Medicare cover Metoprolol Succinate or Toprol XL?

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

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Average costs for Metoprolol Succinate 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 – $20 Free – $20

Additional information

If you are taking an immediate release form of metoprolol, it is best taken with a full glass of water. You can take all forms of metoprolol succinate with or without food, but try to take it the same way each time: always take it with food or always take it on an empty stomach.

You may not be able to feel the benefit of metoprolol. Do not stop taking metoprolol unless you are instructed to by your doctor.

Taking your blood pressure medications as directed is important in decreasing your risk for heart attack or stroke. Stopping metoprolol abruptly can cause extreme side effects including chest pain and even heart attack.

You may feel dizzy while taking metoprolol. If you have a lot of dizzy episodes or pass out, talk to your doctor, as your blood pressure may be too low.

You may feel very fatigued when you begin taking metoprolol. While this side effect is unpleasant, it typically does go away with time.

If you have diabetes, metoprolol can mask the signs of low blood sugar. Test your blood sugar regularly and take the proper steps if your blood sugar levels are low, even if you don’t feel symptoms.

 

 

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.