Micardis (Telmisartan) Medicare Coverage

Micardis
Chemical name: Telmisartan

Brand name: Micardis

Typical dosage: 80mg

Typical type: Tablet1

Micardis is a medication used to treat high blood pressure. Micardis is available as a brand name or generic and comes as an oral tablet.

Micardis is a medication that contains the active ingredients Telmisartan and hydrochlorothiazide. It is used to treat high blood pressure and is typically taken once daily.

Telmisartan helps relax your blood vessels, while hydrochlorothiazide is a diuretic that helps you get rid of excess fluid.

Common side effects of Micardis include sinus pain, stuffy nose, sore throat, fatigue, flu-like symptoms, back pain, diarrhea and upset stomach.

Does Medicare cover Micardis or Telmisartan?

While some Medicare plans may not cover Micardis, 100% of Medicare Advantage plans and Medicare Part D plans cover Telmisartan.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 Telmisartan.

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Average costs for Telmisartan 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 – $116 Free – $54

Additional information

Micardis can make you urinate more often. To avoid having to wake up multiple times per night, try to take your dose several hours before bedtime.

Micardis can lead to electrolyte problems. Symptoms of problems with your electrolytes include mood changes, confusion, muscle pain, weakness, abnormal heartbeat, changes in urinaton, upset stomach or vomiting. Let your doctor know if you experience these symptoms.

Eye problems can happen after taking Micardis. Changes in eyesight or eye pain may happen within hours to weeks of starting this medication.

A swelling problem called angioedema has happened while taking Micardis. This includes swelling of the hands, face, lips, eyes, tongue or throat. This can cause issues with breathing, swallowing or hoarseness.

This is an emergency adverse reaction. Get medical help right away if you experience any of the above 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.