Metoprolol (Lopressor) Medicare Coverage

Metoprolol is a medication with heart protective properties that is used to treat high blood pressure. The brand name equivalent of Metoprolol is called Lopressor HCT.

Metoprolol is usually taken 1 to 2 times daily. It is a diuretic and a beta blocker that works by blocking beta receptors in the heart. This helps relax your blood vessels and lower your blood pressure. The diuretic aspect of Metoprolol helps decrease blood pressure by increasing the flow of urine.

Some of the side effects of Metoprolol can include dizziness, diarrhea, and nausea or vomiting. It can also make you more sensitive to the sun.

How much does Metoprolol cost with Medicare?

Metoprolol coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Metoprolol?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Metoprolol in 2023.¹

• Medicare Advantage plans or Part D plans that cover Metoprolol include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.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. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

You may not immediately feel the benefit of metoprolol, but you should not stop taking Metoprolol unless you are instructed to by your doctor. Stopping metoprolol abruptly can cause extreme side and could lead to serious heart problems.

It is best to take Metoprolol just after you eat or with a meal.

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

Metoprolol can mask the signs of low blood sugar. If you have diabetes, test your blood sugar regularly and take the proper steps if your blood sugars 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.