Mirtazapine (Remeron) Medicare Coverage

Mirtazapine
Chemical name: Mirtazapine

Brand name: Remeron

Typical dosage: 15mg

Typical type: Tablet1

Mirtazapine is a medication used to treat depression. Mirtazapine is available as a brand name or generic and comes as an oral tablet.

Mirtazapine is a medication typically used to treat major depressive disorder. The brand name equivalent of Mirtazapine is called Remeron.

Mirtazapine is usually taken once daily. Mirtazapine increases the levels of norepinephrine and serotonin in the brain to improve symptoms of depression.

Major side effects of Mirtazapine include feeling sleepy, dizziness, constipation, dry mouth, feeling hungry, weight gain, fatigue and strange or odd dreams.

Does Medicare cover Mirtazapine or Remeron?

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

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Average costs for Mirtazapine 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– $16 Free – $16

Additional information

Mirtazapine can cause major drowsiness. If you experience drowsiness, you can take Mirtazapine at bedtime, so you don’t feel tired during the day. If you get an upset stomach after taking Mirtazapine, try taking it with food.

It may take time for you to feel the full effects of Mirtazapine. Do not stop taking Mirtazapine without talking to your doctor, even if you feel better. Stopping Mirtazapine abruptly can cause side effects and withdrawal symptoms.

Certain side effects can indicate serious health problems. Call your doctor if you experience agitation, balance changes, confusion, hallucinations, fever, abnormal heartbeats, muscle twitching or stiffness, seizures, upset stomach or headache.

These symptoms may be indicative of a condition called serotonin syndrome.

Also call your doctor if you experience a rash with red, swollen or blistered skin, red or irritated eyes or sores in your mouth, throat, nose or eyes. This can be indicative of a serious skin condition called Stevens-Johnson syndrome.

 

 

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. Mirtazapine. Retrieved Sep. 2019, from www.goodrx.com/mirtazapine.

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.